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Question 1

Voluntary Surgical Contraception

Answer 1

the most effective method of preventing conception and pregnancy; simple, permanent, and one-time procedure

Question 2

Legal mandate

Answer 2

Philippine constitution Article II No. 12

Question 3

Executive order 119

Answer 3

Family planning as one of the impact of the DOH

Question 4

Vision of family planning

Answer 4

Family planning practice as a way of life of every man and woman of reproductive age

Question 5

Mission if Family Planning

Answer 5

To provide the means and opportunities by which married couples if reproductive age desirous of:

a. spacing of limiting their pregnancy
b. can realize their health risk and responsibilities and option
c. to decide the size of the family based on their capabilities to provide their children a good quality and productive life

Question 6

Bilateral tubal ligation

Answer 6

these operation are permanent, they ar good only for woman who are certain they DO NOT want any mor children

Question 7

True about BTL

Answer 7

= there is a small risk that you can get pregnant after the operation
= the tube that carry the egg are cut
= it does not change women’s monthly bleeding/ menstruation
= the operation will not affect her sexuality and she sill be able to have a normal sex life and to have sexual pleasure

Question 8

Sterilization

Answer 8

prevention of union between sperm and egg done by occluding the following:
= fallopian tube that transport the sex (tubal ligation)
=vas deferentia (vasectomy)

Question 9

Castration

Answer 9

obstruction or removal of primary sex organ-> gonads responsible for production of sex cells and primary sex hormones

Question 10

Mechanism of action

Answer 10

obstruction of the continuity of the reproductive tract

Question 11

Indication for sterilization

simple contraception

Answer 11

= family completed- qualification by ACOG: women 30y/o with 4 living children
= desirous of infertility/ sterilization

Question 12

Indication for sterilization

medical condition

Answer 12

Heart disease and endocrine problem

Question 13

Indication for sterilization

obstetrical indication

Answer 13

previous uterine scar

Question 14

Indication for sterilization

generic

Answer 14

History of familial traits for congenital anomalies

Question 15

Criteria for Patient selection of sterilization

Answer 15

1. Parity of 4
2. over 30 years old
3. if below para 4 and/or less than 30 years old:
   a. medical contraindication to pregnancy ( renal disease, cardiac disease, pulmonary disease and endocrine disorder)
   b. high risk patient ( previous CS, DM, repeated still birth, RH incompatibility, previous congenital defects)
   c. insistent request for sterilization after a thorough counseling of the couple

Question 16

Contraindication for female sterility

General

Answer 16

1. pelvic malignancy
2. pelvic infection
3. blood dyscrasia
4. pregnancy
5. pelvic pathology that requires surgical intervention more than just sterilization:
   a. cervicits
   b. endometriosis
   c. ovarian tumor
   d. myomatas

Question 17

Contraindication for female sterility

Specific: post partum sterilization

Answer 17

1. severe anemia less than 6grams hemoglobin
2. infection- ante, intra, and post
3. eclampsia and severe pre-eclampsia

Question 18

Contraindication for female sterility

Specific: post abortal sterilization

Answer 18

1. infection- septic/induced abortion

2. severe anemia

Question 19

Contraindication for female sterility

Specific: interval sterilization

Answer 19

1. any limitation of uterine mobility secondary to adhesions due to endometriosis, PID, history of peritonitis
2. extreme obesity- 100kg or more; standard range: between 35kg and 75kg

Question 20

Female Sterilization Timing

Answer 20

1. postpartum= D0 to D6
2. post abortal: after an abortion as long as no infection
3. interval= D28 onward
   a. during menstruation
   b. anytime as long as not pregnant- on FP methods
4. at the time of the other pelvic or abdominal surgery