reproductive choices Flashcards

(41 cards)

1
Q

what are the 2 methods of contraception

A
  • prevent sperm and egg contact
  • prevent ovulation
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2
Q

define abstinence

A
  • no sexual intercourse
  • prevention from sexually transmitted diseases
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3
Q

what is coitus interruptus

A

the male withdraws his penis prior to ejaculation

theoretically prevents sperm from entering the deeper structures of the female reproductive system

no protection from STDs

only considered to be about 75% effective

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4
Q

what is the rhythm method

A

based on the timing of the women’s menstrual cycle

calendar, Basel body temperature

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5
Q

what is symptothermal

A

combines temperatures and mucous methods

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6
Q

what are spermicides

A

spermicides containing nonoxynol-9 provide some protection but not 100%
should be used in combination with a barrier method
spermicides come in foam, cream, paste or film form

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7
Q

how effective are condoms

A

98-99% when used with a spermicide

proper use and storage is very important

read instructions!

fairly good protection from STD’s but still best with spermicide

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8
Q

what are intrauterine devices

A

prevents fertilized egg from implanting in the endometrium

may actually prevent conception

Not appropriate for all women, some potential serious side affects
95%-98% effective for preventing pregnancy

No protection from STDs

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9
Q

what is tubal ligation

A
  • procedure for women only
  • fallopian tubes are cut and tied sometimes cauterized
  • can be done via laparotomy- small incision in the abdominal wall
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10
Q

what is a vasectomy

A
  • procedure for men only
  • surgical removal of a small section of the deferens- tied or cauterized
  • technique is changing but for now should be considered irreversible
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11
Q

what are contraceptives “the pill”

A

first marketed in the United States in 1960
today, they are the most commonly used birth control method among college-aged women
most work through combined effects of synthetic estrogen and progesterone
progestin-only minipills contain small doses of synthetic progesterone with no estrogen

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12
Q

what is ortho evra

A

the patch
- an adhesive bandage worn for one week then replaced with a new one

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13
Q

what is depo provera

A

long acting synthetic progesterone injected every 3 months by a health care professional

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14
Q

what is an implant contraceptive

A

Implanon and others: a small plastic capsule inserted into the skin on the inner side of a woman’s upper underarm
not visible
releases a low, steady dose of progestin for up to 3 years

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15
Q

why is the pill safer now then how it was in the 1960s

A

Contains less estrogen and progestin

Then: 50 – 100 mcg of estrogen; 10 mg of progestin

Now: 20 – 30 mcg of estrogen; 0.5 – 1 mg of progestin

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16
Q

how does the pill prevent ovulation

A

no egg to release

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17
Q

what are side affects of the pill

A

nausea, headaches, weight gain, tenderness of the breasts

blood clotting, strokes, hypertension, heart attack, migraines, liver disease

18
Q

risks of the pill are more risky for who

A

women over age 35 and smokers

19
Q

how affective is the pill

20
Q

what are non- contraceptive health benefits

A

decreased incidence of ovarian and endometrial cancers

decreased incidence of benign cysts of the ovaries, breasts

decreased risk of pelvic inflammatory disease (PID)

Reduction in anemia

Decreased risk of ectopic pregnancies

Maintenance of bone density

21
Q

why do antibiotics render the pill ineffective

A

some antibiotics make it difficult for your body to absorb the hormones (e.g., estrogen / progestin) in the birth control pill

Others will make your body get rid of hormones faster

either way, hormone levels in your body or lowered and pregnancy can occur

22
Q

what are some antibiotics that can affect the pill

A

rifampin
penicillin, ampicillin, amoxicillin
tetracycline, minocylcine, doxycycline

23
Q

who should not use the pill

A
  • pregnant
    -history of or current heart problems
  • blood clotting disorder
  • breast feeding
    -smoker
    -migraines
    -high blood pressure
    -breast cancer
24
Q

when should you contact a heath care professional when on the pill

A

Severe chest pain or shortness of breast

Severe headache or blurred vision

Severe leg pain

Absence of menstruation

25
what are limitations to using the pill
- user dependent -drug interactions - some side affects
26
what is the morning after pill
High dose estrogen may prevent ovulation, fertilization, transport of the ova, implantation Should be used only in an emergency situation
27
what are options for unplanned pregnancy
marriage single parenthood adoption abortion
28
what are the 2 ways people can adopt
public adoption Children’s Aid Society is responsible for finding a home for the baby no cost to either birth parents or adoptive parents private adoption doctors and/or lawyers coordinate the adoption cost to the adoptive parents (can be $15,000+)
29
what is an abortion
a procedure, either surgical or medical, to end a pregnancy by removing the fetus and placenta from the uterus
30
what are some reasons to consider abortion
the woman may not want wish to be pregnant (elective termination) the woman’s health is endangered by the pregnancy (therapeutic abortion) there is a chance of an abnormality in the developing fetus (e.g., birth defect, genetic abnormality)
31
what is a medical abortion
between 7-9 weeks of pregnancy mifepristone - ingested orally misoprostol - inserted into vagina within the first 24-27 hours of first medication requires follow-up appointment to ensure all the tissue has been expelled must live within 2 hours of hospital side effects: prolonged bleeding, incomplete abortion, nausea, vomiting, diarrhea, pain aka abortion pill
32
what is a surgical abortion
the type of procedure that is done depends on how far along the pregnancy is 1st / 2nd / 3rd Trimesters abortions in the 3rd trimester are almost exclusively done for medical reasons / complications
33
what happens in a surgical abortion during the first trimester
- procedure is done between 6-13 weeks - vacuum aspiration (aka suction aspiration, suction curettage)
34
what are the steps of a surgical abortion in the first trimester
- injection into the cervix to numb it (topical freezing) - insertion of soft flexible tube through the cervix into uterus - suction created by an aspiring machine to remove uterine contents - completed within 5-7 minutes
35
what happens in a surgical abortion for women in the second trimester
- procedure is done between 13-24 weeks - dilation and curettage/ dilation and evacuate
36
what are the steps for a surgical abortion during the second trimester
Day 1: cervix is numbed; dilators are inserted into cervix Day 2: cervix is made more numb; dilators are removed; contents are suctioned out; physician may use a curette to scrap any out any remaining tissue may be done with or without general anesthetic
37
what happens in a surgical abortion during the third trimester
procedure done after 21 weeks Dilation and Extraction (D&X); Induction Abortion; Intact D&X; Intrauterine Cranial Decompression; Partial Birth Abortion
38
what are the steps for a surgical abortion done in the third trimester
Day 1: cervix is numbed; dilators are inserted into cervix Day 2: cervix is dilated and medication given for cramping Day 3: women is given medication to induce labor; procedure is performed to decompress the cranium; suction catheter is used to remove cranial contents; body is removed
39
what are the side affects of abortion
abdominal cramping nausea vomiting diarrhea
40
what are the risks of abortion
excessive bleeding infection of the uterus infection of the fallopian tubes puncture or perforation of the uterus scarring of the uterus damage to the cervix (e.g., tearing) allergic reaction to medications damage to other internal organs death can affect future pregnancies emotional impact Post Abortion Stress Syndrome spiritual consequences
41