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Video #1: Contraception & Infertility
Diaphragms: client must be refitted for a diaphragm for the following conditions:
1. It’s been 2 years since she has been fitted
2. Gained more than 15 pounds (7kg)
3. Had a full-term pregnancy 4. Had a second term abortion o When you use a
diaphragm, you need to use spermicide with every act of coitus
(withdrawal of penis from vagina prior to ejaculation). Every time you
withdrawal, instill more spermicide.
o Diaphragm must stay inserted for 6hrs after act of coitus.
Hormonal Contraceptives (Oral) o Side effects: Chest pain, SOB, Leg pain (from a
possible clot), headache or eye problems
(from a stroke or hypertension) o Contraindications: Women with a history
of blood clots, stroke, cardiac problems, smoker, breast or estrogen related
cancers (pill contains estrogen)
Depo-Provera/Medroxyprogesterone o Injectable progestin
o Can cause decreased bone mineral density or loss of calcium
Nursing action: Ensure patient has adequate intake of calcium and vitamin
D
IUD
o Increase risk for PID o Can cause uterine perforation or ectopic pregnancy
(increases risk for ectopic pregnancy) o Look out for/Notify PCP:
Change in string length IUD is moving and not in the right place
Foul smelling vaginal discharge
Pain with intercourse
Fever/Chills(infection)
Infertility is defined as an inability to conceive desire engaging in unprotected sexual intercourse
for a prolonged period of time or at least 12 months.
Common factors associated with infertility include:
o Decreased sperm production (Sperm analysis) o Endometriosis o Ovulation
disorders
o Tubal occlusions If you test and use DYE (used in the fallopian tubes), make
sure the woman is not allergic to iodine or shellfish/seafood
Video #2: Signs of Pregnancy
Presumptive: Can be defined by things/reasons other than pregnancy
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