contraception - barrier methods

name the 4 different types of chemical barriers

gel, foam, cream, suppository

chemical barriers should be inserted into the vagina how long before intercourse

15 minutes

when using chemical barriers the woman should wait how many hours before douching to get the maximum effect

6 hours

can chemical barriers be applied once for multiple acts or should they be reapplied

reapplied

what are two key patient education points for chemical barriers

inserted prior to intercourse and must be reapplied

what are the 4 advantages of chemical barriers

inexpensive, easily available, easy to use, increases lubrication

what is the failure rate of chemical barriers

28%

what are the 4 disadvantages of chemical barrier methods

irritation, allergic reaction, no STI protection, messy

condoms are compatible with what kind of spermicide

water soluble

what accelerates deterioration of condoms

heat

what is not compatible with condoms and can cause it to break down

petroleum jelly

what are the 4 advantages of condoms

protects from STIs, involves man, cheap, readily available

what is the failure rate of condoms

18%

what are the 3 disadvantages of condoms

reduces spontaneity, non-compliance, one time use

what are two major risks with condoms

allergic reaction, rupture/leak

when using a female condom the couple should not use a

male condom

what are the 2 advantages of female condoms

STI protection, no prescription needed

what is the failure rate of female condoms

21%

what are the 5 disadvantages of female condoms

reduces spontaneity, more expensive, noisy, uncomfortable, one time use

what is the risk of the female condom

allergic reaction

what are the 5 kinds of mechanical barriers

male/female condom, sponge, diaphragm, cervical cap

the sponge barrier method fits over what and contains what

cervix; spermicide

one size fits all, can be inserted just before intercourse or hours ahead, keep in place 6 hours after, do not use during menstruation are all teaching points for what kind of mechanical barrier contraception

sponge

a sponge should not be left in the vagina for more than

24-30 hours

the sponge should be left in the vagina for how many hours after intercourse

6 hours

what are three important things to check before inserting a sponge

empty bladder, HH, wet sponge

what are the advantages of the sponge mechanical barrier

OTC, one time use but can be used for multiple acts

what is the failure rate of the sponge if the woman has not given birth before

12%

what is the failure rate of the sponge if the woman has given birth before

24%

what are the 4 risks of the sponge

irritation, allergic reaction, vaginal dryness, TSS

fever, HA, diarrhea, feeling faint, hypotension, red rash on palm of hands are all S/S of

toxic shock syndrome

what are the 3 disadvantages of the sponge

difficult to remove/insert, no STI protection

explain the diaphragm mechanical barrier contraception

dome shaped latex/silicone cup which fits over cervix

is the diaphragm a one size fits all

no - comes in different sizes

if the patient has a hx of frequent UTIs what form of contraception would not be recommended

diaphragm

before inserting the diaphragm the patient should have an

empty bladder

the diaphragm places pressure on what which causes what

urethra; frequent UTIs

how long after intercourse should the diaphragm stay in place

6 hours

what is the maximum amount of time a diaphragm can stay inserted

24 hours

the diaphgram can also cause

vaginal dryness

what is the advantage to using the diaphragm

reusable

what are the 3 disadvantages of the diaphragm

difficult to insert/remove, no STI protection, requires refitting

what are the 4 situations where a diaphragm or cervical cap should be refitted

post pelvic surgery, post partum, 20% weight fluctuation, q2yr

what is the failure rate of the diaphragm

12%

what are the 3 risks of the diaphragm

irritation, allergic reaction, TSS

what is the cervical cap

soft cup which fits over the cervix to prevent sperm from entering

what is great about the cervical cap in comparison to the diaphragm

no pressure on bladder > less UTI risk

comes in 3 sizes, no pressure on bladder, can insert up to 6 hours before intercourse are all patient teachings for what kind of contraceptive

cervical cap

how long after intercourse should the cervical cap stay in place

6 hours

what is the maximum amount of time a cervical cap can stay on

48 hours

what are the advantages of the cervical cap

smaller than diaphragm, can be left on for 2 days

what are the 2 disadvantages to the cervical cap

no STI protection, requires refitting

the cervical cap can be harder to place if the patient has/is

short fingers, obese

what are the 3 risks of the cervical cap

irritation, allergic reaction, TSS

what is the failure rate of the cervical cap if the patient has never given birth before and has given birth before

12%; 24%