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Contraceptive Diaphragm Cleaning

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1. Contraceptive Diaphragm Cleaning

Contraceptive Diaphragm Cleaning Contraceptive Diaphragm Cleaning Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Contraceptive (...) Diaphragm Cleaning Contraceptive Diaphragm Cleaning Aka: Contraceptive Diaphragm Cleaning , Diaphragm Cleaning , Cervical Cap Cleaning From Related Chapters II. Indications Cleaning fitting contraceptive devices in clinic Cleans Diaphragm and s between patients Not for cleaning these devices at home Patients may use warm soapy water to clean III. Technique: Cleaning fitting Cervical Caps between patients Scrub thoroughly in liquid detergent and water OR Soak in liquid soapy solution after use Use one

2018 FP Notebook

2. Contraceptive Diaphragm

Contraceptive Diaphragm Contraceptive Diaphragm Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Contraceptive Diaphragm Contraceptive (...) Diaphragm Aka: Contraceptive Diaphragm From Related Chapters II. History Lemon half was likely medieval predecessor to diaphragm form first described By Dr. Wilds 1838 Introduced in U.S. by Margaret Sanger 1916 III. Preparations: Diaphragm Styles Arching Spring Characteristics Folds at 2 points (forms arc for insertion) Easiest diaphragm to insert Formulations: Ortho All-Flex ( ) Milex Wide-Seal (Silicone) London Int. Koro-flex ( ) Indications Women with poor vaginal support or Women with anteverted

2018 FP Notebook

3. Contraceptive Diaphragm Cleaning

Contraceptive Diaphragm Cleaning Contraceptive Diaphragm Cleaning Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Contraceptive (...) Diaphragm Cleaning Contraceptive Diaphragm Cleaning Aka: Contraceptive Diaphragm Cleaning , Diaphragm Cleaning , Cervical Cap Cleaning From Related Chapters II. Indications Cleaning fitting contraceptive devices in clinic Cleans Diaphragm and s between patients Not for cleaning these devices at home Patients may use warm soapy water to clean III. Technique: Cleaning fitting Cervical Caps between patients Scrub thoroughly in liquid detergent and water OR Soak in liquid soapy solution after use Use one

2015 FP Notebook

4. Contraceptive Diaphragm

Contraceptive Diaphragm Contraceptive Diaphragm Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Contraceptive Diaphragm Contraceptive (...) Diaphragm Aka: Contraceptive Diaphragm From Related Chapters II. History Lemon half was likely medieval predecessor to diaphragm form first described By Dr. Wilds 1838 Introduced in U.S. by Margaret Sanger 1916 III. Preparations: Diaphragm Styles Arching Spring Characteristics Folds at 2 points (forms arc for insertion) Easiest diaphragm to insert Formulations: Ortho All-Flex ( ) Milex Wide-Seal (Silicone) London Int. Koro-flex ( ) Indications Women with poor vaginal support or Women with anteverted

2015 FP Notebook

5. Diaphragm (contraceptive)

Diaphragm (contraceptive) Diaphragm (birth control) - Wikipedia Diaphragm (birth control) From Wikipedia, the free encyclopedia (Redirected from ) Diaphragm An arcing spring diaphragm in its case, with a added for scale. Background Type Barrier First use 1880s Failure rates (first year with ) Perfect use 6% Typical use 12% Usage Reversibility Immediate User reminders Inserted before sex with spermicide. Left in place for 6–8 hours afterwards Advantages and disadvantages protection Possible (...) , or with an applicator after insertion. The diaphragm must be inserted sometime before , and remain in the vagina for 6 to 8 hours after a man's last ejaculation. For multiple acts of intercourse, it is recommended that an additional 5 mL of spermicide be inserted into the vagina (not into the dome—the seal of the diaphragm should not be broken) before each act. Upon removal, a diaphragm should be cleansed with warm mild soapy water before storage. The diaphragm must be removed for cleaning at least once every 24

2012 Wikipedia

6. Optimizing Support for Breastfeeding as Part of Obstetric Practice

without introducing any complementary solids or formula will in most cases prevent ovulation and, thus, pregnancy for up to 6 months after giving birth, it will do so only when women are fully or nearly fully breastfeeding and there is continued amenorrhea. Contraceptive options should be explained in detail and include nonhormonal methods (copper intrauterine devices, condoms, diaphragms, lactational amenorrhea method), and hormonal methods (levonorgestrel intrauterine device, etonogestrel implant (...) and her child to breastfeed in public and that accommodate milk expression, such as insurance coverage for breast pumps, paid maternity leave, on-site childcare, break time for expressing milk, and a clean, private location for expressing milk, are essential to sustaining breastfeeding. Introduction Although most women in the United States initiate breastfeeding, more than one half wean earlier than they desire ( ). In addition, substantial disparities persist in initiation and duration

2018 American College of Obstetricians and Gynecologists

7. Urinary Tract Infection

home Catheter Symptoms for > 7 days 3 UMHS Urinary Tract Infection Guideline, September 2016 Rationale for Recommendations (continued) Risk Factors The majority of UTI's occur in sexually active women. Risk increases by 3-5 times when diaphragms are used for contraception. Risk also increases slightly with not voiding after sexual intercourse and use of spermicide. Increased risk has not been demonstrated with oral contraceptives, not voiding before intercourse, non-cotton underwear, and use (...) of urine culture is limited and the required delay for results. With short treatment courses, treatment is nearly complete before culture results are available. Several factors may affect the validity of diagnostic testing. Apparent pyuria in a "clean-catch" urine specimen in clinic may in fact represent contamination from vaginal discharge. Apparent bacteriuria may similarly represent perineal or vaginal contamination. Leukocyte esterase, an indirect test for the presence of WBCs, may be negative

2016 University of Michigan Health System

8. Pediatric Pulmonary Hypertension

changes over the last 30 years, few of the interventions have been studied in RCTs. One of the most significant changes in management is timing of the opera- tive repair. Initially considered a surgical emergency at birth, repair of the defect in the diaphragm is now usually done at least 24 hours after birth to provide time for stabilization of gas exchange and pulmonary and systemic hemodynamics. Two small RCTs have compared early (within 24 hours) and delayed (when stabilized) repair and reported

Full Text available with Trip Pro

2015 American Heart Association

9. Pediatric Pulmonary Hypertension: ATS/AHA Clinical Practice Guidelines

. One of the most significant changes in management is timing of the opera- tive repair. Initially considered a surgical emergency at birth, repair of the defect in the diaphragm is now usually done at least 24 hours after birth to provide time

2015 American Thoracic Society

10. Opiates and Benzodiazepines on Driving

beginning at the screening visit throughout the study (including intervals between treatment periods/panels) and until 2 weeks after the last dose of study drug in the last treatment period. Acceptable methods of birth control include the following: intrauterine device (IUD-with or without local hormone release), diaphragm, spermicides, cervical cap, contraceptive sponge, oral contraceptives or condoms. Abstinence is an alternative lifestyle and subjects practicing abstinence may be included (...) visits will have a clean (double placebo) and three drugged visits (Xanax and Norco placebo, Xanax placebo and Norco, Xanax and Norco). The screening visit will last about two hours and will include drug and pregnancy testing as well as screening for physical/psychological health. Each of the dosing visits will last approximately five to six hours and will include sleep and food intake surveys, being dosed with study drugs or placebos, AMP assessments, a simulator drive, and wellness surveys

2018 Clinical Trials

11. The Effect of Oats Containing 1.4g Beta Glucan on Fecal Bacterial Population(s) and Plasma Cholesterol in Healthy Adults With Elevated Cholesterol Levels

condom or diaphragm. (Women of child-bearing potential using an oral contraceptive in combination with a double-barrier method of contraception are required to continue to use this form of contraception for 1 week following discontinuation of study medication). v. Use of double-barrier contraception, specifically, a spermicide plus a mechanical barrier (e.g. male condom, female diaphragm). The subject must be using this method for at least 1 week following the end of the study or, vi. Use of any (...) completion of the study at visit 7. The subject must also agree to one of the following methods of contraception: i. Complete abstinence from intercourse two weeks prior to administration of study drug, throughout the clinical trial, until the completion of follow-up procedures or for two weeks following discontinuation of the study medication in cases where subject discontinues the study prematurely. (Subjects utilizing this method must agree to use an alternate method of contraception if they should

2018 Clinical Trials

12. Evaluation of BTX 1503 in Patients With Moderate to Severe Acne Vulgaris

of contraception (listed below) i. Male or female condom; diaphragm; cervical cap. Male subjects must refrain from sperm donation during the study treatment period until 90 days after final study drug administration. Male subjects must agree to keep their face clean shaven (no moustache or goatee; short sideburns acceptable) throughout the study and use the same method for shaving as was used for the 4 weeks prior to the Screening Visit. Exclusion Criteria: People who would otherwise qualify for the study (...) application of study medication. Subject must agree to maintain their regular use of sunscreens, moisturizers, shaving cream, and facial make up throughout the entire course of the study. Male subjects and their partners must agree and commit to use a barrier method of contraception during the study and for 90 days after last study drug application. A negative UPT result for all WOCBP at the Screening Visit and Baseline Visit, if applicable. A WOCBP is one who is not permanently sterilized

2018 Clinical Trials

13. Safety, Immunogenicity, and Protective Efficacy of Two Regimens of Radiation Attenuated Plasmodium Falciparum NF54 Sporozoites (PfSPZ Vaccine) During Natural Transmission Season in Healthy African Adults in Mali

or transdermal or vaginal ring contraceptives; PLUS condoms with spermicide or diaphragm with spermicide. Note, Coartem (artemether specifically) may reduce the effectiveness of systemic hormonal contraceptives, therefore additional barrier methods such as condoms must also be used during the 3 days of Coartem dosing. Women who are not able to get pregnant will also be required to report date of last menstrual period, history of surgical sterility (i.e. tubal ligation, hysterectomy) or premature ovarian (...) to the third injection. At vaccine visits, female participants will have a pregnancy test before injection. All participants will have an arm cleaned and the vaccine injected in a vein. They will be watched for 30 minutes. At non-vaccine visits, participants will have a physical exam and be asked how they are feeling. They will usually have blood tests. Condition or disease Intervention/treatment Phase Malaria Biological: PfSPZ Vaccine Drug: Normal Saline Drug: Coartem Phase 1 Detailed Description

2018 Clinical Trials

14. Defining Skin Immunity of a Bite of Key Insect Vectors in Humans

weeks prior to enrollment through the completion of the study. Acceptable methods of contraception include a male partner who is sterile and is the sole sexual partner of the female participant or a male partner who uses a condom with spermicide plus 1 or more of the following that is used by the female: 1) implants of levonorgestrel; 2) injectable progestogen; 3) an intrauterine device with a documented failure rate of <1%; 4) oral contraceptives; and 5) double barrier method including diaphragm (...) another protocol. Women must agree to practice effective contraception or abstinence. All participants must agree to not donate blood or use certain lotions or creams on visit days. Some participants will have 2 visits over a week. Others will have 5 visits over 8 weeks. All participants will have the following at least once: Medical history Physical exam Blood and urine collected Mosquito or sand fly feeding. Up to 10 insects will feed on participant s arm for up to 20 minutes. The insects are grown

2018 Clinical Trials

15. Diaphragm and lubricant gel acceptance, skills and patterns of use among women in an effectiveness trial in Southern Africa. (PubMed)

regression modeling. Employing face-to-face interviews with intervention arm participants, patterns of use and comfort using the products were measured at Month 3 and Exit, and reported problems with the products were assessed quarterly.At baseline, 72.5% of women correctly inserted/removed the diaphragm within one attempt, and this skill was most strongly associated with the Johannesburg study site. At exit, over 90% of intervention women were very comfortable inserting, wearing, cleaning and removing (...) the diaphragm; however, 31.8% reported usual removal of the diaphragm before the prescribed six hours after sex. During the 12-24 month follow-up period there were only 133 (<1%) reported problems with the diaphragm and gel over 14,544 follow-up visits.Diaphragm skills were easily acquired and few problems were reported during the course of the trial. Reviving the diaphragm as a contraceptive option or as a reusable microbicide delivery mechanism seems feasible in these settings.

2009 The European journal of contraception & reproductive health care : the official journal of the European Society of Contraception

16. A Study to Evaluate the Microbiology, Safety and Tolerability of C16G2 Dental Strip Application

through the last study visit: hormonal (oral, implant, or injection) begun >30 days prior to screening; barrier (condom, diaphragm, or cervical cap with spermicide); intrauterine device (IUD). Acceptable contraceptive options may also include abstinence, relationship with a same sex partner or partner who has had a vasectomy at least six (6) months prior to the screening visit Negative urine pregnancy test in all females of childbearing potential (past menarche) Male subjects of sexual activity age (...) Eligible for Study: 12 Years to 75 Years (Child, Adult, Older Adult) Sexes Eligible for Study: All Accepts Healthy Volunteers: Yes Criteria Inclusion Criteria: Males and females, 12-75 years of age Adults subjects provide written informed consent and adolescent subjects give written or verbal assent, as appropriate, and parent(s) or legal guardian(s) give written informed consent Female subjects of childbearing potential must agree to use one of the following forms of contraception from screening

2017 Clinical Trials

17. Study in Healthy Volunteers to Evaluate the Safety and Immunogenicity of AGS-v, a Universal Mosquito-Borne Disease Vaccine

of contraception include a male partner who is sterile and is the sole sexual partner of the female participant or a male partner who uses a condom with spermicide plus 1 or more of the following: 1) implants of levonorgestrel; 2) injectable progestogen; 3) an intrauterine device with a documented failure rate of <1%; 4) oral contraceptives; and 5) double barrier method including diaphragm. Willing to have samples stored for future research (including genetic research). Agrees to abstain from alcohol intake (...) . In addition the vaccine potentially leads to a reduced mosquito lifespan after feeding therefore also reducing transmission of these diseases. In this protocol we hope to demonstrate the safety of this vaccine similar to SEEK s other peptide based vaccines Flu-v and HIV-v that have been found to have very good safety profiles in previous Phase I trials. We also hope to demonstrate immunomodulation after a controlled clean Aedes aegypti mosquito feeding to demonstrate proof of concept efficacy

2017 Clinical Trials

18. Evaluation of Two Active Lactobacilli for the Maintenance of Gingival Health

of the investigator, practising a reliable method of contraception. To exclude any confounding effects of pregnancy related changes in dental health. Adequate contraception is defined as abstinence, oral contraceptive, either combined or progestogen alone OR injectable progestogen OR implants of levonorgestrel OR estrogenic vaginal ring OR percutaneous contraceptive patches OR intrauterine device or intrauterine system OR double barrier method (condom or occlusive cap [diaphragm or cervical vault caps] plus (...) by the National Library of Medicine available for: Arms and Interventions Go to Arm Intervention/treatment Active Comparator: Investigational product (Lactobacillus A) All volunteers considered to be suitable for the study will receive a pre-baseline dental prophylaxis. At baseline (BL) they will be instructed to abstain from all methods of tooth cleaning in mandible for 2 weeks (2W) apart from the fluoride toothpaste provided. A soft gum shield provided will cover the mandibular teeth whilst brushing

2017 Clinical Trials

19. A Phase 2 Study to Evaluate the Microbiology, Safety and Tolerability of C16G2 Varnish and Strip in Adolescent and Adult Subjects

) give written informed consent Female subjects of childbearing potential must agree to use one of the following forms of contraception from screening through the last study visit: hormonal (oral, implant, or injection) begun >30 days prior to screening; barrier (condom, diaphragm, or cervical cap with spermicide); intrauterine device (IUD). Acceptable contraceptive options may also include abstinence, relationship with a same sex partner or partner who has had a vasectomy at least six (6) months (...) prior to the screening visit Negative urine pregnancy test in all females of childbearing potential (past menarche) Male subjects of sexual activity age: willing to use contraception or abstain from sexual activity beginning with the first exposure to study drug and continuing until discharged from the study due to completion or Early Termination Healthy, as determined by the Investigator (in consultation with the Medical Monitor, as needed), based on medical and dental history, concurrent illnesses

2017 Clinical Trials

20. Treatment and recommendations for homeless people/Unstably Housed Patients with HIV/AIDS

. ? Abuse – Work with all service providers in clinics and shelters to protect unstably housed patients from physical assault and verbal abuse. ? Pregnancy – Educate and ensure access to contraception to prevent unwanted pregnancies: medroxyprogesterone acetate q3 mo/patch/pill as well as male condoms or alternative barrier methods (female condom, diaphragm if desired). Develop good consulting relationships and care coordination with obstetricians to help pregnant unstably housed patients with HIV (...) about current and previous use of alcohol and drugs, including nicotine and inhalants. Inquire about drug(s) of choice, frequency and pattern of use, IDU, injection practices, and access to clean needles. Ask how periods of sobriety were achieved if relevant. Explore triggers and motivation to change substance use behavior. ? Sexual history/current practices – Ask about specific sexual practices that may increase risk for HIV infection; if they exchange sex for drugs, food or money; and whether

2013 National Health Care for the Homeless Council

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