Chapter 5
Order by
52 terms
Terms | Definitions |
|---|---|
 Childbearing Age | 62 million women in the US |
| Practice Contraception | 62% women in the US |
| Unplanned Pregnancies | 50% of all are this |
| Terminated Pregnancies | 4-10 are this |
| Under 25 | 52% of the women who terminate a pregnancy are this |
| Benefits of Family Planning | This includes improved health of women, lower rates of induced abortions, fewer unwanted pregnancies and births, improved socioeconomic status |
| Contraceptive Methods | The most significant factor is consistency of use |
| Contraceptive Education | This includes Contraindications in health history, religious or moral beliefs, personal motivation to use the method, and future pregnancy plans |
| Contraceptive Choice | This includes cultural practices and religious beliefs, personality, cost, effectiveness, availability, misinformation, practicality of method, and self esteem |
| Fertility Awareness | This uses a combined method, use of a barrier method during fertile days |
| Natural Family Planning | This is using abstinence during fertile days |
| Basal Body Temperature | The temperature rises and is elevated for several days with ovulation |
| Ovulation Method | Cervical mucus method, this assesses cervical mucus changes, at ovulation mucous is clearer and more stretchable, its more effective for women with irregular menstrual cycle |
| Calandar Rhythm Method | This method one must record cycle for 6 months, identification of fertile and infertile days, must abstain during fertile days of the cycle |
| Symptothemal method | This method recognizes signs of ovulation such as increased libido, abdominal bloating |
| Stadard Days Method | This is when intercourse is avoided between cycle days 8-19 for women with a regular cycle |
| Lactational Amenorrhea | Breastfeeding exclusively for the first 6 months after childbirth, there are high levels of prolactin in the body which should preent ovulation its most reliable when using a barrier |
| Spermicides | Nonoxynl-9 (N-9) can be used as a jelly, foam, vaginal film, and suppository |
| Diaphragm | This is a steel band which forms a ring with a rubber covering over the cervix, used with spermicidal crea,, must be inserted before intercourse, leave in at lesat 6 hours after intercourse, no longer than 24 hours, must use spermicidial jelly during each intercourse, must be checked for refitting or correct sizing after pregnancy |
| Cervical Cap | This is a latex cup that is shaped a shaped device with spermicidal cream or jelly that fits over the cervix, may be left in place for 48 hours, does not require additional spermicide, should be used prior to intercourse on all days of trhe cycle, do not insert with a lubricant |
| Vaginal Sponge | This is synthetic sponge containing spermicide which fits over the cervix, moistening with water before use, may wear up to 24 hours, leave in for 6 hours after then discard, acts as a barrier and a spermicide |
| Dysmenorrhea | Painful mesntruation, occurs at the onset of menstruation, disappears by the end of menses |
| COC | Combined Oral Contraceptives, contains estrogen and progestin |
| Day one start | Starts pill on the first day of mesntrual cycle |
| Sunday Start | Sunday after first menstrual period |
| Quick Start | Start pill same day in office, use back up method for 7 days |
| COC Contraindications | If a previous history of thromboembolic disease, acute or chronic liver disease, presence of estrogen-dependent carcinomas, undiagnosed uterine bleeding, smoking, gallblaldder disease, hypertension, diabetes, miagraines, hyperlipidemia |
| COC Side Effects Estrogen | Due to Estrogen -- Alterations in lipid metabolism, breast tenderness, fluid retention, headache, hypertension, nausea, thromboembolic complications |
| COC Side Effects Progestin | Acne, breast tenderness, decreased libido, decreased HDL, depression, fatigue, hirsutism, weight gain, and amenorrhea |
| Noncontraceptive Benefits of COC | Relief of menstrual symptoms and premenstrual syndrome, decreased incidene of functional ovarian cysts, reduction of PID, Overian, endometrial, and colorectal cancer, iron deficiency anemia and benign breast disease |
| Combination estrogen progestin | Transdermal, Vaginal Ring, Nuva Ring |
| Transdermal | weekly patch called Ortho Evra, applied 3 weeks at a time effice in women weighing less than 198 lbs |
| Nuva Ring | Inserted monthly left in place for 21 days and removed for 7 days |
| Progestin Only | Minipill, Long acting injectable progestin, Depo-Provera |
| Emergency Contraception | This is for unprotected intercourse, condom breakage, sexual assault, or missed oral contraceptives |
| Combinded Oral Contraceptive | This is a form of Emergency Contraception, may cause nausea and vomiting, must be taken 72 hours after intercourse |
| Plan B | Progestin only contraceptive, is more effective than combined postcoital emergency contraceptions, must be taken 72 hours after intercourse |
| IUD | Intrauterine device, must be placed within 5 days of unprotected intercourse |
| Intrauterine Device | IUD's are not for women who have never had a child or who have more than one sexual partner |
| Copper IUD | ParaGARD T380A provides protection for 10 years |
| Mirena | Provides protection for 5 years, menstrual cycles reduces after 3 months |
| IUD Advantages | This type of contraceptive has a high rate of effectiveness, continuous contraceptive protection, noncoitus-related activity, relative inexpensiveness over time |
| IUD Adverse Reactions | This can cause increased, intermenstrual bleeding, increased risk of pelvic infection, perforation of the uterus during insertion, dysmenorrhea, and expulsion of the device |
| Operative Sterilization | Vasectomy and Tubal Ligation |
| Nonoperative | Essure |
| Vasectomy | This is the safest surgical method of sterilization, can be sometimes reversed, minor procedure, takes 4-6 weeks and up to 36 ejaculation to clear the remaining sperm, must use a barrier method of protection |
| Essure | This is a non surgical sterilzation procedure, usees a nickel-titanium implant which occlude the falloian tubes, its effective 3 months after insertion |
| First Trimester Termination | This is safer than the 2nd trimester, vacuum curettage, there is a major risk of perforation of the uterus and hemorrhage |
| Second Trimester Termination | This type of termination uses dilation and evacuation |
| Medical Termination | Includes Mifepristone and Methotrexate |
| Mifepristone | This is used to terminate pregnancy in the first 7 weeks |
| Methotrexate | This is used to terminate pregnancy in the first 7 weeks, not approved for after 7 weeks |
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