1- Contraceptives Flashcards
(100 cards)
Women 18-24 yrs, black or hispanic, low education/SES, and cohabitating but never married are at higher risk for what?
Higher risk for unintended pregnancy
Delay in prenatal care, reduced likelihood of breastfeeding, depression, and risk of physical violence during pregnancy are consequences of what?
Consequences of unintended pregnancy affecting the mother
Birth defects/ low weight, more likely to experience poor mental/ physical health during childhood, lower educational attainment, and more behavioral issues in teen years are consequences of what?
Consequences of unintended pregnancy affecting the child
What are the barriers to contraception use?
Unnecessary medical tests, cost, inability to receive contriception on same days as office visit, objection to contraception (religious beliefs), difficulty obtainined continued contraception, lack of understanding of confidentiality law by adolescents
In order to start contraception, a patient only needs to meet what?
Reasonable certainty that she is not pregnant
What are the requirements, that if any are met, there is > 99% positive predictive value the Pt is not pregnant?
≤ 7 days after start of menses, no sex since start of last menses, correctly/ consistently using reliable contraception, ≤ 7 days after spontaneous/ induced abortion, w/in 4 weeks postpartum, fully/ nearly fully breast feeding + amenorrheic + < 6 mos postpartum
What are the most effective methods of birth control?
LARC (impant, IUD), surgical sterilization
What are the least effective methods of birth control?
Fertility-awareness based methods, spermicide
What should always be used to reduce the risk of STIs?
condoms
The standard days method of natural planning (although high failure rates) may be used by who?
Women with menstrual cycles from 26-32 days long
A pt using the standard days method of natural planning should abstain from intercourse on which days?
8 to 19
When would a pt use the calendar method of natural family planning?
If cycle is outside of 26-32 day range
What is required to “effectively” use the calendar method of natural family planning?
Monitor cycle X 6 months, avoid sex during fertile peroid
How do you calculate your fertile peroid if using the calendar method?
First day of fertile period = length of shortest menstrual cycles - 18 days, last day of fertile peroid = length of longest menstrual cycle - 11 days
In the cervical mucus method of natural family planning, you should check cervical mucus daily and your peak day is when?
Last day of “stretchy” clear mucus
How can the fertile period be identified when using the cervical mucus method of natural family planning?
Occurs with 1st signs of mucus and continues until 4 days after peak day
When should you abstain from sex if using the cervical mucous method?
From time of ANY cervical sercretion until 4 days after peak day
What is the two day method?
If no secretions for 2 consecuative days, okay to have intercourse
How do you use the basal body temp method of natural family planning?
Check basal body tempe each a.m. before getting out of bed, rise in tempe of 0.5-1deg F = ovulation
When should you abstain from sex if using the basal body temp method of natural family planning?
From end of menstrual period until 3 days after temp increase
Which natural family method is a combination of mucus and basal body temp methods?
Symptothermal methods
How do you idenitify the fertile peroid if using the symptothermal method?
Monitor for 1st sign of ovulation (temp change, last day stretchy cervical mucus) until 3 days after temp rise or 4 days after peak mucus
What are the barrier methods of contraception?
Diaphragm, condoms, cervical caps, cervical sponge
What male condom is more likely to slip or break?
polyurethane base
