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Hormonal Methods of Contraception – Preconception – Maternity Nursing Level Up RN

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Oral contraceptives, medroxyprogesterone (Depo-Provera), transdermal patch, vaginal ring, subdermal implant, intrauterine device (IUD). Includes the side effects, contraindications, and patient teaching.

To be talking to you about hormonal methods   along using our maternity nursing flashcards.   these are available on our website,,  and if you already have a set for yourself,   i would absolutely invite you to follow along with  me. all right. let’s get started. okay, so first   up, we are talking about oral

Contraceptives,  oral contraceptives, or the birth control pill,   and these are going to be very popular. you will  see many patients taking these. but there’s some   really important stuff to understand. first of  all, there’s something called the mini pill or   contains the synthetic form of progestin, it   does not have

Any estrogen. then we have combined  oral contraceptives, and as their name may imply,   a combination of estrogen and progestin.   so with the mini pill, the progestin only-pill,  there is no increased risk of clots, dvts,   estrogen. but what you do need to know is that   this is the only birth control pill that is safe 

For breastfeeding patients. because estrogen is   passed through breast milk the only one that can  be used when breastfeeding is the progestin-only   mini pill. very important to educate patients  that they need to take it at the exact same time   every day with the same amount of food in their  stomachs because it can change the

Absorption   time if there’s food in the stomach one day and  not the other, these are very time-sensitive.  now, combined oral contraceptives, again, very  important to take it every single day. but this   one has some better coverage, it’s more effective,  but it carries the risk for thromboembolic events   your patients on

What to look for there,   pain in the leg, redness in the leg, chest pain,  difficulty breathing, all of those would be a big   deal. and if my patient were a smoker, if they  had a personal or family history of blood clots   smoker, i would very much encourage them   nice, cool chicken hint down here at the bottom.  it

Says oral contraceptives cause clotting,   but i would add another word in front of that and  say combined oral contraceptives cause clotting.   a lot of different side effects on here,   all right. so let’s move on to  medroxyprogesterone. medroxyprogesterone,   so this is going to be an injection. this   is actually

An im injection that a patient should  receive. it’s going to be about every three months   and the patients will be receiving a card at each  injection that tells them when their next one   is due. and most of the time, it’s a really good  idea to go ahead and schedule that next injection   this one, but the biggest one that i

Want to   call your attention to, and it is in big, bold  red letters, is going to be that with long-term   can experience bone demineralization. so   increase your intake of calcium and vitamin d   all right, moving on to a few more that you  may have heard of. they’re not quite as common,   the transdermal patch,

The vaginal ring,   the end of this video, because i’m going to   tell you a true story about one of these. so the  transdermal patch, this is a patch that is applied   to the abdomen, the buttocks or the arm, do not  apply it to the breast, though. this one is going   to be a patch left in place for one week. it will 

Be changed, so you’ll wear it for a week, a new   patch for a week, a third patch for a week, and  then one week off. the vaginal ring is an actual   ring, it’s a small clear ring that is inserted  vaginally and left in place for three weeks,   removed for the fourth week, and that triggers  a menstrual cycle. okay, very important

To know   that. subdermal implants, a subdermal implant  is placed subcutaneously here in the arm   really, really great option. it may cause   it is very important to educate your patients  that these do not provide any protection against   and lastly, we’re going to talk about the   intrauterine device. so this

Is commonly called  an iud, there are multiple different types. there   the copper iud, paragard, is non-hormonal, but   we kind of lump it in with hormonal because most  of them are. so this one can be left in place for   patient receives. so anywhere from 3 to 12 years,   it can be left in place, but it must be placed 

By a health care provider. super duper important   patient teaching. there are some strings that hang  out of the cervix from the iud, this allows the   health care provider to grasp the strings and  remove it when the patient would like to have   it removed. these strings are kind of similar to  fishing line, but the longer they

Are left in the   body, they will soften and they will kind of curl  up at the edges and they will be non-obstructive,   non-obtrusive. you need to educate your patient,  though, to check the strings once a month.   still feel the strings, that they haven’t suddenly   gotten much longer or much shorter or disappeared 

Entirely because it is possible for an iud to be   expelled, meaning pushed out of the body. it is  also possible for the iud to become dislodged and   either be too low in the cervix, not the uterus,  or perforate the uterus entirely and possibly   important for patients to check their string   length and if there’s a change

In their string  okay, that is it for hormonal methods of  contraception. super duper important stuff,   so be sure to brush up on it. i hope that review  was helpful. if it was please like this video so   that i know. if you have a great way to remember  something or a great story you want to share,   i definitely want to hear

It, and i know everybody  else does, too. so please comment below so that we   can see it. and you definitely want to subscribe  to the channel, you want to be the first to know   when more videos come out. the next video in this  series is going to be talking about permanent   all right, thanks so much and happy studying.  so

When i was working outpatient obgyn, one of  my jobs was to be the phone triage person, so   their question or whatever and either give  them advice or move it on to the physician.   who said, “i was just in the other day,   tell me a little bit about what’s going on.”  and she was like, “it’s turned my fingers blue,”  

Vaginal ring is turning your fingers blue?   some more questions, and she says, “it’s just   sorry. where is the nuvaring?” and she said,   “it’s around my wrist,” she’d been wearing it  like a bracelet, like a hair tie around her wrist,   and it was cutting off the circulation to her  fingers. if you’ve ever seen one or

Felt one,   they are flexible, but they’re not stretchy. so  she had to fight it to get it over onto her wrist.   it’s a true story. it really happened to me. but  it also is just another example of why patient   education is so important, why it is so important  not to assume that your patients have the same   they

Definitely don’t, and to take your time   to go line-by-line and just really make sure that  they understand what they’re supposed to be doing   with their medication or their lifestyle changes  because otherwise, stuff like that can happen.  i invite you to subscribe to our channel and share  a link with your classmates and friends

In nursing   school. if you found value in this video, be sure  to hit the like button and leave us a comment and   i invite you to subscribe to our channel and share   a link with your classmates and friends in nursing  school. if you found value in this video, be sure   and hit the like button, and leave a comment and 

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Hormonal Methods of Contraception – Preconception – Maternity Nursing @Level Up RN By Level Up RN