Contraception and abortion 9-10Q Flashcards

1
Q

What is abstinence?

A

not having intercourse

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2
Q

What is the only contraception that protects against STIs for the penis?

A

Condoms

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3
Q

Which province has the least amount of condom use? What is that stat?

A

Alberta

~40% of 15-24 year olds don’t use condoms

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4
Q

When used properly how effective are condoms?

A

98% effective

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5
Q

Where should you carry your condoms on a night out?

A

in your socks or a condom sack

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6
Q

What are condoms made of?

A

latex or plastic (polyurthane or polyisoprene)

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7
Q

How long are condoms good for?

A

5 years

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8
Q

How many reported pregnancies are there per women women per year with condoms?

A

2-12

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9
Q

What is the effectiveness of condoms with a typical use?

A

85%

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10
Q

What type of lube should you use with latex condoms?

A

silicone or water

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11
Q

What do internal condoms provide protection against?

A

pregnancy and STIs

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12
Q

How long to internal condoms last?

A

2 years

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13
Q

How many reported pregnancies are there per women women per year with internal condoms?

A

5-21

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14
Q

What type of STIs are internal condoms protecting against?

A

skin to skin

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15
Q

What is the effectiveness of internal condoms with perfect use? Typical use?

A

95%

79%

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16
Q

How much do internal condoms cost?

A

$3-$6.50 each

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17
Q

What is a dental dam?

A

thin latex or plastic sheet used for eating out

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18
Q

What do dental dams protect against?

A

STIs

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19
Q

How much do dental dams cost?

A

$2 each

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20
Q

Do you need a prescription for plan B?

A

no

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21
Q

How effective is plan B in the first 24h? days 2 and 3? days 4 and 5?

A

95%
85%
58%

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22
Q

What weight is plan B effective until?

A

165 lbs

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23
Q

What are the 2 ways plan B works?

A
  1. stops or delays egg release

2. prevents implantation

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24
Q

How much does plan B cost?

A

$25 to $40

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25
Q

What is Ella 1?

A

emergency contraception

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26
Q

Do you need a prescription for Ella 1?

A

yes

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27
Q

How effective is Ella 1 and for how many days?

A

85% for 5 days

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28
Q

How much does Ella 1 cost?

A

$40-50

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29
Q

What is a copper IUD?

A

emergency contraception

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30
Q

How effective is a copper IUD and for how many days?

A

99.% effective for 7 days

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31
Q

What weight is a copper IUD effective up until?

A

any weight

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32
Q

How much is a copper IUD?

A

$50-$100

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33
Q

What are the 3 types of combined hormonal BC?

A

pill, patch or ring

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34
Q

What are the 2 hormones in combined hormonal BC?

A

estrogen and progesterone

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35
Q

Typical use of the pill is how effective?

Perfect use?

A

92%

99.7%

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36
Q

How often do you change the BC patch?

A

Once a week

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37
Q

Typical use of the patch is how effective?

Perfect use?

A

92%

99.7%

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38
Q

Typical use of the ring is how effective?

Perfect use?

A

92%

99.7%

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39
Q

How many women on combined hormonal BC get pregnant for every 100 pregnancies a year?

A

1-2

40
Q

What is the brand name of the birth control injection?

A

depo provera

41
Q

How often is the birth control injection administered?

A

every 12 weeks

42
Q

When is the BC injection usually administered?

A

on the first day of menstruation

43
Q

When does the BC injection become effective?

A

within 24 hours if taken on first day of period

44
Q

What hormone is in BC injections?

A

progesterone

45
Q

How long can you stay on the BC injection?

A

2 years

46
Q

How many women on the BC injection get pregnant for every 100 pregnancies a year?

A

1-2

47
Q

What is the effectiveness of the BC injection when used typically? Perfectly?

A

94%

99.7%

48
Q

Disadvantages of combined hormonal BC?

A
  • have to take at same time everyday (pill)
  • meds may affect pill
  • don’t protect against STIs
  • lots of side effects
49
Q

When is hormonal BC not recommended?

A
  • 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
50
Q

What is seasonale?

A

Lifestyle birth control

only get period every 3 months

51
Q

How can you get spermicide?

A

film, foam, jelly, cream

52
Q

What is spermicide made of?

A

nonoxynol-9 (detergent)

53
Q

How many women using spermicide get pregnant for every 100 pregnancies a year?

A

3-21

54
Q

How many women spermicide and condoms get pregnant for every 100 pregnancies a year?

A

1-6

55
Q

How many times a day can you use spermicides?

A

once

56
Q

What is a diaphragm?

A

A barrier that blocks sperm from getting past cervix

57
Q

Are diaphragms reusable?

A

Yes you get fitted

58
Q

How many hours after intercourse should you remove the diaphragm?

A

6 hours

59
Q

What should you use with a diaphragm?

A

spermicide

60
Q

How many women using a diaphragm get pregnant for every 100 pregnancies a year?

A

3-18

61
Q

What type of contraception is a sponge?

A

barrier

62
Q

What is on a sponge?

A

spermicide

63
Q

When do you insert the sponge? When do you remove it?

A

15 mins before intercourse

6 hours after intercourse

64
Q

Is a sponge reusable?

A

no, but you can have sex more than once before you remove it

65
Q

How many women using a sponge get pregnant for every 100 pregnancies a year?

A

3-28

66
Q

What is an IUD?

A

A T shaped device inserted into the uterus by a doctor

67
Q

How long can an IUD remain in the uterus?

A

5-10 years

68
Q

What are the 2 types of IUD?

A

hormonal

non hormonal or copper

69
Q

How effective are IUDs?

A

Both types are 99% effective

70
Q

What is a tubal ligation?

A

fallopian tubes closed (cauterized) or tied off

71
Q

How does tubal ligation stop fertilization?

A

stops ovulation since egg can no longer travel and be fertilized

72
Q

How many women with their tubes tied get pregnant for every 100 pregnancies a year?

A

<1

73
Q

Is it possible to reverse a tubal ligation?

A

very rarely

74
Q

What is a vasectomy?

A

the vas deferens are tied and cauterized

75
Q

Why does a vasectomy stop fertilization?

A

the sperm is no longer expelled

76
Q

How many women sleeping with men with vasectomies get pregnant for every 100 pregnancies a year?

A

<1

77
Q

Is it possible to reverse a vasectomy?

A

very rarely, higher chance if done soon after vasectomy

78
Q

What are some of the natural family planning methods to prevent pregnancy?

A

rhythm method (calendar), cervical mucous testing method and basal body temp. methods

79
Q

How many women using natural family planning methods get pregnant for every 100 pregnancies a year?

A

2-20

80
Q

What is the lactational amenorrhea method?

A

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

81
Q

What 3 conditions must be met for the lactational amenorrhea method to be effective?

A
  1. baby must be under 6 months old
  2. women must not have a period
  3. baby must be exclusively breast fed (q4h during the day and q6h at night)
82
Q

How effective is the lactational amenorrhea method with perfect use?

A

98-99.5%

83
Q

How effective is the pull out method?

A

79%

84
Q

How many women with no contraception get pregnant for every 100 pregnancies a year?

A

60-85

85
Q

What % of pregnancies in canada are unplanned?

A

40%

86
Q

What % of parents choose to parent the unplanned pregnancy? Abort? Adoption?

A

50%
48%
1-2%

87
Q

What clinics try to scare women into not getting abortions?

A
  • the back porch
  • pregnancy care center
  • pregnancy crisis center
  • brith right
88
Q

How old do you need to be to get an abortion without parental consent?

A

14

89
Q

When is surgical abortion required and whats the limit on how far along you can be?

A

6-20 weeks

90
Q

If you are <16 weeks pregnant how many appointments do you need for an abortion? > 16 weeks?

A

1

2

91
Q

Fill in the blanks: you can get a ______ abortion up to __ weeks

A

you can get a medical abortion up to 9 weeks

92
Q

What 2 medications are given in a medical abortion?

A

methotrexate and misoprostol

93
Q

What does methotrexate do? What does misoprostol do?

A

methotrexate: blocks progesterone
misoprostol: causes miscarriage

94
Q

What medication do you take first in a medical abortion? When do you take the next medication?

A

methotrexate first followed a few days later by misoprostol

95
Q

What is the name of the abortion pill?

A

mifegymiso

96
Q

How effective is a medical abortion?

A

98-99%