Unintended Pregnancy Kuma

Front 1

Male Condoms

Back 1

Most effective (85%)
Available in latex, polyurethane and lamb cecum (natural membrane).

Lamb cecum condoms don’t protect against viral organisms including HIV and HepB. Also more expensive.

Front 2

Vaginal Spermicides

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*When used alone, have a relatively high typical usage failure rate among first year users.
*Efficacy improves greatly if spermicides are used in conjunction with barrier methods.
*29% of all use results in unintended pregnancy in the first year of use.

Front 3

Contraceptive sponge

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Failure rate ranged from 17.4-24.5 pregnancies per 100 women in the first year of use.
*Women who had given birth previously had a significantly higher pregnancy rate while using the sponge (poor fit with women who have delivered vaginally)

Front 4

Female Condoms

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*Breakage rate has been shown to be lower than latex male condoms but slippage rates may be higher, especially with its initial use.
*6 month pregnancy failure rate for all users is 12.4%. Among perfect users it is lowered to 0.8-2.5%.
*Extrapolated annual pregnancy failure rate is 25% for all users and 5% for perfect users.
*Several studies show that they are an effective barrier to sexually transmitted bacteria and viruses and are equal in effectiveness as male latex condoms.

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Plan B

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Mechanism of Action:
Unknown but believed to result primarily from the suppression of ovulation. Other possible mechanisms of action include interfering with fertilization, inhibiting transport of the fertilized egg to the uterus, or inhibiting implantation of the fertilized egg in the endometrium.

Dose/Frequency: Given in 2 doses, the first taken as soon as possible after unprotected sex and the second dose 12 hours later.

Specific Directions: First dose should be taken 72 hours to 5 days after unprotected sex. Patients presenting between 5-7 days after unprotected intercourse should be referred to a physician for possible IUD insertion.

Common Side Effects :N/V, headache, breast tenderness, and dizziness.

Management of side effects:
Patient may take an antiemetic before each dose of plan B (30-60 minutes prior to taking each pill).