Class 3; Preconception, Substance Use, OUD & NAS

combined orl contraception (cocs)

estrogen and progestorne

cocs forms

oral (pill)

transdermal patch

nuvaring

cocs MOA

inhibit ovulation, thick mucus, thin decidua

dymenorrhea

severe, frequent cramping and pain during a menstrual period

cocs health benefit

• Decrease heavy period 

• Ower iron deficiency 

• Reduce cramps 

• Regulates cycles 

• Improve acne 

cocs protects form

• colon, uterina and ovarien cancer

• ovarian cyst

• fibrocystic breast disease

cocs warning signs

A= abdominal pain 

C= chest pain 

H= headache 

E= eye problem 

S= sudden change in legs (DVT) 

cocs contraindications

• Pmh thomboembolism 

• Cv diseaes 

• Mi 

• Htn 

• Estrogen related cancer 

• Liver disease 

• Migrane w/ aura 

• Smoking 

• Preganant 

ectopic preganncy

happens when fertilized egg implants outside the main cavity of the uterus, most commonlt in a fallopian tube

POCS pt education

strict with mini pill schedule

sign of ectopic pregnscy (risk )

POCS side effects

• irregular bleeding

• breast tenderness

• bone loss

POCS contra indication

• liver diseae

• current past brests cancer

• depression

what does depo -provers cause

• irreversible bone loss

• depression

meds to avoid when pregnant

• Paxil 

• Tetracycline 

• Phenytoin 

• Warfarin 

• Isotretinoin 

lavie vaccines to avoid when prenant

• flu nasal mist

• mmr

• varicella

supplemnts to take in preconception

folic acid 400-800mcg/d

iron - 27 mg/day

calcium 1000mg/d