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