81. Family planning and reproductive health .Contraception Flashcards

1
Q

why is family planning important ?

A

promote the health of women and baby

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2
Q

what are the different types of contraception in order from most affective to least effective ?

A

intrauterine devices < less than 1 percent
subcutaneous rod placement

1 percent ):
combined hormone injections once every month or three months
or depot medroxyprogesterone acetate injections

monthly vaginal ring that releases combined hormones

combined hormonal weekly patches

daily oral pills / or progestin only pills

less than 2 percent
condoms - if used correctly and consistently

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3
Q

what are the behavioural methods of contraception ?

A

coitus interuptus
breastfeeding

fertility awareness

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4
Q

what is inside the contraceptive rod?

A

progestin and etonogestrel

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5
Q

who are contraindicated of contraceptive rods ?

A

breast cancer and the who had breast cancer 5 years ago

anticonsulvant takers

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6
Q

what is a contraindication for IUD ?

A

active infection

cancer of cervix , uterus , uterine cavity not the correct size or shape

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7
Q

what are the types of IUD ?

A

copper - T - IUD

levonorgestrel releasing IUD

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8
Q

how does copper t IUD work ?

A

immobilising and killing the sperm

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9
Q

how does LNG -IUD work ?

A

thickening the cervix mucus to prevent the entry of sperm

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10
Q

what are the side effects of using these IUD ?

A

bleeding can be seen

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11
Q

taking combined hormonalontraceptives reduces the risk of what ?

A

ovarian and endometrial cancer

osteoporosis

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12
Q

what is the risk of taking combine hormonal contraceptives ?

A

venous thromboembolism
deep venous thrombosis
pulmonary embolism

extremely rare
benign hepatic tumors

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13
Q

what are contraindications for combined hormonal contraceptives ?

A

preexisting hypertension , strok , breast cancer , liable hypertension , advanced diabetes , hepatic failure

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14
Q

what are the side effects of combined hormonal contraceptives ?

A

unscheduled bleeding
spotting
breast tenderness

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15
Q

how does the progestin only method work for contraceptions ?

A

thickens cervical mucus

and profoundly suppress gonadotropins to inhibit ovulation

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16
Q

what are the physical barriers women can use for contraception ?

A

diaphragm , vaginal shield , crvical cap

each of this works best with the use of spermicidal gel

17
Q

why spermicide use not recommended for multiple actions ?

A

risk for HIV

18
Q

what are the emergencies contraception pills ?

A

levonogestrol pills , first tablet taken soon as possible within 72 hours after unprotected sex

take the second tablet 12 hours apart

19
Q

what is the most common method for women over 30 ?

A

sterilisation

20
Q

how is male sterility achieved ?

A

vasectomy (removal of vas deferens carry the seprm from the epididymis to the ejaculatory duct )

21
Q

how is female sterilisation achieved ?

A

fallopian tubes are tied and cut apart through laparotomy incision

blocking fallopian tubes - micro insert placed using a hysteroscope
after the next three months scar tissue forms inside the fallopian tube
salpingography to confirm blockage of ducts