ATI Maternal Newborn Nursing Contraception

Newborn Nursing Contraception

Barrier Methods

-          Condoms

-          Diaphragms – must be refitted for one every 2 years by a provider or if you have gained more than 15lbs or have had a full term pregnancy or a 2^nd term abortion, you must also use spermicide with every act of sex, must remain in place for 6 hours after sex

-          Hormone methods, nuva ring, patch, etc. side effects very similar to all they include; chest pain,

SOB, leg pain, HA, vision problems, could mean potential blood clot or stroke, of PE, or HTN. Smokers are at higher risk and it is recommended they do not take oral BC

Contraindications include: history of blood clots, stroke, cardiac problems, or estrogen related cancer, or if you are a smoker

Depo Shot – can cause decrease in bone density, loss in calcium mineral, will need adequate calcium and vitamin D to protect bones.

IUD’s – can increase risk for pelvic inflammatory disease, and uterine perforation, and will increase risk of ectopic pregnancy, LOOK for change in string length, foul smelling discharge, painful intercourse, fever, chills, etc

Infertility – inability to conceive after trying for at least 12 months (1yr)

-work up will be done after that, will start with male (usual 40% of time issue is with them)

-test on female, any test that has dye ensure no shellfish allergy or iodine Pregnancy Signs

3 Signs

1.       Presumptive – can be explained by a reason other than pregnancy

2.       Probable – abd enlargement, etc

3.       Positive – very distinct, fetal heart tones, or fetus on US, feel movement

Negals Rule – tells you when your due date is based on last menstrual cycle (JUST ADD 9 months and 1 week)

GTPAL

Gravidity - # of times woman has been pregnant including current pregnancy Term births - # of pregnancies that have gone to 38wks or more

Preterm births - # of pregnancies that have gone before 38wks