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Copyright © 2007 Pearson Educati on Canada 11-1 Contraception and Abortion Chapter 11 This multimedia product and its contents are protected under copyright law. The following are prohibited by law: any public performance or display, including transmission of any image over a network; preparation of any derivative work, including the extraction, in whole or in part, of any images; any rental, lease, or lending of the program.

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Page 1: Copyright © 2007 Pearson Education Canada11-1 Contraception and Abortion Chapter 11 This multimedia product and its contents are protected under copyright

Copyright © 2007 Pearson Education Canada 11-1

Contraception and Abortion

Chapter 11

This multimedia product and its contents are protected under copyright law. The following are prohibited by law: any public performance or display, including transmission of any image over a network; preparation of any derivative work, including the extraction, in whole or in part, of any images; any rental, lease, or lending of the program.

Page 2: Copyright © 2007 Pearson Education Canada11-1 Contraception and Abortion Chapter 11 This multimedia product and its contents are protected under copyright

Copyright © 2007 Pearson Education Canada 11-2

Historical Perspectives on Contraception History of Birth control in Canada

Canadian Birth Control League 1969 contraception became legal Artificial contraception

Method of contraception that applies a human-made device

Page 3: Copyright © 2007 Pearson Education Canada11-1 Contraception and Abortion Chapter 11 This multimedia product and its contents are protected under copyright

Copyright © 2007 Pearson Education Canada 11-3

Methods of Contraception

Oral contraceptives (“the Pill”) Consists of sex hormones and taken by

mouth Combination pill

Contains synthetic estrogen and progesteron

(continued)

Page 4: Copyright © 2007 Pearson Education Canada11-1 Contraception and Abortion Chapter 11 This multimedia product and its contents are protected under copyright

Copyright © 2007 Pearson Education Canada 11-4

Methods of Contraception

Oral contraceptives (continued) Minipill

Contains synthetic estrogen How they work Effectiveness of birth-control pills

(continued)

Page 5: Copyright © 2007 Pearson Education Canada11-1 Contraception and Abortion Chapter 11 This multimedia product and its contents are protected under copyright

Copyright © 2007 Pearson Education Canada 11-5

Methods of Contraception

Oral contraceptives (continued) Reversibility Advantages and disadvantages

Emergency contraception “morning-after” pills Plan B

Page 6: Copyright © 2007 Pearson Education Canada11-1 Contraception and Abortion Chapter 11 This multimedia product and its contents are protected under copyright

Copyright © 2007 Pearson Education Canada 11-6

Methods of Contraception

Intrauterine devices (IUDs) Small object that is inserted into the uterus

and left in place to prevent contraception How they work Effectiveness Reversibility

(continued)

Page 7: Copyright © 2007 Pearson Education Canada11-1 Contraception and Abortion Chapter 11 This multimedia product and its contents are protected under copyright

Copyright © 2007 Pearson Education Canada 11-7

Methods of Contraception

Intrauterine devices (continued) Advantages and disadvantages

Diaphragm shallow rubber cup or dome that is coated

with spermicide and inserted prior to coitus How it works

(continued)

Page 8: Copyright © 2007 Pearson Education Canada11-1 Contraception and Abortion Chapter 11 This multimedia product and its contents are protected under copyright

Copyright © 2007 Pearson Education Canada 11-8

Methods of Contraception

Diaphragm (continued) How it is used Effectiveness Advantages and disadvantages

Page 9: Copyright © 2007 Pearson Education Canada11-1 Contraception and Abortion Chapter 11 This multimedia product and its contents are protected under copyright

Copyright © 2007 Pearson Education Canada 11-9

Methods of Contraception

Spermicides How they are used How they work Effectiveness Advantages and disadvantages

Page 10: Copyright © 2007 Pearson Education Canada11-1 Contraception and Abortion Chapter 11 This multimedia product and its contents are protected under copyright

Copyright © 2007 Pearson Education Canada 11-10

Methods of Contraception

Male Condom Prophylactic

Agent that protects against disease How they work How they are used

(continued)

Page 11: Copyright © 2007 Pearson Education Canada11-1 Contraception and Abortion Chapter 11 This multimedia product and its contents are protected under copyright

Copyright © 2007 Pearson Education Canada 11-11

Methods of Contraception

Male Condom (continued) Using a condom effectively Attitudes toward suggesting a condom Effectiveness Advantages and disadvantages

Page 12: Copyright © 2007 Pearson Education Canada11-1 Contraception and Abortion Chapter 11 This multimedia product and its contents are protected under copyright

Copyright © 2007 Pearson Education Canada 11-12

Methods of Contraception

Withdrawal (coitus interruptus) Man removes the penis from the vagina

before ejaculating

Page 13: Copyright © 2007 Pearson Education Canada11-1 Contraception and Abortion Chapter 11 This multimedia product and its contents are protected under copyright

Copyright © 2007 Pearson Education Canada 11-13

Methods of Contraception

Fertility awareness methods (rhythm methods) How they work Calendar method

Prediction of ovulation by tracking menstrual cycles

(continued)

Page 14: Copyright © 2007 Pearson Education Canada11-1 Contraception and Abortion Chapter 11 This multimedia product and its contents are protected under copyright

Copyright © 2007 Pearson Education Canada 11-14

Methods of Contraception Fertility awareness methods (continued)

Basal body temperature (BBT) method Prediction of ovulation by tracking woman’s

temperature Cervical mucus (ovulation) method

Prediction of ovulation by tracking viscosity of the cervical mucus

(continued)

Page 15: Copyright © 2007 Pearson Education Canada11-1 Contraception and Abortion Chapter 11 This multimedia product and its contents are protected under copyright

Copyright © 2007 Pearson Education Canada 11-15

Methods of Contraception

Fertility awareness methods (continued) Ovulation-prediction kits Effectiveness Advantages and disadvantages

Page 16: Copyright © 2007 Pearson Education Canada11-1 Contraception and Abortion Chapter 11 This multimedia product and its contents are protected under copyright

Copyright © 2007 Pearson Education Canada 11-16

Sterilization

Male sterilization Vasectomy

Surgically cutting each vas deferens and tying it back or cauterizing it

Vasovasotomy Reversing vasectomy

Page 17: Copyright © 2007 Pearson Education Canada11-1 Contraception and Abortion Chapter 11 This multimedia product and its contents are protected under copyright

Copyright © 2007 Pearson Education Canada 11-17

Sterilization

Female sterilization Tubal sterilization (tubal ligation)

Fallopian tubes are surgically blocked Minilaparotomy

Small incision in the abdomen

(continued)

Page 18: Copyright © 2007 Pearson Education Canada11-1 Contraception and Abortion Chapter 11 This multimedia product and its contents are protected under copyright

Copyright © 2007 Pearson Education Canada 11-18

Sterilization

Female sterilization (continued) Laparoscopy

Laparoscope is inserted below the navel “belly-button surgery”

Culpotomy Incision in the back wall of the vagina

(continued)

Page 19: Copyright © 2007 Pearson Education Canada11-1 Contraception and Abortion Chapter 11 This multimedia product and its contents are protected under copyright

Copyright © 2007 Pearson Education Canada 11-19

Sterilization

Female sterilization (continued) Hysterectomy

Surgical removal of the uterus Advantages and disadvantages of

sterilization

Page 20: Copyright © 2007 Pearson Education Canada11-1 Contraception and Abortion Chapter 11 This multimedia product and its contents are protected under copyright

Copyright © 2007 Pearson Education Canada 11-20

Other Methods of Contraception Norplant

Tubes implanted in the body Depo-provera

Injection once every three months Cervical cap

Dome-shaped rubber cup

(continued)

Page 21: Copyright © 2007 Pearson Education Canada11-1 Contraception and Abortion Chapter 11 This multimedia product and its contents are protected under copyright

Copyright © 2007 Pearson Education Canada 11-21

Other Methods of Contraception (continued) Female condom

Polyurethane sheath that lines the vagina Skin patch

Worn three weeks each month Vaginal ring

Worn in the vagina for three months

(continued)

Page 22: Copyright © 2007 Pearson Education Canada11-1 Contraception and Abortion Chapter 11 This multimedia product and its contents are protected under copyright

Copyright © 2007 Pearson Education Canada 11-22

Other Methods of Contraception (continued) Contraceptive sponge

Provides a barrier that holds a spermicide Douching

To rinse or wash the vaginal canal

Page 23: Copyright © 2007 Pearson Education Canada11-1 Contraception and Abortion Chapter 11 This multimedia product and its contents are protected under copyright

Copyright © 2007 Pearson Education Canada 11-23

Selecting a Method of Contraception Convenience Moral acceptability Cost Sharing responsibility Safety

(continued)

Page 24: Copyright © 2007 Pearson Education Canada11-1 Contraception and Abortion Chapter 11 This multimedia product and its contents are protected under copyright

Copyright © 2007 Pearson Education Canada 11-24

Selecting a Method of Contraception (continued) Reversibility Protection against sexually transmitted

infections (STIs) Effectiveness

Page 25: Copyright © 2007 Pearson Education Canada11-1 Contraception and Abortion Chapter 11 This multimedia product and its contents are protected under copyright

Copyright © 2007 Pearson Education Canada 11-25

The Search Goes On

Male pill may be available within the next few years

Page 26: Copyright © 2007 Pearson Education Canada11-1 Contraception and Abortion Chapter 11 This multimedia product and its contents are protected under copyright

Copyright © 2007 Pearson Education Canada 11-26

Abortion

Induced abortion Purposeful termination of a pregnancy

before the embryo or fetus is capable of sustaining independent life

Page 27: Copyright © 2007 Pearson Education Canada11-1 Contraception and Abortion Chapter 11 This multimedia product and its contents are protected under copyright

Copyright © 2007 Pearson Education Canada 11-27

Abortion

Historical and legal perspectives on abortion

Attitudes toward legalized abortion

Page 28: Copyright © 2007 Pearson Education Canada11-1 Contraception and Abortion Chapter 11 This multimedia product and its contents are protected under copyright

Copyright © 2007 Pearson Education Canada 11-28

Methods of Abortion

Vacuum aspiration Removal of the uterine contents via suction Used early in the pregnancy

Dilation and curettage (D & C) Cervix is dilated Uterine contents gently scraped away

(continued)

Page 29: Copyright © 2007 Pearson Education Canada11-1 Contraception and Abortion Chapter 11 This multimedia product and its contents are protected under copyright

Copyright © 2007 Pearson Education Canada 11-29

Methods of Abortion (continued) Dilation and Evacuation (D & E)

Cervix is dilated prior to vacuum aspiration Uterine contents are removed with forcepts

Inducing labor by intra-amniotic infusion Substance is injected into amniotic sac

(continued)

Page 30: Copyright © 2007 Pearson Education Canada11-1 Contraception and Abortion Chapter 11 This multimedia product and its contents are protected under copyright

Copyright © 2007 Pearson Education Canada 11-30

Methods of Abortion (continued) Hysterotomy

Fetus is removed by cesarean section Abortion drugs

RU-486 (Not yet approved for sale in Canada)

Psychological consequences of abortion

Page 31: Copyright © 2007 Pearson Education Canada11-1 Contraception and Abortion Chapter 11 This multimedia product and its contents are protected under copyright

Copyright © 2007 Pearson Education Canada 11-31

End of Chapter 11