Shared Flashcard Set

Details

859-2 Women's Health: Sterilization
male & female
18
Nursing
Graduate
12/02/2011

Additional Nursing Flashcards

 


 

Cards

Term
What is the MOA for tubal ligation?
Definition
cutting or mechanically blocking fallopian tubes
Term
What is the MOA for Essure/Adiana?
Definition
mechanically blocking fallopian tubes @ the horn of the uterus with permanent inserts (Essure: microcoil; Adiana: silicone matrix)
Term
What are the risks of tubal ligation?
Definition
increased risk of ectopic pregnancy with method failure, lack of STI protection, regret about permanent decision
Term
What are the risks of Essure/Adiana?
Definition
Overall lack of data, lack of STI protection, perforation of the uterus, expulsion of device, unsuccessful placemen
Term
What are the benefits of tubal ligation?
Definition
permanence, highly effective, safety (1-4/100,000 mortality), lack of significant long-term SEs, cost effective, decreased risk of ovarian cancer
Term
What are the benefits of Essure/Adiana?
Definition
Permanence, highly effective, cost effective, high placement rates, possible decreased ectopic pregnancy risk
Term
Contraindications to tubal ligation?
Definition
No absolute contraindications
Term
How old do you need to be to have a tubal ligation?
Definition
No specific age limit. Medicaid in OH limits to 21+. Caution is advised in providing to women <24 years old, nullips
Term
Contraindications to Essure?
Definition
Pregnancy, <6w PP, anatomical anomalies, allergies to insert device (nickel, titanium), recent pelvic infection, previous tubal, discouraged if use immunosuppressives
Term
Contraindications to Adiana?
Definition
Pregnancy, <3months PP, anatomic anomalies, recent pelvic infection, previous tubal, immunosuppressive use
Term
Vasectomy MOA
Definition
surgical blockage of vas deferens to prevent sperm ejaculation
Term
Risks of vasectomy?
Definition
inherent surgical risks, possible chronic testicular pain (2-3%), no STI protection
Term
Benefits of vasectomy?
Definition
Reversible (though treat as permanent), highly effective, permanent, safety, no increase in prostate CA
Term
Contraindications to vasectomy?
Definition
No absolute. Previous scrotal injury, varicocele, hydrocele, cryptorchidism, diabetes, AIDS, coag disorders warrent caution.
Term
What is the most cost-effective of all birth control methods?
Definition
vasectomy
Term
What is the failure rate for a vasectomy?
Definition
0.15%
Term
When are vasectomy, Essure, and Adiana effective?
Definition
3 months after procedure/insertion
Term
What is the failure rate of tubal ligation?
Definition
0.5%
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