Ch. 8/9 Contraception, abortion, infertility Flashcards
What is used when intentionally preventing pregnancy?
Contraception
What is the device or practice used to decrease the risk of conceiving?
Contraception
What is the conscious decision to determine when to conceive or avoid pregnancy?
Family planning
May you still be at risk for pregnancy when using contraception?
yes
Does the safety of a contraception method depend on a woman’s medical history?
Yes
What does the acronym BRAIDED stand for?
- Benefits
- Risks
- Alternatives
- Inquiries
- Decisions
- Explain
- Document
Can people with liver disease take oral contraception’s?
No
What does FAMs stand for?
Fertility awareness methods
What is another terms for FAMs?
Natural Family Planning
FAMs rely on avoidance of intercourse during what periods?
fertile periods
What are some of the benefits of FAMs?
- Less infertility
- Natural Process
- May adhere to religion
What is a disadvantage of FAMs?
It may not always be effective in preventing pregnancy
Do condoms provide a mechanical barrier to STIs and HIV?
Yes
The term spermicidal refers to what type of barriers?
Chemical
A female condom is also called what?
Vaginal sheath
Do spermicidal barriers prevent sperm from reaching the cervix?
Yes
Do spermicidal barriers prevent from STIs and HIV?
No
Are spermicidal barriers usually effective if used alone?
No
What should spermicidal barriers be used with?
diaphragm or cervical cap
What size of a diaphragm-dome shaped device that covers the cervix work best?
Largest size possible
How often do diaphragm-dome shaped devices have to be fit and inspected and changed?
every 2 years
Does a diaphragm-dome shaped device work better with a spermicide?
Yes
How do you use diaphragm-dome shaped devices?
Must be left in place for 6 hours and then removed promptly
What is a risk with diaphragm-dome shaped devices?
Toxic Shock
A cervical cap-covers the opening of the cervix and should be placed for how long?
No less than 6 hours and no more than 48 hours
should a cervical cap be used with a spermicide?
Yes
What does a small round contraceptive sponge contain?
Spermicide
Where does a contraceptive sponge fit?
Over cervix
Is there only one size of cervical sponge?
Yes
How long does a cervical sponge protect for?
24 hours
Wearing a cervial sponge for longer than 24 hours, increases the risk for what?
toxic shock
The pill is what type of birth control method?
Hormonal (combined estrogen-progestin aka “COC”)
Can you use oral contraceptives with cerebrovascular disease?
No
Can you use oral contraceptives with coronary artery disease?
No
Can you use oral contraceptives with a history of DVT or PE?
No
Can you use oral contraceptives with CHF?
No
Can you use oral contraceptives with untreated HTN?
No
Can you use oral contraceptives with diabetes with vascular complications?
No
Can you use oral contraceptives with estrogen-dependent neoplasia?
No
Can you use oral contraceptives with breast cancer?
No
Can you use oral contraceptives with undiagnosed abnormal vaginal bleeding?
No
Can you use oral contraceptives with known or suspected pregnancy?
No
Can you use oral contraceptives with acute liver disease?
No
Can you use oral contraceptives with age greater than 35 y/o?
No
Can you use oral contraceptives when cigarette smoking?
No
Is there a vaginal ring for contraceptive use?
Yes
Is there a transdermal contraceptive patch?
Yes
How do combined estrogen-progestin contraceptives (COC’s) work?
Regular ingestion cause suppression of hypothalamus and pituitary gland
When the hypothalamus and pituitary gland are suppressed with COC use what does this cause?
Insufficient secretion of FSH and LH
When there is insufficient secretion of FSH and LH what happens to the follicle?
it never matures and ovulation is inhibited
Under effects of COC’s the endometrium is altered making it less favorable for what?
Implantation
Besides alteration of the endometrium what else do COC’s do making it unsuitable for sperm to travel?
Make cervical mucous remain thick
ACHES is an important teaching tool that stands for what?
Abdominal pain Chest pain/SOB Headaches Eye problems Severe leg pain
Why can you not wear a contraceptive patch on the breasts?
Too many hormones