Contraception Flashcards
effectiveness of birth control depends on…
The inherent effectiveness of the method itself
AND
How consistently and correctly it is used
implants have estrogen or progesterone?
estrogen
IUDs have estrogen or progesterone?
progesterone. specifically levonorgestrel
How long does an implant typically last?
5 years
How long does an IUD typically last?
average of 7 years
combined hormonal contraceptives have estrogen or progesterone?
BOTH!
What are some risks and nursing considerations for combined hormonal contraceptives?
contraindicated for women with hx of HTN, DVT or clotting disorders due to risk of ischemic, MI, hemorrhagic stroke, and clots.
as RN be actively monitoring pt BP
what is fertility awareness method?
involves predicting when ovulation is occurring and abstaining or using barrier methods during fertile time. Only 76-88% effective
some ways that ovulation is predicted?
basal temp, cervical mucus method, Apps, or marquette method
what is the marquette method?
basically pee on a stick?
female sterilization is….
known as tubes removed
permanent and irreversible
what is the lactation amenorrhea method?
exclusively breastfeeding (no bottles or pumping). Only works for up to 6 months
What are the 3 types of emergency contraception?
Plan B
Ella
Emergency IUD
What is the abortion pill?
a type of medical abortion
FDA approved, but
illegal in some states. Other states is only for gestation 11 weeks or less
Efficacy depends on gestation but ~ >93%
Phexxi
vaginal gel but does not contain spermicide which allows vagina to maintain pH and acidic level but gel works to decrease motility of sperm
what are the two types of abortion pill?
MIFEPRESTONE
Progesterone blocker
Stops pregnancy from continuing
MISOPROSTOL
Take immediately or up to 48 hours after mifepristone
Causes cramping and bleeding to empty uterus
risks and considerations for Plan B
OTC pill. works by delaying ovulation
Most effective if taken within 3 days after unprotected sex
Lowers your chance of getting pregnant by75–89% if taken within 3 days
May not work if you weigh >165 pounds
risks and considerations for Ella
works by delaying ovulation
Prescription only
Works up to 5 days after unprotected sex
Lowers your chance of getting pregnant by85% if taken within 5 days
Weight limit is 195 pounds
risks and considerations for emergency IUDs
only certain types of IUDs
if you get it put in within 5 days of unprotected sex
Can then stay in for 8-12 years as birth control
No weight limit
The most effective emergency contraception-Lowers your chances of getting pregnant by more than 99.9 percent
