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OB-ATI STUDY GUIDE

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Infertility—no conception with unprotected sex for at least 12 months. Common factors—decreased sperm, ovulation DOs, tubal occlusions, and endometriosis. Meds used increase risk of multiple birt ... hs > 25% Assessment (p13) Age, duration of infertility, OB hx (spontaneous abortions), Medical hx, surgical hx, sexual hx (coitus frequency, # past partners, hx STIs), occupational/environmental exposure risk, provide infor on assisted reproductive therapies (in vitro fert., embryo transfer, intrafallopian gamete transfer, surrogate partenting, adoption) Genetic counseling—Identify clts in need of genetic counseling. Exp. Clt has Sickle cell trait, history of birth defects, <16 yrs and >35 yrs. Provide info on risk of occurrence, assist in construction of family medical histories of several generations, provide emotional support(denial, anger, grief, guilt, self blame), make referrals to support groups p13 Prenatal assessments thru—chorionic villus sampling, PUB (percutaneous umbilical blood sampling), and amniocentesis ---all have potential risks to fetus Infertility Procedures: Pelvic Exam—assess for vaginal or uterine anomalies Hysterosalpinography—radiological check for patency of fallopian tubes, check for iodine and seafood allergies. Hysteroscopy—radiographic exam of uterus—defect, distortion, scar tissue Laparoscopy—gas insufflation—visualize internal organs---general anesthesia used Semen collection—used first, least invasive, 40% infertility RT men Contraception Procedures Vasectomy—infertility after approx. 20 ejaculations (1wk-several months) Tubal ligation (salpingectomy)—from cutting, burning, or blocking Hysterectomy—partial (uterus), complete (uterus, bilateral fallopian tubes and ovaries) Contraception Assessment BRAIDED—acronym for informed consent B—benefits--advantages R—risks--disadvantages A—alternatives I—inquires—clt ask questions D—decisions E—explanations—give info on selected method D—documentation (info given U clts understanding) [Show More]

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