Contraception and abortion 9-10Q Flashcards
What is abstinence?
not having intercourse
What is the only contraception that protects against STIs for the penis?
Condoms
Which province has the least amount of condom use? What is that stat?
Alberta
~40% of 15-24 year olds don’t use condoms
When used properly how effective are condoms?
98% effective
Where should you carry your condoms on a night out?
in your socks or a condom sack
What are condoms made of?
latex or plastic (polyurthane or polyisoprene)
How long are condoms good for?
5 years
How many reported pregnancies are there per women women per year with condoms?
2-12
What is the effectiveness of condoms with a typical use?
85%
What type of lube should you use with latex condoms?
silicone or water
What do internal condoms provide protection against?
pregnancy and STIs
How long to internal condoms last?
2 years
How many reported pregnancies are there per women women per year with internal condoms?
5-21
What type of STIs are internal condoms protecting against?
skin to skin
What is the effectiveness of internal condoms with perfect use? Typical use?
95%
79%
How much do internal condoms cost?
$3-$6.50 each
What is a dental dam?
thin latex or plastic sheet used for eating out
What do dental dams protect against?
STIs
How much do dental dams cost?
$2 each
Do you need a prescription for plan B?
no
How effective is plan B in the first 24h? days 2 and 3? days 4 and 5?
95%
85%
58%
What weight is plan B effective until?
165 lbs
What are the 2 ways plan B works?
- stops or delays egg release
2. prevents implantation
How much does plan B cost?
$25 to $40
What is Ella 1?
emergency contraception
Do you need a prescription for Ella 1?
yes
How effective is Ella 1 and for how many days?
85% for 5 days
How much does Ella 1 cost?
$40-50
What is a copper IUD?
emergency contraception
How effective is a copper IUD and for how many days?
99.% effective for 7 days
What weight is a copper IUD effective up until?
any weight
How much is a copper IUD?
$50-$100
What are the 3 types of combined hormonal BC?
pill, patch or ring
What are the 2 hormones in combined hormonal BC?
estrogen and progesterone
Typical use of the pill is how effective?
Perfect use?
92%
99.7%
How often do you change the BC patch?
Once a week
Typical use of the patch is how effective?
Perfect use?
92%
99.7%
Typical use of the ring is how effective?
Perfect use?
92%
99.7%
How many women on combined hormonal BC get pregnant for every 100 pregnancies a year?
1-2
What is the brand name of the birth control injection?
depo provera
How often is the birth control injection administered?
every 12 weeks
When is the BC injection usually administered?
on the first day of menstruation
When does the BC injection become effective?
within 24 hours if taken on first day of period
What hormone is in BC injections?
progesterone
How long can you stay on the BC injection?
2 years
How many women on the BC injection get pregnant for every 100 pregnancies a year?
1-2
What is the effectiveness of the BC injection when used typically? Perfectly?
94%
99.7%
Disadvantages of combined hormonal BC?
- have to take at same time everyday (pill)
- meds may affect pill
- don’t protect against STIs
- lots of side effects
When is hormonal BC not recommended?
- if you are 35+ and smoke
- if you have a hx of gestational diabetes
- have benign breast cancer or a hx of breast cancer
- have liver problems
- have a hx of DVT or embolism
- have HTN
What is seasonale?
Lifestyle birth control
only get period every 3 months
How can you get spermicide?
film, foam, jelly, cream
What is spermicide made of?
nonoxynol-9 (detergent)
How many women using spermicide get pregnant for every 100 pregnancies a year?
3-21
How many women spermicide and condoms get pregnant for every 100 pregnancies a year?
1-6
How many times a day can you use spermicides?
once
What is a diaphragm?
A barrier that blocks sperm from getting past cervix
Are diaphragms reusable?
Yes you get fitted
How many hours after intercourse should you remove the diaphragm?
6 hours
What should you use with a diaphragm?
spermicide
How many women using a diaphragm get pregnant for every 100 pregnancies a year?
3-18
What type of contraception is a sponge?
barrier
What is on a sponge?
spermicide
When do you insert the sponge? When do you remove it?
15 mins before intercourse
6 hours after intercourse
Is a sponge reusable?
no, but you can have sex more than once before you remove it
How many women using a sponge get pregnant for every 100 pregnancies a year?
3-28
What is an IUD?
A T shaped device inserted into the uterus by a doctor
How long can an IUD remain in the uterus?
5-10 years
What are the 2 types of IUD?
hormonal
non hormonal or copper
How effective are IUDs?
Both types are 99% effective
What is a tubal ligation?
fallopian tubes closed (cauterized) or tied off
How does tubal ligation stop fertilization?
stops ovulation since egg can no longer travel and be fertilized
How many women with their tubes tied get pregnant for every 100 pregnancies a year?
<1
Is it possible to reverse a tubal ligation?
very rarely
What is a vasectomy?
the vas deferens are tied and cauterized
Why does a vasectomy stop fertilization?
the sperm is no longer expelled
How many women sleeping with men with vasectomies get pregnant for every 100 pregnancies a year?
<1
Is it possible to reverse a vasectomy?
very rarely, higher chance if done soon after vasectomy
What are some of the natural family planning methods to prevent pregnancy?
rhythm method (calendar), cervical mucous testing method and basal body temp. methods
How many women using natural family planning methods get pregnant for every 100 pregnancies a year?
2-20
What is the lactational amenorrhea method?
if a women exclusively breastfeeds her baby for 6 months the hormones that produce the breast milk will also work to stop the ovaries from releasing an egg for those 6 months
What 3 conditions must be met for the lactational amenorrhea method to be effective?
- baby must be under 6 months old
- women must not have a period
- baby must be exclusively breast fed (q4h during the day and q6h at night)
How effective is the lactational amenorrhea method with perfect use?
98-99.5%
How effective is the pull out method?
79%
How many women with no contraception get pregnant for every 100 pregnancies a year?
60-85
What % of pregnancies in canada are unplanned?
40%
What % of parents choose to parent the unplanned pregnancy? Abort? Adoption?
50%
48%
1-2%
What clinics try to scare women into not getting abortions?
- the back porch
- pregnancy care center
- pregnancy crisis center
- brith right
How old do you need to be to get an abortion without parental consent?
14
When is surgical abortion required and whats the limit on how far along you can be?
6-20 weeks
If you are <16 weeks pregnant how many appointments do you need for an abortion? > 16 weeks?
1
2
Fill in the blanks: you can get a ______ abortion up to __ weeks
you can get a medical abortion up to 9 weeks
What 2 medications are given in a medical abortion?
methotrexate and misoprostol
What does methotrexate do? What does misoprostol do?
methotrexate: blocks progesterone
misoprostol: causes miscarriage
What medication do you take first in a medical abortion? When do you take the next medication?
methotrexate first followed a few days later by misoprostol
What is the name of the abortion pill?
mifegymiso
How effective is a medical abortion?
98-99%
