1. Chapter 10 Contraception

2. Historical and Social Perspectives
Evidence of contraception since the beginning of recorded history
U.S. contraceptive efforts
1800s Comstock laws (obscenity laws)
1915: Margaret Sanger
U.S. Supreme Court rulings
Griswold vs. Connecticut (prohibits)
Eisenstadt vs. Baird (decriminalized)

3. Contemporary Issues on Contraception
Planning for wanted children
Physical health of mother
Insurance coverage of contraceptives
Population growth
Cultural gender-role expectations
Wide diversity of views among cultures and religious groups

4. Sharing Responsibility for Contraception
Ask about birth control before intercourse
Read and discuss options together
Attend a class or clinic together
Share expenses

5. Choosing a Birth Control Method
Consider effectiveness and cost
Consider ease of use and side effects
Characteristics of ineffective use
Not taking birth control same time
Not using backup method under certain conditions

6. Emergency Contraception
Hormonal:
Birth control pills taken within 72 hours of unprotected intercourse
95% effective (24 hours)
75% effective (72 hours)
Copper-T:
Inserted up to 5 days after unprotected sex
99%
Access Issues
Advanced prescription
Oral contraceptive pills for emergency contraception.

7. Female Sterilization
Female sterilization by laparoscopic ligation. Front view shows tubes after ligation.

8. Male Sterilization: Vasectomy
Male sterilization by vasectomy.
20 minute procedure
Remember sperm only 1% of ejaculate

9. Abortion Issues Difference in procedures Late-term is reserved for
serious health risks for the mother
Severe fetal abnormalities
Compromise of less than 1%
Usually what is used for propaganda

10. Abortion