ATI COMPLETE MATERNAL NEWBORN FINAL EXAM REVIEW Chapter 1- Contraception Contraception refers to strategies or device used to reduce the risk of fertilization or implantation in an attempt to prevent pregnancy Natural family planning: behavioral methods oAbstinence - no gentialia contact oWithdrawal (coitus interruptus) Choice for monogamous couple Least effective methods Risk for pregnancy oCalendar methods ovulation occurs about 14 days before the onset of her next menstrual cycle, and avoid intercourse during that period count at least 6 cycles obasal body temperature body temperature can drop slightly at the time of ovulation measure oral temperature prior to getting out of bed each morning to monitor ovulation inexpensive, convenient, and no adverse effects Basal body temperature and the symptothermal method are fertility awareness methods. oLactational amenorrhea method Barrier oCondoms Only water-soluble lubricants should be used with latex condoms to avoid condom breakage oDiaphragm Dome-shaped cup with a flexible rim made of silicon that fits snugly over the cervix with spermicidal cream or gel placed into the dome and around the rim Client should be properly fitted with a diaphragm by a provider Replaced every 2 years and refitted for a 20% weight fluctuation, after abdominal or pelvic surgery and after