SARC Patch Medication Controlled Release

Questions and Answers

What is the function of the reservoir in the SARC patch?

To control the release of medication into the bloodstream

What is a benefit of using the SARC patch?

It is more convenient than other forms of hormonal contraception

What happens to cervical mucus when progestin is present?

It becomes thicker and more difficult for sperm to travel

Why is the SARC patch not recommended for women who weigh over 198lbs?

Because it may increase the risk of blood clots in heavier women Signup and view all the answers

How long can the ring be left in place?

Up to 28 days Signup and view all the answers

How often can a new SARC patch be applied?

Weekly for up to 3 months Signup and view all the answers

What happens if the ring is left in place for longer than 28 days?

The ring becomes less effective Signup and view all the answers

What is a potential risk associated with using the SARC patch?

Higher risk of VTE Signup and view all the answers

What is the purpose of the ring-free week?

To allow the user's body to recover from the hormones Signup and view all the answers

What is the advantage of the SARC patch's controlled release of medication?

It helps to avoid peaks and troughs in drug levels Signup and view all the answers

What is the result of thickened cervical mucus on sperm?

It makes it more difficult for sperm to travel through the cervix Signup and view all the answers

Why is it important to use the ring correctly?

To increase the efficacy of the ring Signup and view all the answers

What form can the medication in the SARC patch take?

A gel, liquid, or solid matrix form Signup and view all the answers

What happens to fertility after stopping the ring?

Fertility returns to a natural state Signup and view all the answers

Why is the SARC patch considered effective?

Because it is less risky than pregnancy Signup and view all the answers

What is the relationship between progestin and the cervical mucus?

Progestin thickens the cervical mucus Signup and view all the answers

What is the effect of taking UPA before the onset of the LH surge?

It prevents follicular rupture and reduces endometrial thickness, making the endometrium less hospitable for implantation. Signup and view all the answers

What is the primary goal of preconception counseling?

To facilitate patient-centered evaluation of reproductive life-planning. Signup and view all the answers

What is the time period typically referred to as the preconception period?

3-4 months before conception Signup and view all the answers

Who is responsible for providing preconception counseling?

All healthcare providers, including midwives, OBs, and primary care providers Signup and view all the answers

What is the One Key Question in preconception counseling?

Do you want to be pregnant in the next year? Signup and view all the answers

What is the effect of hormonal emergency contraception methods on an already implanted embryo?

They have no effect on the embryo. Signup and view all the answers

When can preconception counseling be integrated?

During well women visits, birth control visits, or other healthcare encounters Signup and view all the answers

What does the One Key Question allow for in preconception counseling?

An informed conversation to happen between the provider and the patient Signup and view all the answers

What is the recommended approach when a woman expresses ambivalence about pregnancy?

Show sensitivity to her individual needs and concerns Signup and view all the answers

What is the primary reason why women who are uncertain about their pregnancy intention are at higher risk for unintended pregnancy?

They are not using any form of contraception or discontinuing its use for an extended period Signup and view all the answers

What is an important aspect of collaboratively developing plans for risk modification for future pregnancies?

Addressing BMI, substance abuse, and vaccination among other factors Signup and view all the answers

What is the primary benefit of the Mediterranean diet for pregnant and nonpregnant individuals?

Reduced risk of heart disease, diabetes, and other chronic diseases Signup and view all the answers

What is the recommended dietary approach for optimal preconception health?

A diet high in vegetables and fruits, plant-based proteins, and whole grains Signup and view all the answers

What is the purpose of a 24-hour diet recall in relation to preconception care?

To identify areas for nutrition improvement and provide personalized guidance Signup and view all the answers

Why is folic acid supplementation important for women who are uncertain about their pregnancy intention?

It supports fetal development in case of unintended pregnancy Signup and view all the answers

What is a key aspect of anticipatory guidance for women of reproductive age?

Having a conversation or providing handouts Signup and view all the answers

Why should women take folate regardless of their intentions for pregnancy?

To ensure a healthy pregnancy Signup and view all the answers

What is the primary goal when managing mental health disorders in women of reproductive age?

To ideally stabilize the woman with or without medication before conception Signup and view all the answers

What is the first step in counseling a woman who has discovered she is pregnant?

Explore how the woman feels about the pregnancy and her options Signup and view all the answers

Why is it important to ask the woman if she has told anyone about the pregnancy?

To help identify the need for additional support Signup and view all the answers

What is the primary reason for assessing for IPV or reproductive coercion in pregnant women?

To identify potential risks to her safety and well-being Signup and view all the answers

Why is confidentiality important in counseling a woman who has discovered she is pregnant?

To establish trust and rapport Signup and view all the answers

What should the healthcare provider do if a woman reports being unable to tell anyone about the pregnancy?

Refer her to a counselor Signup and view all the answers

What is the primary goal of providing counseling options to a pregnant woman?

To ensure she makes an informed decision Signup and view all the answers

Study Notes

Contraception Methods

SARC (Skin Applied Receptor Contraceptive) patch provides controlled release of medication, avoiding peaks and troughs in drug levels.
The patch contains a reservoir that holds the medication, which can be in the form of a gel, liquid, or solid matrix.
Rate-Control Thickening of Cervical Mucus: Progestin causes the cervical mucus to thicken, making it more difficult for sperm to travel through the cervix and reach an egg.
UPA (Ulcerative Proctitis Agent) prevents follicular rupture if taken before the onset of the LH surge and reduces endometrial thickness, making the endometrium less hospitable for implantation of an embryo.

Preconception Care

The preconception period is generally referred to the period of 3-4 months before conception.
Preconception counseling can be integrated into other visits, such as well-women visits or birth control visits.
The primary care provider is responsible for facilitating patient-centered evaluation of reproductive life-planning.
One Key Question: "Do you want to be pregnant in the next year?" screens women for pregnancy intention and allows for an informed conversation to happen between the provider and the patient.
Anticipatory guidance should be given in the form of a conversation or handouts.

Risk Modification for Future Pregnancies

Collaboratively develop plans for risk modification focusing on:
- BMI/ nutrition/ lifestyle
- Substance/ physical abuse/ smoking cessation
- Vaccination
- Folic acid use
- Environmental exposure
- Pregnancy spacing/ timing
- Teratogen avoidance
- Fertility
- Medication use
- Genetic screening
Nutrition: Optimal diet for preconception is high in vegetables and fruits, plant-based proteins, whole grains, healthy fish, and healthy fats, with moderate consumption of lean meats and poultry and avoidance of highly processed foods, fatty meats, and added sugars.
Folate should be taken regardless of intentions for pregnancy.

Pregnancy Discovery

Counseling options for patients:
- Parenting
- Adoption
- Abortion
Confidentiality is important, and establish rapport with the patient using neutral language and asking open-ended questions.
Steps:
1. Explore how the woman feels about the pregnancy and her options.
2. Help identify support systems and assess risk.
3. Provide decision-making support or discuss a timetable for decision-making.
4. Provide or refer woman to the desired services.

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Description

This quiz covers the SARC patch, a medication delivery system that releases controlled amounts of medication into the bloodstream. Topics may include weight limits, uses, and potential side effects.