Exam 4 - Prevention of Pregnancy and STIs - Gab's Quizlet Flashcards
(T/F): all contraceptives prevent pregnancy and STIs
False
In 2017-2019, how many reported pregnancies were unplanned?
38% of pregnancies for women between 15-49 years old
What percentage of female subjects reported using contraceptives?
65%
___% of female subjects reported not using contraceptives and ___% reported being sexually active or at risk of unintended pregnancy
35%
7%
Unintended pregnancy rates per 1000 women were highest among women who…
- Did not complete high school
- Non-hispanic black/African American
- Aged 18-24 years
- Cohabiting but never married
- Low income (<100% federal poverty level)
(Don’t Need A Crying Lady)
What percentage of pregnancies in the US were unintended in 2019?
41.6%
Percentage of chance that a sexually active heterosexual couple will experience a pregnancy over the course of 1 year without contraceptives
85%
What each $1 spent on publicly funded contraceptive services saves the healthcare system
$6
Percentage of women who receive a high school diploma by age 22 (who gave birth in teens vs who did not)
<50% vs 90%
Pregnancy
Viable egg is available for fertilization by sperm
Pregnancy risk from unprotected sexual intercourse during ovulation window
5-45%
Peak risks occur during the day before ovulation
Conception
May occur during a 6 day window (begins 5 days before ovulation through the day of ovulation)
(T/F): pregnancy can occur despite contraceptive use if the product is used incorrectly or it fails (like w/ condom breakage)
True
(T/F): according to the CDC, 65% of women between the ages of 15-49 currently use contraception
True
Most common adverse effects of norgestrel POP
- Irregular spotting/bleeding
- Headache
- Acne
- Fatigue
- GI adverse effects: nausea, abdominal pain, cramps, bloating
(I Have A Fainting Goat)
OTC norgesterol POP approval/removal
First approved by FDA in 1973
Voluntarily removed from market in 2005
Approved by FDA in 2023, became available in 2024
MOA of OTC norgestrel POP
Thickening of cervical mucus to inhibit ovulation
Efficacy of OTC norgesterel POP
98% with perfect use
If a patient is 3 hours late w/ a pill, the MUST use a backup method
Dosing of OTC norgesterel POP
One (0.0075 mg) tablet PO at the same time every day to prevent pregnancy
Comes in a pack of a 28 DS of identical tablets
Drug interactions of OTC norgesterel POP
Ulipristal acetate (ella) EX ec
Hepatic enzyme inducers:
- phenytoin
- carbamazepine
- barbiturates
- st johns wort
- efavinez
- bosentam
- rifampin
Contraindications of OTC norgestrel POP
- History of/currently active breast cancer
- Allergies to components of product such as tartrazine
- Concurrent use of other forms of hormonal contraceptives
- Known/suspected pregnancy
(HACK)