TBI Contraceptives/Abortion

Question 1

The main contraceptive effect of progesterone-only pills is

Answer 1

thickening of the cervical mucous which prohibits penetration by sperm

Question 2

Injectable contraception

Answer 2

• Depo
• weight gain, dec bone mineral density
• can disrupt ovulation and menses up to one year after use

Question 3

Implant contraception

Answer 3

• Nexplanon (progesterone)
• long-acting reversible contraceptive method
• THE MOST EFFECTIVE BIRTH CONTROL METHOD

Question 4

copper-IUD MOA

Answer 4

“sperm zapper”

-releases free copper –> inflammatory response, highly spermicidal intrauterine envio

Question 5

LNG-IUD MOA

Answer 5

thickens cervical mucus, partially inhibits ovulation, thins endometrium

Question 6

levonorgestrel

Answer 6

Plan B

• progesterone blocks LH surge, inhibits ovulation
• use w/i 3 days
• reduced preg risk 75%

Question 7

ulipristal acetate

Answer 7

• anti-progesterone
• use w/i 5 days
• 98% reduced preg risk –>more effective than Plan B
• risk to pregnancy already implanted

Question 8

Paraguard

Answer 8

Copper IUD

• can be inserted up to 5d post-unprotected sex
• provides up to 12 years of addn’l contraception

Question 9

What % of abortions are

Answer 9

30%

Question 10

Mifepristone

Answer 10

• anti-progesterone

- detachment of embryo, further anti-progesterone cascafe

Question 11

Misoprostol

Answer 11

• PGE1 analog approved for tx of gastric ulcers

- cervical softening and uterine contractions

Question 12

regimen for medical abortion

Answer 12

-administer mifepristone in office followed by 24 followed by misoprostol at home 24-48 hours later

Question 13

1st trimester abortion options

Answer 13

-anesthesia, antisepsis, cervical dilation, suction to evacuate uterine contents

Question 14

2nd trimester abortion options

Answer 14

dilation and evacuation
-requires cervix dilation

induction of labor

Question 15

complications of abortion

Answer 15

related to gestational age

• bleeding/hemorrhage
• infection