Page 336 - كتاب تمريض نسا الاكتروني
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               For Removal: Teach women about:

                     1.  Hand washing

                     2.  Perineal care


                     3.  Put finger inside the vagina.

                     4.  Then pull sponge put slowly.

                     5.  Then throw it.




                                                 2-Vaginal Spermicidal


               Definition: -

                 •  Chemical materials inserted into the vagina for killing the sperm before entering

                     cervix and preventing pregnancy such as (cream- jell – suppositories – foam-

                     films).



                Mode of Action


                   1.  Provide a physical  and  chemical barrier that prevents viable sperm from

                       entering the cervix.


                   2.  Effect is local within the vagina.



                   3.  Placed deep in the vagina in contact with the cervix before each incidence of
                       coitus.



                   4.  Nonoxynol 9:- active material, attract sperm and kill it.


                   5.  Change vaginal fluid "PH" to strong acid that inappropriate to sperm viability.



               Advantages


                  1.  Safe and easy to apply.



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