Contraception Flashcards
What does BRAIDED stand for?
benefits
risk
alternative
inquires
decisions
explanations
documentation
info about advantages and success rate
benefits
info about disadvantages and failure rates
risk
info about other available methods
alternative
opportunities to ask questions
inquires
opportunities to decides or to change mind
decisions
info about methods and how to use it/ how it is used
explanations
info given and patients understanding
documentation
barrier methods =
male and female condoms
- used on conjunctive with spermicidal foam to increased effectiveness
-recommended to prevent STDs for couples not in long-standing, mutually monogamous relationship
spermicides alone are not effective when a highly reliable contraceptive method is sought (work by reducing the sperm mobility)
what does ACHES = serious side effects of oral contraceptives stand for?
Abdominal pain
Chest pain and SOB
Severe headache
Eye problems such as vision loss, dizziness, and blurring of vision
Severe leg pain and swelling
Abdominal pain =
liver/gallbladder
chest pain and SOB =
possible clot in the lungs or heart
severe headache
HTN or CV accident
eye problems such as vision loss, dizziness, and blurring of vision =
HTN or CV accident
severe leg pain and swelling =
thromboembolic process
contains a combination of estrogen and progestin
placed on the abdomen, butt, upper outer arm, or torso, BUT NOT THE BREAST!
replace every 3 weeks
not used for one week to allow period, 28 day cycle is then repeated
Transdermal patch
small flexible ring inserted deep into the vagina for 3 out of every 4 weeks
new ring used for each 4 week cycle
delivers continuous levels of progestin and ethinyl estradiol
Vaginal Ring
IM injection containing synthetic progesterone 150 mg IM
menstrual bleeding diminished or absent
given every 11-13 weeks
suppresses ovulation and produces a thick cervical mucus that decreases sperm motility
may be a delay in fertility for up to 18 months when discontinues
must be given 1st 5 days of menstrual cycle
Depo-Provera Shot
Synthetic progestin is released to prevent ovulation for about 3 years
can be inserted under the skin of the upper inner arm
good for at least 3 years and must then be removed
Single-Rod Implant
Contains copper or progesterone and is inserted into the uterus by the health care provider
provides continuous protection so compliance is not an issue
sting protrudes from the vagina
side effects: irregular period, increased bleeding/cramping
paragara copper T 380 = good for up to 10 years
Mirena and Kyleena = good for up to 5 years
Skyla and Liletta = good for 3 years
Intrauterine Device (IUD)
What does PAINS stand for?
P= period late abnormal spotting or bleeding
A= abdominal pain; pain during intercourse
I= infection exposure; STIs
N= not feeling well; fever and chills
S= string missing; shorter or longer
Combination of estrogen and progestin
1. Monophasic
2. Multiphasic
Progestin only (sometimes called mini-pill)
1. cervical mucus remains thick and does not provide a suitable environment for sperm penetration
Oral Contraceptives
fixed dose of estrogen & progestin
Monophasic
alter the amount of progestin and sometimes the amount of estrogen within each cycle
Multiphasic
Side effects of oral contraceptives?
breakthrough bleeding
headache
nausea
breast tenderness
acne
depression
fatigue
weight gain
Serious side effects of oral contraceptives?
stroke
MI
thromboembolism
HTN
gallbladder disease
liver tumors
Hormonal Therapy can cause?
thrombophlebitis
pulmonary embolism
CVA
CAD
breast cancer
impaired liver function
severe HTN
What are examples of Hormonal Therapy?
Oral Contraceptives
Transdermal Patch
Depo-Provers Shot
Vaginal Ring
Single Rod Implant
Intrauterine Device (IUD)
Emergency Contraceptives
Problems with IUDs:
not recommended for women who have not had children
not recommended for women with a history of PID
if pregnancy occurs with IUD in place, increased risk for miscarriage or pre-mature labor.
Round flexible device that covers the cervix
must be fitted for size by DR
inserted into the vagina up to 6 H before intercourse
used with spermicidal jelly or cream
Diaphragm
Insertion of copper IUD
Ingestion of increased dose progesterone- only pill (plan B)
Ingestion of high dose combination or oral contraceptive
Take ASAP but within 72 H of intercourse
Can be bought OTC
Emergency Contraceptives
