Maternal Child Family Planning

Card Set Information

Author:
sdelap
ID:
131468
Filename:
Maternal Child Family Planning
Updated:
2012-01-29 17:24:03
Tags:
Maternal Child Family Planning
Folders:

Description:
Maternal Child Family Planning
Show Answers:

Home > Flashcards > Print Preview

The flashcards below were created by user sdelap on FreezingBlue Flashcards. What would you like to do?


  1. Fertility Awareness-based methods (FAB)
    • Basal body temp method
    • Ovulation method
    • Calendar rhythm method
    • Symptothermal method
    • Standard days method
  2. Situational Contraceptives
    • Abstinence
    • Coitus interruptus
    • Douching
  3. Barrier Methods
    • Male condom
    • Female condom
    • Diaphragm
    • Cervical caps
    • Vaginal sponge
    • IUD (local inflam effect) 10 yrs
    • Mirena LNG-IUS 5 yrs
  4. Hormonal Contraceptives
    • Combination Estrogen-progestin approaches:
    • Combined oral contraceptives (COCs) (The Pill)
    • Transdermal (Ortho-Evra patch)
    • Vaginal contraceptive ring (Nuva Ring)

    • Progestin Contraceptives:
    • Progestin-only pills (minipill)
    • Long-activing progestin contraceptives (Depo-Provera), (Implanon)

    • Postcoital Emergency Contraception: (EC)
    • Morning after pill (combined hormones)
    • Plan B (progestin-only)

    Medical abortion-inducing drug: mifepristone
  5. Operative Sterilization
    • Vasectomy
    • Tubal ligation
  6. Estrogen Effects
    • Lipid metabolism alterations
    • Breast s/s
    • CVA (Stroke)
    • Carbohydrate metabolism changes
    • Chloasma
    • Fluid retention, wt gain
    • Ha
    • Liver S/S
    • HTN
    • Cervical erosion
    • Naus
    • Nervous/Irritable
    • Thromboembolic issues
  7. Progestin Effects
    • Acne, oily skin
    • Breast s/s
    • Decreased libido
    • Decr HDL cholesterol levels
    • Depression
    • Fatigue
    • Hirsutism
    • Incr appetite, wt gain
    • Incr LDL cholesterol
    • Oligomenorrhea, amenorrhea
    • Pruitus
    • Sebaceous cysts
  8. Long term (extended use) COC
    • Seasonale: 84 active, 7 blank
    • Seasonique: 84 active, 7 reduced estrogen (less bleeding)

    • Have 4 cycles of bleeding vs. 12
    • Reduces side effects of other COCs: bloat, Ha, breast, cramps, swelling
    • Less reliable in obese women
  9. COC Combined Oral Contraceptives
    Day 1 start: 1st pill 1st day of cycle - prevents ovulation 1st cycle. No back-up needed

    Sunday start: 1st pill Sunday following 1st day of cycle. Back-up needed 7 days.

    Quick start: 1st pill in dr. office. Back-up needed 7 days.

    Less effective in obese women.

    • Estrogen component: Incr r/f MI, blood clots, stroke.
    • Reduced EE for safer pill.
    • Very low-dose pills: less risk, but more breakthrough bleeding.
  10. Absolute Contraindications for Oral Contraceptives
    • Pregnancy
    • Hx thrombo
    • Acute/chronic liver dz / abn liver fcn tests
    • Estrogen-dependent carcinoma
    • Undiagnosed uterine bleeding
    • Heavy smoker
    • Gallbladder dz
    • HTN
    • DM
    • Migraine w/visual
    • Hyper clotting
    • Hyperlipidemia
  11. Close Monitoring if COC for Women w/
    • Migraine w/o visual
    • Epilepsy
    • Depression
    • Oligomenorrhea
    • Amenorrhea
  12. Non-contraceptive Benefits of COCs
    • Relief s/s menstrual, premenstrual syndrome
    • Less cramps, flow
    • Regular cycle
    • Mittelschmerz eliminated
    • Less ovarian, endometrial, colorectal cx
    • Less menstrual migrain, iron deficiency anemia
    • Improved bone mineral density
    • Less acne, hirsutism, pelvic pain (endometriosis)
    • Perimenopausal changes (hot flashes) Tx
  13. COCs - SMOKING / 35yrs
    NO COCs if >35 and smoke.
  14. S/S to report immediately if taking COCs
    • Depression
    • Breast lump
    • Jaundice
    • Severe abd pain
    • Severe chest pain
    • SOA
    • Severe Ha
    • Dizziness, chg in vision
    • Speech problems
    • Severe leg pain
  15. Transdermal Hormonal Contraception
    • Highly effective if <198lbs
    • Wear 3 wks, off 1 wk
    • Abd, buttocks, upper outer arm, trunk
    • NOT breasts
    • NOT w/skin disorders

    Greater r/f venous thromboembolism (VTE) than COC.
  16. Progestin Only Contraceptives
    MiniPill: Used by nursing mothers - doesn't interfere w/nursing, less effective than COCs, breakthrough bleeding.

    • Long-acting:
    • Depo-Provera - long-acting injection (q3mo)
    • Implanon - capsule implant upper underarm (q3yr)

    Suppress LH, ovulation, thickens cervical mucus to block sperm penetration.

    S/E: Ha, irregular cycles, bldg, wt gain, lair loss, depression, breast s/s. May incr bone demineralization.
  17. Informed Consent: BRAIDED
    • Benefits (advts & success stories)
    • Risks (disadv & failure rates)
    • Alternatives (all options)
    • Inquiries (opp to ask questions)
    • Decisions (decides & can change mind)
    • Explanations (how to use)
    • Documentation (teaching & client understanding)
  18. Calendar Method - Rhythm
    • Record cycles 6mo - know freq & duration
    • Ovulation = 14 days before onset menses
    • Calc abst. period: -18 from shortest cycle, -11 from longest cycle = window of abst.
    • LEAST reliable method
  19. BBT: Basal Body Temp
    • Special thermometer
    • Temp/graph 3-4 months (on awakening)
    • See drop followed by high = ovulation
  20. Creighton/Billings Model
    • Add to BBT method
    • Fertile mucus: thin, water, abundant, alkaline, Skinnbarkheit, Ferning

    Affect mucus: Semen (spinnbarkheit), antihistamine (dries), gels/foams, infections (discharge), douches
  21. Symptothermal Method
    Combine BBT + Female Sx:

    • Increased libido
    • Midcycle spotting
    • Mittelschmerz
    • Cervical softening
    • Pelvic/vulvar fullness
    • Temp drop followed by rise

    Use to achieve or avoid conception
  22. Ovulation Predictor Kit (OPK)
    • Detect LH surge
    • OTC
    • Very reliable - not affected by variables

    • Ovum can be fertilized x24hrs
    • Sperm can fertilize x48hrs
  23. Vaginal Diaphragm
    • Fitted by Dr or Nurse PX
    • Spermicide applied each use
    • Wear >6hrs post coitus
    • Refit w/10lb wt gain/loss or PG
    • May incr r/f urethritis/cystitis (r/t prolonged wearing)
  24. IUD - Intrauterine Device
    • Chgs endometrial lining
    • Alters secretions
    • Radiopaque
    • Copper - 10 yrs
    • Mirena - 5 yrs (progestin based)
    • S/E: Incr bldg, r/t PID, uterine perf, PAINS**

    • Pain
    • Abnormal bldg
    • Infection signs
    • No string
  25. Gravida
    Number times pregnant
  26. Para
    Number viable (>20wks) births

    Twin birth >20 wks counts as ONE Para
  27. Oral Contraceptive Pills S/E - A.C.H.E.S.
    • A=Abd pain
    • C=Chest pain/SOA
    • H=Ha
    • E=Eye probs
    • S=Severe leg pain

    Increased r/f perimenopausal Breast Cx
  28. Missed Pill
    • Miss ONE pill: Take as soon as remembered
    • Miss TWO+: Use another form protection that cycle
  29. OCPs & other drugs
    • Decrease effectiveness of:
    • Oral hypoglycemic agents
    • Oral anticoagulants
    • (R/t estrogen thickens blood)

    • Decreased effectiveness w/:
    • Barbituates
    • Anticonvulsives
    • Antifungals
    • Antibiotics
  30. Post Coital Contraception "Plan B"
    • <17yrs Rx required
    • >17yrs OTC

    • Take ASAP <72hrs of Coitus
    • Emergency contraception
    • Rape
    • Contraception failure
  31. Induced Abortion (TAB)
    Therapeutic Abortion
    Legal 1973 - Roe v Wade

    • First tri: suction, D&C
    • Second tri: D&C, hypertonic saline, prostaglandins

    Complications: infections, bldg, cervical trauma

    • Pills: Mifeprex (mifepristone) <49days
    • Methotrexate w/misoprostol
    • Follow by Prostaglandin (po or vag) to induce UC's
    • Follow-up to verify goal

What would you like to do?

Home > Flashcards > Print Preview