Lecture 20 Flashcards

1
Q

define contraceptive

A

Is a device/drug which prevents conception

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2
Q

define abortifacient

A

is a device/drug which produces an induced abortion - the deliberate death and expulsion of the product of conception (anywhere from a fertilised egg, foetus, embryo to viable unborn child)

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3
Q

define infanticide

A

is the deliberate killing of a newly-born child

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4
Q

how to reproduce

A
  • Penis into vagina – with or without male orgasm
  • Any live sperm can reach a viable egg if the woman is ovulating
  • Fertilisation can take place within minutes -> up to five days later
  • Sperm can live up to five days in the uterus and fallopian tubes
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5
Q

what are the physical reasons why we dont want contraception

A

Women: 9 months, discomfort, painful birth, need to provide for child
afterwards

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6
Q

what are the cultural reasons why we dont want contraception

A

Women: shame, embarrassment, child is not the putative father’s,
public humiliation, financial inconvenience, evidence of infidelity, possible death sentence in some cultures
Men: financial obligation to raise child; child is not putative father’s, evidence of infidelity

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7
Q

what were forms of contraception before the pill

A
Ancient world:
- Pessaries: vaginal suppositories - inserted plugs of gum or fibre
- Breast-feeding
- Coitus interruptus/withdrawal
- Douching
- Abstinence
Fallback:
- Use of abortifacients and infanticide
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8
Q

what was the ancient form of condoms

A
  • First used as early as 15th century?
  • Used primarily to prevent transmission of STDs such as syphilis
  • Made from linen, animal intestines or bladder, thin leather
  • First rubber condom produced mid-19th century
  • Latex used 1930s onwards
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9
Q

what were ancient methods of conducting an abortifacients

A
  • Herbal preparations which would induce uterine cramping and expel a pregnancy
  • Traditional herbs included rue, pennyroyal, ergot, nutmeg
  • Use of alcohol to kill foetus
  • Hot baths, jumping, falls
  • Induced abortions using sharp objects
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10
Q

what were ancient methods of conducting an infanticide

A
  • Ancient Sparta and Rome = exposure of newborn illegitimate children, children with disabilities, unwanted female children
  • Decision made by the child’s father or putative father
  • Infant child sacrifice practised for religious
    reasons in many ancient cultures: pre-Roman
    Italian, Syrian and Middle East, Babylon, Carthage
  • All these practices specifically prohibited by Judaism, Christianity and Islam
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11
Q

what happened in the 19th century contraceptive indusrty

A
  • Growth of industrialisation with new chemicals such as rubber
  • Similar growth in popular press and advertising
  • Cervical caps, vaginal sponges, primitive intra-uterine devices (IUDs), diaphragms, douching
  • Use of elaborate language in advertising to conceal effects:
    ‘menstrual regulation’, ‘hygiene’
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12
Q

what was females views towards abortion in the 19th-19th century

A
  • Early feminist thinkers opposed contraception and abortion as ‘male solutions’
  • Argued that they damaged women, destroyed children, but
    liberated men from financial and moral responsibility
  • Envisioned a radical future where any woman could welcome any child in safety and comfort
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13
Q

what women supported contraception

A
Marie Stopes
- 1921: first mothers clinic opened in london
- did not support abortion
Margaret Sanger: 
- mother died after 11 children 
- published birth control review and founded american birth control league 
Katherine McCormick:
- financed early research into the pill
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14
Q

what was the eugenics movement

A
  • William Chapple
  • spoke of the need to sterilise ‘epileptics, idiots, the physical deformed, the insane, and the criminal,’ in whom ‘the prudence and self-restraint necessary to the limitation of families is either partially or entirely absent.’
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15
Q

who inventedthe calander based methods

A
  • Dr Theodore van der Velde discovered women ovulate once per cycle
  • Ogino and Knaus pinpointed it occurs 14-days before next menstrual period
  • smulders, knaus, ogino developed calander based contraception
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16
Q

who discovered the relation between cervical mucus and fertility

A
  • John Billings
17
Q

who developed the pill

A
  • Gregory Pincus

- confirmed that progestrone inhibits ovuation

18
Q

how does the pill work?

A
  • Most oral contraceptive formulations contain a combination of synthetic oestrogen and progestogen (ethinylestradiol and progestin/s).
  • Oestrogen inhibits the pituitary gland’s secretion of Follicle- Stimulating Hormone (FSH), and so suppresses the
    development of follicles containing eggs on the ovary.
  • Meanwhile, progestogen works at the same time to inhibit the pituitary gland’s production of luteinising hormone (LH), another hormone which helps to produce egg follicles.
  • Progestogen also changes the cervical mucus, which impedes
    sperm movement.
  • Both oestrogen and progestogen work together to affect the ability of the Fallopian tubes to collect and move a fertilised gamete
    -They change the womb lining (endometrium) so that a fertilised gamete will not attach or implant.
19
Q

what was the first ‘pill’

A
  • enovid
  • FDA approved 1960
  • they werent told what the pill was meant to do in trials
  • 17% women had severe side effects
  • 3 women died
  • pill was released by searle and co
  • 11 deaths overall
20
Q

1970 US senate hearing about the pill

A
  • Women disrupted the hearings in protest at the lack of evidence taken directly
    from Pill users
  • Also angry at the consistent presentation of evidence that the Pill had known risks
    which were not explained to women prescribed it
  • Outcome: U.S. government introduced the ‘patient information sheet’, with
    complete information on side effects in every package of birth control pills sold.
21
Q

what famous ballarina died on the pill

A
  • Maria Santa aged 17
  • Experienced massive headaches and sought medical
    attention 4 times
  • Died of blood clot on brain two days after collapsing
  • Two doctors testified to inquest that blood clot was
    probably caused by Pill
  • lack of recording = distorted data
22
Q

what happened with a male pill?

A
  • Male contraceptive injection trialled in 2016 and found to be 96% effective
  • hormone-based; reversible
  • designed to lower sperm counts by acting on the brain’s pituitary gland
  • Trial discontinued after male subjects reported side effects:
    depression, acne, muscle pain, low libido