HEALTH TEACHING PLAN

Subject matter: FAMILY PLANNING Time allotment: 30-40 MINUTES General objectives: AT THE END OF 30 MINUTES OF HTP, CLIENT WILL BE ABLE TO ACQUIRE KNOWLEDGE, SKILLS AND AFFIRMATIVE ATTITUDE REGARDING FAMILY PLANNING.

LEARNING OBJECTIVES

CONTENT

TIME ALLOTMENT

STRATEGIES

RESOURCES

EVALUATION CRITERIA

After 30 minutes of rendering health teaching, client will be able to: 1.) Define Family Planning Family Planning is having the right member of the children born with proper spacing. -it helps individuals to achieve their desired family size in the context of responsible parenthood

5 minutes

Lecture/Discussion

Internet

2.) Determine the Advantages and Disadvantages of family planning

Advantages:

Finances
-Planning a family on your own terms can be extremely advantageous to your family's financial situation, both present and future. Employing methods of birth control for periods of financial struggle, while setting money aside for unseen hardships (infertility, illness, loss of income) during times of prosperity will help you avoid the financial anxiety an unplanned pregnancy may bring. Family Dynamic -Whether you want two children, no children or twenty, family planning will help you build the family dynamic of your wishes. Decide what is right for your family

10 minutes

Lecture/Discussion

Internet

based on the specific needs of each member, whether that means trying for another child naturally, sterilization, adoption or a different choice. Residential -Conscious family planning will aid you in your decision to purchase and/or sell a home in a particular area. Depending on the desired growth of your family, what kind of schools you want your children to attend and the cost of living, you will better be able to choose a home that will suit the needs of your complete family. Higher Education - Higher education in terms of you and your partner is a vital consideration for family planning. Seeking a degree or certification takes time, energy and money. The advantage of planning your family according to these demands will enable you to complete your education in a timelier fashion with much less stress, worry and guilt. Time Management -For many working families, a single income

is not enough to sustain the financial burden. If both parents in a household work and will continue to do so, it's vital that the spare time each has is spent nurturing the growth of the children. This becomes increasingly more difficult as more children are added to the household. Disadvantages:
-Although there are

relatively few disadvantages to family planning, there are still a few notable exceptions. Many birth control methods offer side effects that can negatively affect the health of women taking them. They often affect hormones and can lead to weight gain, among other things. There are some religions that ban birth control and encourage natural family planning instead. Natural family planning is not a form of birth control and is, therefore, less effective at preventing pregnancy. 3.)Identify the important things to consider in choosing a family planning method,

-An individual or couples choice of family planning method should be made carefully with

5 minutes

Lecture/Discussion

Internet

complete knowledge about the advantages, disadvantages and side effects of various options. Important things to consider are: >Personal values >Ability to use a method correctly >How the the method will affect sexual enjoyment >Financial factors >Status of a couples relationship >Prior experiences >Future plans 4.)Identify the two types of methods of family planning 5.)Define each method, give their examples explain each example, and determine the benefits that possibly can get in these methods -Artificial method -natural method

1 minute

Lecture/Discussion

Internet

Artificial method
- is a means of preventing pregnancy that involves some kind of device or medication. Examples: Condom -condoms are worn by men on the penis. During sex the condom prevents sperm from entering woman and therefore prevents pregnancy. The effectiveness is rated at 71 percent to 85 percent, but this number maybe low because condoms are often used incorrectly. When using condoms, Follow

15 minutes

Giving of accurate examples by illustrating and Lecture/Discussion

Internet

directions carefully. Barrier -A diaphragm is a disk that woman can insert to act as a barrier. It stops sperm from entering the uterus and therefore prevents pregnancy. In general barrier methods Have an effectiveness rating of 71 percent to 85 percent, but using a spermicidal along with diaphragm effectiveness increases. Hormones -some women take pills or wear a patch to control their hormones. if used correctly, these drugs prevent pregnancy. If the woman wants to become pregnant, she can simply stop taking the pill or remove the patch. the effectiveness of these methods is rated at 92 percent. Internal Device -an IUD is inserted into a womans uterus by a doctor to prevent pregnancy. When woman is ready to become pregnant the doctor removes the device. Effectiveness is rated at 97 to 99 percent. Injections

-Depo-Provera is an injection a woman can get as birth control; she must get the shot four times per year. It has an effectiveness rating of 97 percent to 99 percent. Benefits: -higher success rate than rhythm method. - allows families to limit their family size -allows families to dictate how far apart to plan. - allows a couple to develop a financial budget. - allows a surrogate mother to carry a child that is genetically related to the couple desiring children.

Natural method
-is a method of preventing pregnancy that does not involve introduction of chemicals or foreign materials into the body. -The effectiveness of these methods varies greatly on the couples ability to refrain from having sex on fertile days. -The only method accepted by the Catholic Church.

Examples: Abstinence -The most effective way to prevent against conception is to abstain from sexual intercourse. -Also the most effective way to prevent STDs. -Clients may find it difficult to comply with abstinence or may completely overlook it as an option -In a moment of passion, many otherwise responsible people may fail to consider this as an option. FERTILITY AWARENESS METHOD -Rely on determining when the women will be capable of impregnation (fertile) and using periods of abstinence or contraceptives during that time. -Calendar Rhythm Method -Requires a couple to abstain from coitus on the days of a menstrual cycle when the woman is most likely to conceive. To plan for this, a woman should keep a diary of six menstrual cycles, to calculate the safe

days. To calculate, she subtracts 18 from the shortest cycle documented. This number represents her first fertile day. She subtracts 11 from her longest cycle. This is her last fertile day. To avoid pregnancy, she would avoid coitus during these days. - Basal Body Temperature Method (BBT) - The basis for this method is that just before the day of ovulation, a womans BBT falls about half a degree. At the time of ovulation, her BBT rises a full degree because of the influence of progesterone. This higher level is then maintained for the rest of her menstrual cycle. -To use this method, the woman takes her temperature each morning immediately after waking, before she undertakes any activity. This is her BBT as soon as she notices a slight difference in temperature followed by an increase; she knows that she has ovulated. She must refrain from having sex for the next 3 days (the life of a

discharged ovum). Sperm can survive for at least 4 days in the female reproductive tract, thus combining this method with a calendar method is usually recommended. - Cervical Mucus (BILLINGS) Method -Uses the changes in cervical mucus that occur naturally with ovulation. -BEFORE OVULATION: the cervical mucus is thick and does not stretch when pulled between thumb and finger (SPINNBARKETT) -WITH OVULATION: (the peak day) cervical mucus becomes copious, thin, watery and transparent. It feels slipping and stretches at least. -Breast tenderness -All the days, the mucus is copious and the 3 days after the peak day are considered to be fertile days or days that the woman should abstain to avoid conception. -Sympto-Thermal Method -This can be combined with cervical mucus and BBT methods. The woman takes her

temperature daily, watching for the rise in temperature that marks ovulation. She also analyzed her cervical mucus daily. The couple must abstain from intercourse until 3 days after the rise in temperature or the fourth day after the peak of mucus change because these are the womans fertile days. -Lactation Amenorrhea Method -As long as a woman is breastfeeding an infant, there is some natural suppression of ovulation. However, the use of lactation as a birth control method is not dependable because women may ovulate but not menstruate while breastfeeding, the woman may still be fertile even if she has not had a period since child birth. After 6 months of breastfeeding, the woman should be advised to choose another method of contraception. - Coitus Interruptus Coitus -One of the oldest known methods of contraception. The couple proceeds

with coitus until the moment of ejaculation. Then, the man withdraws and spermatozoa are emitted outside the vagina. Benefits: -Inexpensive; does not strain financially. -Accepted by the Catholic Church -Does not require any form of purchase -Free of side effects -If pregnancy should occur, the continued use of these method poses no risk to the fetus -Easily done/obtainable -Safe -Free of effects on future pregnancies More spontaneity in sexual relations is possible once non-fertile Days are determined. 6.) Verbalize feelings and concerns about family planning method At this time, our group will have an interaction with the participants in order to answer their questions if there is a need for them to clarify every method that was taught to them. We will encourage them to apply these methods as mentioned above in order for them to yield in natural family planning.

10 minutes
Interaction with the participants/question and answer portion