Women Health and Maternal Newborn Nursing
During ovulatory cycle -> FSH & LH is release from anterior pituitary (tropic hormone). They stimulate the follicles in the ovaries to produces estrogen. Mature egg release estrogen and progesterone to prepare the endometrium just incase you get pregnant. (month by month)
Menarchy - When the girl first menstrate
Infertility - inability to concieved after 1 year of regular intercourse (2-3x a week without using contraception)
Primary infertility - never been pregnant and cannot conceived
Secondary infertility - have kids but now cannot conceived
Male Infertility
1. MUMPS in post puberty
2. STD
3. Radiations or chemotheraphy
4. Alcohol
5. Elevated scrotal temperature tight underwear (use boxer shorts)
Female Infertility
1. On Pills all the time
2. TO DIAGNOSE FALLOPIAN TUBE OBSTRUCTION -> Test Histrosalphingogram
3. Uterine abnormality (some woman have only one uterus)
4. Use of DES (Di-ethel silbesterol)
5. STD
Test
1. Semen Test
2. Post coital test
3. Histrosalphingogram
4. Endometrium biopsy
How do we treat Infertility?
1. Basometabolic Temperature Measurement
- special thermometer, every morning before you get of bed, put thermometer
in vagina for 5 minuteS, document
* DIP IN TEMPERATURE - before you ovulate (good time to have sex)
* SPIKE IN TEMPERATURE -after you ovulate
* If pregnant, temperature stays up! If not, drop of temperature
Fertility Drugs:
1. Clomid
- weight gain
- multiple gestation (possible of depositing multiple eggs)
HOW TO USE A DIAPHRAM:
1. Put spermacidal in center and in the rim of diaphram
2. Once inserted, you got to make sure its covering the cervical cap
3. leave diaphram at least 6 hours after sex
Norplan Implant (Estrogen base)
CONTRACEPTIONS FOR WOMEN:
Depo-Provera
- Dont ovulate and dont have a period
Coitus Interruptus
-pull out penis before ejaculation
Morning after pills (emergency contraceptions)
-4 pills or 2 pills depending on how you use it
For 4 pills - 2 low estrogen pills now and 2 pills in 12 hours
For 2 pills - 1 methelprogesteron and 1 in 12 hours
CONTRACEPTION FOR MEN
1. vasectomy
2. condoms
3. abstinence
Sexually Transmitted Disease
1.Use of oral contraceptive can increase the risk for STDs because it changes
your vagina ph. (vagina ph is acidic -> alkaline)
2. Candidiasis (yeast infection) - candida albican (normal in newborn -> mouth)
- vagina get mucosy
3. Diabetis - lots of sugar & immune system gets depleted
4. Systemic antibiotics - kills all normal flora in all body including in your
vaginal area, gives a chance to candida to grow
Trichomoniasis (Trichomonas vaginalis) Protozoa
- usually appear within 5 to 28 days of exposure
- heavy, yellow-green or gray vaginal discharge, discomfort during intercourse,
unpleasant vaginal odor, and painful urination
- does not go across the placenta
- susceptible to Premature rupture of the membrane
- metronidazole (flagile) crossess the placenta ( dont use in 1st trimester) NO
ALCOHOL
-gynelotramin (drugs)
BV (Bacterial Vaginosis) - garden variety bug
- normally exist in vagina
- oppurtunistic (if ph changes or use to much antibiotics)
- grayish fishy smell ( green discharge)
- metronidazole
Chlamydia (most common) Chlamydia trachomatis (nclex: C. Trachomatic)
- gram negative
- woman could be asymthomatic untreated: infertility, ectopic preg. (scar
tissue)
- men - burning when urinating
syphilis -painless cancre
Primary- Contagious
Secondary- Contagious
Latent - Contagius
Tertiary- Not contagious (already in your system)
Herpes Simplex Virus - painful cancre
HSV 1 (oral)
HSV 2 (genetalia) Intervention: culture, acyclovir, no sex while lession are
presence -- woman will need C-Section because these lesion could be internal
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Cryotheraphy, Obstetrics and Gynecology. It is also known as "freezing" of
wound. Freezing
PID - Pelvic Inflamatory Disease
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