Page 380 - كتاب تمريض نسا الاكتروني

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Definition

Emergency contraception (EC) are birth control measures that may be used

after sexual intercourse to prevent pregnancy.

Indications

 Unprotected sexual intercourse at any time during the menstrual cycle

 Rape

 Failure of barrier methods , as when condom ruptures or vaginal diaphragm

or cervical cap is displaced

Types of Emergency Methods

1. Natural methods:

• Immediate postcoital douching to dispel deposited semen from the vagina.

2. Hormonal methods:

• Combined oral contraceptive(COC): 2tablets taken at once and repeated

after 12 hours

• Estrogens: Premarin 5 mg taken in divided doses within 24hours.

• Progestins: levonorgestrel (Postinor-2)1tablet taken within 24hours after

coitus and repeated after 12 hours.

3. Intrauterine Devices

• It prevents implantations by changing the endometrial pattern

4. Menstrual regulation:

• It is an outpatient procedure using aspiration cannula to remove the pregnancy

sac. It is an early induced abortion.

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