Breastfeeding Is Crucial During a Childs Early Development Questions
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OVERVIEW
Managing our fertility and making sure we produce healthy offspring are among the most crucial behaviors for adults. Methods of birth control are discussed in excellent detail, allowing the student to decide which option is safest and most desirable. This chapter also discusses emergency contraception for those times when unprotected sex did occur. Once a couple decides to have a child, it is important to understand what factors can lead to the best possible outcome. Appropriate diet and exercise are discussed. The harmful effects of drugs on the fetus as well as other agents that can cause harm are thoroughly examined. This chapter also deals with options for couples who are having difficulty conceiving or who may be infertile.
LEARNING OBJECTIVES
1. Discuss the different types of contraceptive methods, compare their effectiveness in preventing pregnancy and sexually transmitted infections.
2. Summarize the legal decisions surrounding abortion and the various types of abortion procedures used today.
3. Discuss key issues to consider when planning a pregnancy.
4. Explain the importance of prenatal care and the physical and emotional aspects of pregnancy.
5. Describe the basic stages of childbirth, methods of managing childbirth, and the complications that can arise during labor and delivery.
6. Review primary causes of and possible solutions to infertility.
OUTLINE
I. Methods of Fertility Management.
A. Conception refers to the fertilization of an ovum by a sperm.
1. The following conditions are necessary for conception:
a. A viable egg.
b. A viable sperm.
c. Possible access to the egg by the sperm.
B. Contraception or birth control refers to methods of preventing conception.
1. Perfect Failure rate refers to the number of pregnancies that are likely to occur in a year when used exactly as directed every time. (See Table 6.1)
2. Typical Use Failure rate is the number of pregnancies likely with typical use – making the usual mistakes.
3. Some methods can protect to some degree against STIs.
4. Barrier methods use a physical or chemical block to prevent the egg and sperm from joining, hormonal methods interfere with normal ovulation, surgical methods permanently prevent pregnancy.
C. Barrier methods.
1. The condom is the only temporary form of birth control for males in the United States. It is the only barrier that is effective in preventing the spread of many STIs such as herpes and HIV, also reduce cervical abnormalities in women that can lead to cancer (See Figure 6.1)
a. For greatest efficacy, they should be used with a spermicide and with water-based lubricants.
b. A complaint about condoms is that they ruin spontaneity.
2. Foams, suppositories, jellies, and creams contain chemical spermicides. They must cover the cervix, providing a chemical and physical barrier that stops sperm. (See Figure 6.2)
3. The female condom differs from the male condom because it covers the external genitalia, which can reduce the risk for some STIs such as genital warts and herpes.
a. Advantage is that women have more control over reproduction and STI
prevention.
b. One reported disadvantage is that it is awkward and noisy.
4. Diaphragms with spermicide provide a chemical and physical barrier to sperm. (Figure 6.3)
a. It must be left in place 6-8 hours after last intercourse and must be
removed within 24 hours of insertion.
b. Advantages include ability to place before sexual activity, lower cost over the long run, protection of the cervix.
c. Disadvantages include difficulty placing it; if left in place too long or used during menstruation, risk of toxic shock syndrome (TSS), which is a bacterial infection, increases, increased risk for bladder infections.
5. The cervical cap fits snugly over the cervix to keep sperm out of the uterus.