Family Planning Methods

Family Planning
It includes all the decisions oof individual or couple make about whether or
when to have children, how many children to have, and how they are spaced.
Types of Family Planning Methods:
Natural Family Planning- it involves no introduction of chemical or
foreign material into the body or sustaining from sexual intercourse during a
fertile period.
METHODS
Abstinence- refraining from sexual relations, ha a theoretical 0% failure rate
and is also the most effective way to prevent STIs.
Basal Body Temperature- Your basal body temperature is your temperature
when you're fully at rest. Ovulation may cause a slight increase in basal
body temperature.You'll be most fertile during the two to three days before
your temperature rises. By tracking your basal body temperature each day,
you may be able to predict when you'll ovulate. In turn, this may help you
determine when you're most likely to conceive.
Calendar Method- requires a couple to abstain coitus (sexual relation) on
the days of menstrual cycle when the woman os not likely to conceive (3 or
4 days before until 3 or 4 after ovulation).
Cervical Mucus Method- cervix produce mucus. It collects on the cervix
and in the vagina. And it changes in quality and quantity just before and
during ovulation. During your period, your flow covers the mucus signs.
After your period, there are usually a few days without mucus. These are
called dry days. These may be safe days if the cycle is long. When an egg
starts to ripen, more mucus is produced. It appears at the opening of the
vagina. It is generally yellow or white and cloudy. And it feels sticky or

tacky. Usually, you will have the most mucus just before ovulation. It looks
clear and feels slippery like raw egg white. When it can be stretched
between the fingers. These are the slippery days. It is the peak of your
fertility.

Artificial Family Planning - can be defined as any product,

procedure or practice that uses artificial or unnatural means to
prevent pregnancy.
METHODS
Barrier Methods
Condoms
Diaphragm
Cervical Cap
Hormonal Methods
Oral Contraceptives
Transdermal Contraception
Inta-Uterine Devices
Injectable
Depo(DMPA-Depo Medroxy Progesterone Acetate)
Surgical Methods
Vasectomy
Tubal Ligation

 Define Age of gestation(AOG)

Age of gestation is the common term used during pregnancy to
describe how far along the pregnancy is. It is measured in
weeks, from the first day of the woman's last menstrual cycle to
the current date. A normal pregnancy can range from 38 to 42
weeks.Infants born before 37 weeks are considered premature.
Infants born after 42 weeks are considered postmature.
Define Expected date of Confinement/Delivery(EDC/EDD)
Is your estimated due date, or the date when spontaneous onset
of labor and delivery may occur. This information is often given
to you by your doctor on your first prenatal visit. However, this
estimated date of delivery is not always exact and it usually
represents the midpoint in a 4week period when your baby may
arrive two weeks before or after the estimated date.
It can compute by using the NAEGELES RULE

Define GTPAL/GTPALM
G: Woman who has pregnant
T: Number of full-term infants born(infants born 37weeks or after)
P: Number od preterm infants born(infants born before 37weeks)
A: Number of miscarriage abortions

L: Number of living children

M: Multiple pregnancies

LEOPOLDS MANUEVER
steps in palpating the uterus through the abdomen in order to
determine the lie and presentation of the fetus.

Steps in Palpating:

1st Manuever: Palpate the upper part of the fundus where we can palpate
the Fetal head o the breech. Also known as FUNDAL GRIP.

2nd Manuever: Palpate the both side of the abdomen to establish the
location of the spine of the fetus. Also known as UMBILICAL GRIP.

3rd Manuever: Using the thumb and finger of one hand, palpate just
above the symphisis pubis to establish id the presenting part of fetus is
engaged or not. Also known as PAWLICKS GRIP

4th Manuever: Facing the maternal feet the tips of 3 fingers of each
hand are used to apply deep pressure in the direction of the pelvic, to
determine the fetal attitude. Also known as PELVICS GRIP

5Ps Of Labor
Passage
Refers to the route a fetus must travel from the uterus through the
cervix and vagina to the external perineum. Because the cervix and
vagina are contained inside the pelvis, a fetus must pass through
the bone pelvic ring.

Passenger
The passenger is the fetus. The body part of the fetus that has the
widest ddiameter is the head, so tis is the part least likely to be able
to pass through the pelvic ring.

Power
Contraction and relaxation of uterus, voluntary push effort of
woman.

Psyche

 Maternal emoitional status, support, preparation for labor/birth

Partners
Relationship between passenger and the passage.

PROGRESS OF LABOR MONITORING

1st Stage: From onset of labor to full dilation of the cervix. It has 2
phases, latent and active.

During the latent phase , irregular contractions become

progressively better coordinated, discomfort is minimal, and the
cervix effaces and dilates to 4 cm.
During the active phase , the cervix becomes fully dilated, and the
presenting part descends well into the midpelvis.

2nd Stage: Is the time from full cervical dilation to delivery of the fetus.
For spontaneous delivery, women must supplement uterine contractions
by expulsively bearing down. In the 2nd stage, women should be
attended constantly, and fetal heart sounds should be checked
continuously or after every contraction.

3rd Stage: Begins after delivery of the infant and ends with delivery of
the placenta.