Family Planning Methods PDF

FAMILY PLANNING WHAT IS FAMILY PLANNING?  FP – is having the desired number of children and when you want to have them by using SAFE and EFFECTIVE MODERN METHODS.  Proper birth spacing is having children 3 to 5 years apart, which is best for the health of the mother, her...

FAMILY PLANNING WHAT IS FAMILY PLANNING?  FP – is having the desired number of children and when you want to have them by using SAFE and EFFECTIVE MODERN METHODS.  Proper birth spacing is having children 3 to 5 years apart, which is best for the health of the mother, her child and the family. BENEFITS OF USING FP  MOTHER 1. Enables to regain her health after delivery 2. Gives enough time and opportunity to love and provide. 3. Gives more time for her family and own personal advancement. 4. When suffering from illness, gives enough time for treatment and recovery. BENEFITS OF USING FP  CHILDREN 1. Healthy mother produce healthy children. 2. Will get all the attention, security, love, and care they deserve. BENEFITS OF USING FP  FATHER 1. Lightens the burden and responsibility in supporting his family 2. Enables him to give his children their basic needs. 3. Gives him time for his family and own personal advancement. 4. When suffering from an illness, gives enough time for treatment and ROLE OF THE NURSE IN FP  Major function of a Nurse in a Family planning: 1. To provide care 2. Te reassure the client 3. To provide information FOUR PILLARS OF FP 1. RESPONSIBLE PARENTHOOD 2. RESPECT FOR LIFE 3. BIRTH SPACING 4. INFORMED CHOICE FAMILY PLANNING METHOD  2 CLASSIFICATION 1. NATURAL FAMILY PLANNING 2. ARTIFICIAL FAMILY PLANNING 1. NATURAL FAMILY PLANNING A. LACTATIONAL AMENORRHEA METHOD B. FERTILITY AWARENESS-BASED METHOD 1. BILLINGS OVULATION METHOD 2. BASAL BODY TEMPERATURE 3. SYMPTOTHERMAL METHOD 4. STANDARD DAYS METHOD 5. TWO-DAY METHOD 2. ARTIFICIAL FAMILY PLANNING A. COMBINED ORAL CONTRACEPTIVES B. DEPOT MEDROXYPROGESTERONE ACETATE C. INTRAUTERINE DEVICE (IUD) D. BARRIERS METHODS E. PERMAMENT METHOD 1. VASECTOMY 2. BILATERAL TUBAL LIGATION NATURAL FAMILY PLANNING A.LACTATIONAL AMENORRHEA METHOD  Based on natural effect of breastfeeding on the mother’s fertility, that is there is a delay in return of fertility after childbirth B. Fertility awareness- based(FAB)  Based on scientific analysis of the fertile time in the woman’s menstrual cycle.  Involves recognition of physiologic markers indicating woman’s fertility. 1. Billing ovulation method(BOM)  Known as CERVICAL MUCUS METHOD  Applicable to women in all stages of reproductive life.  Woman should record the following: menstruation, basic infertile pattern, changing pattern of fertility, peak of fertility, postovulatory phase 2. Basal body temperature(BBT)  Refers to body temperature when one is fully at rest, that is, upon rising from sleep and before eating.  Hormonal changes are observed and used for predicting fertility. 3. Symptothermal method  All the signs of fertility are taken note.tracking cervical mucus, BBT, other signs of ovulation are observed: Mittleschmerz Spinnbarkeit Breast tenderness Increased libido Mood changes  Spinnbarkeit is a biomedical term that describes the stretchy or stringy quality of certain fluids, such as mucus, saliva, and albumen. It's most commonly used to describe cervical mucus around the time of ovulation.  Mittelschmerz—or ovulation pain, as it is commonly known today—is a benign preovulatory lower abdominal pain that occurs midcycle (between days 7 and 24) in women. Mittelschmerz may affect over 40% of women of reproductive age, and it occurs almost every month in these patients 4. Standard days method  SDM beads is used as a memory aid by a woman. Color coded beads with a movable rubber marker to facilitate menstrual cycle 5. Two-day method  Simple fertility awareness, uses cervical secretions as an indicator of fertility. Requires woman to check secretions daily ARTIFICIAL FAMILY PLANNING A. COMBINED ORAL CONTRACEPTIVES(COCs)  Simply called pills, preparation that contain hormones similar to woman’s natural hormones, taken daily to prevent conception  Comes either 21 or 28 day packs.  How to use the pills  start taking the pill on the first or second day of period, the nurse may advise to start immediately and use condoms for the first week  To use the birth control pill correctly, take it every day at the same time, according to the dosing schedule for a brand. Set an alarm to help remember each day  21-day pack Take one hormone pill every day for 21 days, then stop taking pills for 7 days. During the 7 -day break, woman usually gets her period. 28-day pack Take one hormone pill every day for 21 days, then take one non-hormone pill every day for 7 days. Woman usually gets her period during the 7-day break. B. Depot medroxyprogesterone acetate  Is a progestin- only injected intramuscularly every 3 months which suppressed ovulation  Sites should be rotated  Have a record of the injection date and site C. Intrauterine device (IUD)  Small plastic or metal device inserted inside a woman's uterus to prevent pregnancy which releases copper or a hormone  An intrauterine device (IUD) can be inserted at any time during a menstrual cycle, as long as a pregnancy is not present. However, some say it may be more comfortable to have an IUD inserted during menstruation when the cervix is more open 1. The doctor will have the patient follow up in 4 -6 weeks to check the placement of the IUD.  The IUD insertion procedure usually takes about 15 minutes or less. Some people may experience pain or discomfort during the procedure, which can range from mild cramping to more severe pain. Other possible side effects include spotting, dizziness, or fainting. Any pain should go away in a few days. D. Barriers method  Involve the use of devices that mechanically or chemically prevent fertilization.  Includes: male condoms, diaphragms, cervical caps, and spermicidal E. Permanent method 1. VASECTOMY - surgical procedure where the vas deferens is tied and cut or blocked through a small opening on the scrotal skin. After a vasectomy, sperm are reabsorbed into the body: 1.1. Vasectomy procedure 2.During a vasectomy, a doctor cuts and blocks the vas deferens, the tubes that carry sperm from the epididymis to the urethra. 3.2. Sperm reabsorption 4.The body reabsorbs the sperm that are no longer able to travel through the vas deferens. White blood cells break down and remove the sperm. 5.3. Ejaculation 6.After a vasectomy, a person will still ejaculate semen, but it will no longer contain sperm. This is because the sperm are blocked from reaching the semen. 7.4. Semen tests 8.After the surgery, a person will have semen tests to confirm that all sperm have been eliminated. 9.5. Contraception 10.A person should continue to use contraception, such as condoms, until they are told it is safe to stop. The testicles will continue to produce sperm after a vasectomy. It can take up to 30 ejaculations for the tubes to be free of sperm  BILATERAL TUBAL LIGATION (BTL) – involves cutting or blocking the two fallopian tubes preventing conception.  After a bilateral tubal ligation (BTL), or tubal sterilization, the body absorbs the egg after it breaks down or becomes very small: Egg release: The ovaries continue to release eggs during ovulation, but the eggs are blocked from passing through the fallopian tubes to the uterus. Egg absorption: The body breaks down and absorbs the eggs. Menstrual cycle: The ovaries continue to  THANK YOU