Contraception: In a Nutshell (Nursing)

00:01 So, let's look at everything in a nutshell. 51% of the pregnancies in the United States are unplanned. Whew, that means I'll be in business for a long time. 43% of unplanned pregnancies result from ineffective use of contraception. A nurse, or really anyone, can use the BRAIDED acronym to remember all the components of contraceptive counseling.

00:25 Barrier methods include the male and female condom, the diaphragm, the sponge, or the cervical cap. Fertility awareness includes non-pharmacologic contraception such as basal body temperature, cervical mucus, and the calendar method. For the lactational amenorrheic method to be effective, the infant should be less than 6 months old and be exclusively breastfeeding or chestfeeding every 6 hours or less. The diaphragm, the cervical cap, and the sponge must be left in place at least 6 hours after the last active intercourse.

00:59 Hormonal methods containing estrogen work by suppressing ovulation. Progesterone suppresses ovulation to cervical mucus and causes atrophy of the endometrium. There are also non-contraceptive benefits of using hormonal contraception including decreased menstrual flow, better cycle control, and lower incidence of painful periods or dysmenorrhea.

01:24 Contraceptives containing estrogen may suppress lactation and therefore are contraindicated during breastfeeding. The bone density changes associated with the Depo-Provera injection or the shot are reversed within 2 years of stopping the use. LARCs, also include IUDs and implants. The copper IUD, however, does not contain hormones.

01:48 The implant is a progestin-only method that maybe left in place for up to 3 years. Male and female sterilization are options for permanent sterilization. And finally, a client that has a vasectomy must wait at least 3 months before they can depend on using that as contraception. You did it.