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This covers things as varied as when and why to get pregnant, the number of children that are wanted, how to deal with fertility issues, how to avoid getting pregnant, whether to consider an abortion or adoption if an unwanted pregnancy occurs.
The
perfect method does not exist Abstinence-practiced perfectly methods change based on the clients circumstances
Contraceptives 30%
of married and 61 % of unmarried females change methods within 2 consideration of all factors can help a woman choose the best
years
Careful
method
Bilateral
2nd leading method of birth control Performed in between pregnancies or after childbirth, same day surgery
The fallopian tubes are occluded by clips, band, rings, or destroying portion of
Increases
Inhibits maturation 8%
failure rate
Unrelated
to coitus
Highly effective Reduces ovarian and endometrial cancer, cramping, blood loss and anemia
Regulates cycle
Return to fertility 3-6 months
Headaches
Breast tenderness
Melasma No STD protection Mood swings Requires Rx
NuvaRing
Combined: estrogen & progesterone OCP mode of action Self placement Flexible ring placed intravaginally for 3 weeks and 1 free week 95% effective, when used correctly
Unrelated to coitus
Easy placement
Private No fitting necessary No weight restriction
like OCPs
only risks
Expulsion No
STD protection
Ortho
Evra Patch
Unrelated
to coitus
Rx
only
No
T shaped device 5 years Mirena-levonorgestrel (LNG-IUS) Failure rate <0.1% More effective than sterilization Action Para guard copper changes the uterine/ tubal fluids to impair sperm function. Mirena thickens cervical mucous Inhibits sperm function Causes the endometrium to react to the foreign body Only small amount of systemic hormone absorbed
Very safe
Fertility
Menorrhagia
Progesterone hormone
IM injection
5 days of cycle or restart protocol ovulation
1st
Prevents
Unrelated
to coitus
Very
Prescription only
Irregular mestrual
Weight gain Decreased libido Depression Nervousness
not recommended
Quick
No Rx Inexpensive
Increases lubrication
Increase effectiveness of condom use (97%)
related
to coitus
Interrupts spontaneity
can be messy new application 1 hr effectiveness No STD protection
Mechanical Barrier Latex/ plastic /lambskin Available in various colors, textures, flavors Placed over penis to prevent passage of sperm to the uterus The ONLY male contraceptive 15% failure rate When used alone Never use 2 condoms at the same time Check expiration dates Use only water soluble lubricants Apply correctly to prevent breakage
Good
STD protection
Inexpensive
Increase effectiveness with spermicidal use (97%)
Possible
sensitivity
Plastic
pouch that fits over the cervix like a diaphragm and another ring that extends outside the vagina which partially covers the perineum
21 %failure rate
FemCap
Silicone cap placed over the cervix w/ spermacide on both side No pressure on the bladder Can remain in place for 48 hrs Cap has loop device to help with removal Cap size dependent on gravida
Calendar Standard
on knowledge of how the female body and menstrual cycle works Uses the physiological cues to predict ovulation Ovum may be fertilized for 24 time frame Sperm can live up to 3-5 days, 7days in some studies
Based on timing ovulation 14 days before menses. Keep track of cycles at least 6 months to determine pattern Must abstain or use barrier method during fertile times Can be unreliable
String of beads that is color coded to keep track of days/fertile days. Designed for women that have cycles that vary from 26-32 days Coitus is allowed on days 1-7 and 20 to the end of the cycle
The
woman charts her oral temperature each am, before getting out of
bed
Coitus the day before the temperature rise may well result in pregnancy
Keep track of cycles at least 6 months to monitor temperature changes
Billings/
Ovulation Method This method is based on changes in the cervical secretions caused by a rise in the estrogen levels during the follicular phase of the cycle Wiping from the vaginal orifice with tissue each day Couples must avoid intercourse from time clear stretchy mucus is first present to 4 days after the end of slippery mucus Spinnbarket method
Symtothermal
Combines the calendar, BBT, and cervical mucus methods AND Paying close attention to symptoms like weight gain, bloating, mittelschmertz --
Ovulation is near!
Advantages Acceptable to most religious groups Avoids drugs, chemicals and devices Can use barrier method during fertile times
Disadvantages
Breastfeeding
inhibits ovulation Sucking and prolactin interfere w/ secretion of gonadotropin-releasing hormone and LH No bottle, solid foods can be given then another method must be used
Menses resumes in 6 months regardless, Must be highly motivated Low risk pregnancy only if used right No STD protection Least reliable
Withdrawal
Removal of the penis from the vagina prior to ejaculation Failure rate 27% Men must have great control May be unsatisfying for some couples
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.
bill aiming to provide universal access to methods and information on birth control and maternal care. The bill has become the center of a contentious national debate.
SALAMAT PO (: