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Pregnancy Prevention and Contraceptive Options

Upon completing this lesson, students should be able to: 1. Evaluate their risk of an unwanted pregnancy, 2. Understand the benefits of abstinence, 3. Explain the purpose and importance of using contraceptive methods, and 4. Describe several methods of contraception, and 5. Understand the advantages and disadvantages of several contraceptive methods and where to get them.

Part One: 20 minutes Part Two: 60 minutes Total: 80 minutes

Preparation and Materials

1. (This exercise is for a class of 40 students, adjust numbers as needed.) Get 80 pennies. Put 40 into a paper bag labeled No Method and 40 into a paper bag labeled Condom. From the No Method bag, mark 34 (85%) of the pennies with a big, black dot then return them into the bag. From the Condom bag, mark 7 (approx. 17.4%) of the pennies with a big, black dot then return them into the bag. 2. Have the other following materials ready: Pregnancy Prevention PowerPoint presentation Contraceptive Methods handouts - different handout for each small group

"Contraception Options" worksheet for each student

Part One - Risk Evaluation

1. Begin the class by recapping some information about pregnancy. Inform students that Despite the... stress of pregnancy and parenthood - and despite the availability of birth control today - many sexually active American teenagers do no use contraceptives consistently or effectively. Furthermore, many adolescents do not use any contraception at all the first few times they have sexual intercourse.(Crooks & Baur, 2014) 2. Have all students participate in an exercise to illustrate the percentage of people likely to become pregnant if they have unprotected sex vs. sex when using a condom. First each student draws one penny out of the No Method bag. Every student (85%) with a black marked penny stands up. This represents the number that would likely get pregnant without any form of contraception. Next, each student draws one penny out of the Condom bag. Every student (17.4%) with a black marked penny stands up. This represents the number that would likely get pregnant when using condoms. Discuss the difference in the number of students getting pregnant in each activity. Explain that some forms of contraception would have had even fewer students standing, and if there had been a bag labeled Abstinence, not a single student would have stood up. 3. As a class, participate in a risk of unwanted pregnancy evaluation activity. (The idea for this activity is from ReCAPP) Write the following statements up on the board: A. I dont have sex. B. I do have sex and use birth control every time. C. I do have sex and use the withdrawal method every time. D. I do have sex and use birth control some of the time. E. I do have sex and rarely, if ever, use birth control. Ask each student to silently determine which statement best describes their sexual behavior. After giving them a moment to do so, write the following numbers next to the statements: A=0, B=1, C=5, D=7, E=10. Explain that these numbers, 0-10, are Pregnancy Risk Ratings. Ask them to note the number next to the statement they chose. The higher the rating, the more likely they are to get pregnant or get someone else pregnant. Ask them to now, silently, determine how comfortable they are

with their rating: Very Comfortable, Comfortable, Uncomfortable, or Very Uncomfortable. Ask them to write their answer to the following question on a piece of paper: Do you want to make a change to lower your pregnancy risk-taking behavior? If yes, what will you do? Tell the students that they can choose to either keep or destroy their responses.

Part Two - Contraceptive Options

1. Form groups by randomly assigning each student a number 1-13. Have students get together with their groups, and give them the Contraceptive Methods handout with the correlating number. Groups should be given 5-10 minutes to read the information and prepare a 2-minute group oral presentation that they will present to the class. Birth Control Methods 1. Pill 2. Patch (Ortho Evra) 3. Vaginal Ring (NuvaRing) 4. Injection (Depo-Provera, Lunelle) 5. Implant (Implanon) 6. IUD (Mirena, ParaGard) 7. Sterilization (Vasectomy, Tubal Ligation) 8. Male Condoms 9. Female Condoms 10.Diaphragm with Spermicide 11.Standard Days Method 12.Withdrawal 13.Outercourse 14.Abstinence *This method will be presented by the teacher.* 2. After groups have finished preparing, hand out the Contraceptive Options worksheets to each student. Inform them that they should listen for and fill out the correct answers given to them during the group presentations. 3. Begin PowerPoint presentation. Explain the importance of pregnancy prevention and the reasons for using contraception. During the section of

the slideshow with the slides that have the names and pictures of each contraceptive method, each group will come up and give their brief presentation when their corresponding slide is shown. After each group presents their assigned method, the teacher will add any additional information not discussed by the group. The teacher will present the final method, abstinence. The benefits of abstinence should be stressed. 4. At the end of the presentation, ask the following class discussion questions: What do you think are some reasons that sexually active individuals DO NOT use any type of contraception? What are some difficulties that a teenage girl would likely face if she were to become pregnant? What are some difficulties that a teenage boy would likely face if he were to get someone pregnant? Where can teenagers turn to in order to find more information about sexuality and contraception?

Sources Cited
Crooks, R., & Baur, K. (2014). Our sexuality. (12 ed., pp. 364). Belmont, CA: Wadsworth. ReCAPP. (n.d.). Learning activities: How do i rate? a personalization activity. Retrieved from http://recapp.etr.org/recapp/index.cfm? fuseaction=pages.LearningActivitiesDetail&PageID=178