Chapter 8 Flashcards
Informed Consent for Contraception
Benefits Risks Alternatives Inquiries and questions Decisions may change mind Explanations Documentation
Methods of Contraception
Coitus interruptus (withdrawal)
Fertility Awareness Based methods
Spermicides and barrier methods
Hormonal methods
Fertility Awareness Based Methods
Natural family planning
Only contraceptive practices acceptable by the Roman Catholic Church
Rely on avoidance of intercourse during fertile periods
Spermicides and Barrier Methods
Condoms
Vaginal sheath (female condom)
Diaphragm (TSS risk)
Cervical Caps
Contraceptive sponge
Hormonal Methods
Combined Estrogen-Progestin Oral Contraceptives include oral contraceptives, combined estrogen and progestin injection, oral contraceptive 91 day regimen, transdermal contraceptive system, vaginal ring
Warning Signs of Combined Oral Contraceptives
Abdominal pain may indicate a problem with the liver or the gallbladder
Chest pain or SOB may indicate possible clot problems within the lungs or heart
Headaches may be caused by CVA or HTN
Eye problems may indicate VA or HTN
Severe leg pain may indicate a thromboembolic process
Progestin-Only Contraception
Oral progestins (mini pill)
Injectable progestins (DO NOT MASSAGE SITE AFTER INJECTION)
Implantable progestins
Emergency Contraception
Used within 120 hours of unprotected intercourse
Plan B, Ella, IUD insertion
IUDs
Offer constant contraception
Small T-shaped device inserted into the uterine cavity
Medicated IUDs loaded with either copper or progestational agent
Offer no protection against STIs or HIV
Female Sterilization
Tubal occlusion
Transcervical sterilization
Tubal reconstruction
Essure
Male Sterilization
Vasectomy
Tubal reconstruction (reanastomose)
Laws and regulations
Induced Abortion
Purposeful interruption of pregnancy before 20 weeks of gestation
First-Trimester Abortion
Aspiration
Methotrexate and misoprostol
Mifepristone and misoprostol
Second-Trimester Abortion
Dilation and evacuation
Can be performed at any point up to 20 weeks of gestation, although more commonly performed between 13 and 16 weeks of gestation
