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Oral Contraceptives
Lisa Lemieux
Palm Beach State College
Medication
• Oral Contraceptives, otherwise known
as birth control pills – The Pill
• Designed to prevent pregnancy by
stopping ovulation
• May be taken continuously for 84 day
on, 7 days off – 4 periods a year
• Can be taken to regulate menstrual cycle
and decrease painful periods
• Can be taken to treat acne in women
over 14 years old
• (Skidmore-Roth, 2016)
This Photo by Unknown Author is licensed under CC BY-NC-ND
Benefits to preventing
pregnancy
• Allow to space out pregnancies
• Nearly half of all pregnancies are unwanted
• Unwanted pregnancies have social, medical,
and financial risks
• Short intervals between pregnancy increase
risk for cerebral palsy, premature birth, low
birth weight, and developmental delays
• (Schoenberg, 2016)This Photo by Unknown Author is licensed under CC BY
Medication – contraindications
• Do not take the pill if you are pregnant, breastfeeding, or
planning on becoming pregnant
• Do not take the pill if you have risks for blood clots, like
heart or vascular disease, history of blood clots, or heart
attack
• Do not take the pill if you have had certain types of cancer
• Do not smoke or use tobacco products while taking The Pill
• (Skidmore-Roth, 2016)
This Photo by Unknown Author is licensed under CC BY-NC-SA
Medication – side
effects
• Call your doctor if you are experiencing
any effects
• Possible side effects include depression,
anxiety, feeling tired, increased blood
pressure, risk for clots, risk for
bleeding, rash, sensitivity to the sun,
painful periods
• (Skidmore-Roth, 2016)
This Photo by Unknown Author is licensed under CC BY-NC-ND
When to take The Pill
• Take the pill at the same time every day, late and
missed doses increase your risk for pregnancy
due to ovulation (Johnson, 2008)
• Try setting an alarm or putting your pills
somewhere that you will remember them
• There is no right or wrong time to take the pill,
as long as you are consistent
• Find what works in your life! This Photo by Unknown Author is licensed under CC BY-SA
What if I miss a dose?
• If you’re late, take the pill as soon as you remember
• If you miss a dose, take the dose forgot right away, and the current day’s
dose
• When taken correctly, the pill is over 99% effective in preventing pregnancy
• If taken incorrectly, up to 9% of women will experience unwanted
pregnancy in the first year
• (Zapata, Steenland, Brahmi, Marchbanks, & Curtis, 2013)
This Photo by Unknown Author is licensed under CC BY-NC-ND
What if I want to become pregnant?
• Pregnancy may not occur for several months
after you stop the pill
• Use another method of birth control, like
condoms, for the first three weeks after stopping
pill
• (Skidmore-Roth, 2016)
Remember
• Report use of the pill to your dentist and
other doctors
• Do not use any tobacco products while taking
the pill due to increased risks of blood clots
• Reports any abnormal bleeding, pains,
shortness of breathe, or abdominal
discomfort to your doctor
• GOALS – No unplanned pregnancy, shorter
and less painful periods, less acne, lighter
periods
References
• Johnson, J. (2008). Evaluation of extended and continuous use oral
contraceptives. Therapeutics and Clinical Risk Management,Volume 4, 905-911.
doi:10.2147/tcrm.s2143
• Schoenberg, L. (2016). Straight talk about birth control. Home healthcare now,34(10), 556-562.
doi:10.1097/nhh.0000000000000471
• Skidmore-Roth, L. (2016). Mosbys drug guide for nursing students. St Louis, Missouri: Elsevier.
• Zapata, L. B., Steenland, M. W., Brahmi, D., Marchbanks, P. A., & Curtis, K. M. (2013).
Effect of missed combined hormonal contraceptives on contraceptive effectiveness: A
systematic review. Contraception,87(5), 685-700. doi:10.1016/j.contraception.2012.08.035

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Oral contraceptives

  • 2. Medication • Oral Contraceptives, otherwise known as birth control pills – The Pill • Designed to prevent pregnancy by stopping ovulation • May be taken continuously for 84 day on, 7 days off – 4 periods a year • Can be taken to regulate menstrual cycle and decrease painful periods • Can be taken to treat acne in women over 14 years old • (Skidmore-Roth, 2016) This Photo by Unknown Author is licensed under CC BY-NC-ND
  • 3. Benefits to preventing pregnancy • Allow to space out pregnancies • Nearly half of all pregnancies are unwanted • Unwanted pregnancies have social, medical, and financial risks • Short intervals between pregnancy increase risk for cerebral palsy, premature birth, low birth weight, and developmental delays • (Schoenberg, 2016)This Photo by Unknown Author is licensed under CC BY
  • 4. Medication – contraindications • Do not take the pill if you are pregnant, breastfeeding, or planning on becoming pregnant • Do not take the pill if you have risks for blood clots, like heart or vascular disease, history of blood clots, or heart attack • Do not take the pill if you have had certain types of cancer • Do not smoke or use tobacco products while taking The Pill • (Skidmore-Roth, 2016) This Photo by Unknown Author is licensed under CC BY-NC-SA
  • 5. Medication – side effects • Call your doctor if you are experiencing any effects • Possible side effects include depression, anxiety, feeling tired, increased blood pressure, risk for clots, risk for bleeding, rash, sensitivity to the sun, painful periods • (Skidmore-Roth, 2016) This Photo by Unknown Author is licensed under CC BY-NC-ND
  • 6. When to take The Pill • Take the pill at the same time every day, late and missed doses increase your risk for pregnancy due to ovulation (Johnson, 2008) • Try setting an alarm or putting your pills somewhere that you will remember them • There is no right or wrong time to take the pill, as long as you are consistent • Find what works in your life! This Photo by Unknown Author is licensed under CC BY-SA
  • 7. What if I miss a dose? • If you’re late, take the pill as soon as you remember • If you miss a dose, take the dose forgot right away, and the current day’s dose • When taken correctly, the pill is over 99% effective in preventing pregnancy • If taken incorrectly, up to 9% of women will experience unwanted pregnancy in the first year • (Zapata, Steenland, Brahmi, Marchbanks, & Curtis, 2013) This Photo by Unknown Author is licensed under CC BY-NC-ND
  • 8. What if I want to become pregnant? • Pregnancy may not occur for several months after you stop the pill • Use another method of birth control, like condoms, for the first three weeks after stopping pill • (Skidmore-Roth, 2016)
  • 9. Remember • Report use of the pill to your dentist and other doctors • Do not use any tobacco products while taking the pill due to increased risks of blood clots • Reports any abnormal bleeding, pains, shortness of breathe, or abdominal discomfort to your doctor • GOALS – No unplanned pregnancy, shorter and less painful periods, less acne, lighter periods
  • 10. References • Johnson, J. (2008). Evaluation of extended and continuous use oral contraceptives. Therapeutics and Clinical Risk Management,Volume 4, 905-911. doi:10.2147/tcrm.s2143 • Schoenberg, L. (2016). Straight talk about birth control. Home healthcare now,34(10), 556-562. doi:10.1097/nhh.0000000000000471 • Skidmore-Roth, L. (2016). Mosbys drug guide for nursing students. St Louis, Missouri: Elsevier. • Zapata, L. B., Steenland, M. W., Brahmi, D., Marchbanks, P. A., & Curtis, K. M. (2013). Effect of missed combined hormonal contraceptives on contraceptive effectiveness: A systematic review. Contraception,87(5), 685-700. doi:10.1016/j.contraception.2012.08.035