A nurse is collecting data from a client who requests a prescription for a diaphragm.
Which of the following findings should the nurse identify as a contraindication to the client’s use of a diaphragm?
A.
The client is 20 years old.
B.
The client had a vaginal birth 6 months ago.
C.
The client smokes cigarettes.
D.
The client has more than one sex partner.
The Correct Answer and Explanation is :
The correct answer is C. The client smokes cigarettes.
Explanation:
A diaphragm is a barrier contraceptive device that covers the cervix to prevent sperm from entering the uterus. It is important for healthcare providers to assess various factors before prescribing a diaphragm, as certain conditions can contraindicate its use.
Smoking Cigarettes: Smoking, particularly in women over the age of 35, is a known contraindication for certain types of hormonal contraceptives, like combined oral contraceptives (COCs), due to an increased risk of thromboembolic events (such as blood clots). Although the diaphragm itself is not a hormonal contraceptive, smoking can still be a concern. Smokers might have an increased risk of urinary tract infections (UTIs) and other complications associated with the diaphragm. Smokers also tend to have a higher rate of cervical and vaginal infections, which can affect the efficacy and safety of using a diaphragm.
Age: Being 20 years old does not inherently contraindicate the use of a diaphragm. The diaphragm is suitable for women of various ages, provided they are able to use it correctly and have no other contraindicating health conditions.
Recent Vaginal Birth: A vaginal birth 6 months ago is not a contraindication for diaphragm use. In fact, diaphragms can be used after childbirth, although it may be necessary to have a fitting reassessed as the cervix and vaginal tissues can change post-delivery.
Multiple Sex Partners: Having multiple sex partners does not contraindicate the use of a diaphragm per se. However, individuals with multiple partners are at a higher risk of sexually transmitted infections (STIs), which could impact the safety and effectiveness of using a diaphragm. It is crucial for these individuals to practice safe sex and possibly use additional protection to prevent STIs.
In summary, while smoking does not directly contraindicate the use of a diaphragm, it may increase the risk of complications that can affect the overall safety and efficacy of the device. Therefore, it is important for healthcare providers to consider this factor when recommending a diaphragm as a contraceptive method.