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Chapter Fourteen Managing Your Fertility. Birth Control vs. Contraception. Birth control refers to all procedures (umbrella term) Contraception procedures are used to decrease chances of fertilization of an ovum (more specific). Safety Effectiveness Reliability Reversible.
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Birth Control vs. Contraception • Birth control refers to all procedures (umbrella term) • Contraception procedures are used to decrease chances of fertilization of an ovum (more specific)
Safety Effectiveness Reliability Reversible Affordability Ease of use Interference with sexual expression Selecting YourContraception Method
Vaginal SpermicideSpermicide- chemical capableof killing sperm.
Condoms • Offers substantial protection against STD’s • Nonoxynol-9 may increase disease transmission • Male and female types • Latex vs. Polyurethane
Birth Control Pills- Contain synthetic hormones; do not provide protection against STD’s
Cervical CapSmall, thimble-shaped device that fits over the entire cervix; 1/3 full of spermicide
Emergency Contraception • Measure used to prevent pregnancy within 5 days of unprotected intercourse • Called post-coital or “morning after” contraception • Need prescription from M.D. in most states • Side effects
Sterilizationgenerally considered an irreversible procedure • Vasectomy – separating vas deferens • Tubal ligation – separating fallopian tubes
Abortion – Termination of a Pregnancy • First trimester procedures • Vacuum aspiration • Manual vacuum aspiration • Dilation and curettage (D&C) • Medication abortion • Mifepristone (RU-486) • Methotrexate
Abortion • Second trimester procedures • Dilation and evacuation (D&E) • Hypertonic saline procedure • Prostaglandin procedure • Third trimester procedures • Hysterotomy • Hysterectomy
Pregnancy • Obstacles to fertilization • Acid levels in vagina • Thickening of cervical mucus • Location of cervical opening for sperm • Location of current fallopian tube for sperm • Distance for sperm • Movement of sperm “upstream” • Location of egg due to contoured folds of tubal walls
Pregnancy (cont’d) • Aids to fertilization • Number of sperm • Deposition of sperm • Accessory gland production • Uterine contractions • Movement of sperm • Life of sperm • Consistency of mucus
Signs of Pregnancy[Probable signs] • Frequency of urination • Increased size of abdomen • Cervix becomes softer • Positive pregnancy test HCG
Childbirth • Stage 1 – Effacement and dilation of the cervix • Stage 2 – Delivery of fetus • Stage 3 – Delivery of afterbirth (placenta)