[13] FINALS | NATURAL FAMILY PLANNING Flashcards
Responsible Parenthood and Reproductive Health Act of 2012
RA 10354
“____ is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity, in all matters relating to the reproductive system and to its functions and processes.”
“Reproductive health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity, in all matters relating to the reproductive system and to its functions and processes.”
“Reproductive health care refers to the access to a full range of methods, facilities, services, and supplies that contribute to reproductive health and well-being by addressing reproductive health-related problems. It also includes ____, the purpose of which is the enhancement of life and personal relations.”
“Reproductive health care refers to the access to a full range of methods, facilities, services, and supplies that contribute to reproductive health and well-being by addressing reproductive health-related problems. It also includes sexual health, the purpose of which is the enhancement of life and personal relations.”
ELEMENTS OF RH CARE
(1) Family Planning (FP) information and services which shall include as a first priority making women of reproductive age fully aware of their ____ to make them aware of when ____ is highly probable, as well as highly improbable;
(2) Maternal, infant and Child Health and ____, including ____;
(1) Family Planning (FP) information and services which shall include as a first priority making women of reproductive age fully aware of their respective cycles to make them aware of when fertilization is highly probable, as well as highly improbable;
(2) Maternal, infant and Child Health and Nutrition, including breastfeeding;
ELEMENTS OF RH CARE
(3) Proscription of ____ and management of ____ complications ;
(4) Adolescent and youth ____ guidance and counseling ;
(5) Prevention, treatment and management of ____, HIV and AIDS and other ____
(3) Proscription of abortion and management of abortion complications ;
(4) Adolescent and youth reproductive health guidance and counseling ;
(5) Prevention, treatment and management of reproductive tract infections (RTIs), HIV and AIDS and other sexually transmittable infections (STIs);
ELEMENTS OF RH CARE
(6) Elimination of ____ against women and children and other forms of ____;
(7) Education and counseling on ____ and ____;
(8) Treatment of breast and reproductive tract ____ and other gynecological conditions and disorders;
(6) Elimination of violence against women and children and other forms of sexual and gender-based violence;
(7) Education and counseling on sexuality and reproductive health;
(8) Treatment of breast and reproductive tract cancers and other gynecological conditions and disorders;
ELEMENTS OF RH CARE
(9) ____ responsibility and involvement and ____ reproductive health;
(10) Prevention, treatment and management of ____ and sexual ____;
(11) Reproductive health education for the ____; and
(12) ____ aspect of reproductive health care.
(9) Male responsibility and involvement and men’s reproductive health;
(10) Prevention, treatment and management of infertility and sexual dysfunction;
(11) Reproductive health education for the adolescents; and
(12) Mental health aspect of reproductive health care.
RH IN THE PHILIPPINES
The Philippine Reproductive Health Program (RH service package consisting of 10 elements)
ADMINISTRATIVE ORDER 1-A, SERIES OF 1998
RH IN THE PHILIPPINES
The Reproductive Health Policy to integrate RH Services in all health facilities
ADMINISTRATIVE ORDER 43, SERIES OF 1999
DOH
- Declared a National FP policy through ____
- This policy refocuses FP as a health intervention promoting the health of all Filipinos w/ special attention to ____ and ____.
- Declared a National FP policy through Administrative Order 50 – A series of 2001
- This policy refocuses FP as a health intervention promoting the health of all Filipinos w/ special attention to women and children.
DEFINITION
FP is a ____ effort for the individual or couples of reproductive age with the main purpose of limiting ____ by either natural or artificial means.
FP is a voluntary effort for the individual or couples of reproductive age with the main purpose of limiting fertility by either natural or artificial means.
DEFINITION
FP refers to a program which enables couples and individuals to decide freely and responsibly the ____ and ____ of their children and to have the information and means to do so, and to have access to a full range of safe, affordable, effective, ____ modern natural and artificial methods of planning pregnancy.
FP refers to a program which enables couples and individuals to decide freely and responsibly the number and spacing of their children and to have the information and means to do so, and to have access to a full range of safe, affordable, effective, non-abortifacient modern natural and artificial methods of planning pregnancy.
POLICIES
- Improvement of family welfare focus on women’s ____, safe ____ and ____ survival
- Freedom of choice
- Promotion of ____ and responsible parenthood
- Improvement of family welfare focus on women’s health, safe motherhood and child’s survival
- Freedom of choice
- Promotion of family solidarity and responsible parenthood
BENEFITS
(1) Improvement and maintenance of ____
(2) Safe ____
(3) ____ survival
(4) Reduction of ____
(1) Improvement and maintenance of reproductive health
(2) Safe motherhood
(3) Child survival
(4) Reduction of reproductive tract infections
BENEFITS
(5) Reduction of ____
(6) Reduction of ____
(7) Over-all improvement in the family’s ____
(5) Reduction of Abortion
(6) Reduction of special diseases
(7) Over-all improvement in the family’s nutritional status
BENEFITS
(8) Helps shape the ____
(9) ____ children
(10) Enhances family’s opportunity for their ____ and ____ advancement
(8) Helps shape the reproductive work
(9) Fewer children
(10) Enhances family’s opportunity for their economic and personal advancement
STUDY REVIEW ON MENSTRUATION IN PPT!
NATURAL METHODS
- C____ Method
- S____ Method
- C____ Method
- B____ Method
- S____ Method
- L____ Method
- W____ Method
- Calendar / Rhythm Method
- Standard Days Method
- Cervical Mucus / Billings Method
- Basal Body Temperature Method
- Sympto-Thermal Method
- Lactational Amenorrhea Method
- Withdrawal Method
CALENDAR / RHYTHM METHOD
- Safe & fertile period is calculated based on her previous ____ and ____ cycle
- Get a ____ months history of the woman’s cycle length /month
- Applicable for ____ days cycle
-First day of fertile period is equal to length of ____ cycle minus ____
-Last day of fertile period is equal to length of ____ cycle minus ____
- Safe & fertile period is calculated based on her previous shortest and longest cycle
- Get a 6 months history of the woman’s cycle length /month
- Applicable for 26-35 days cycle
-First day of fertile period is equal to length of shortest cycle minus 18
-Last day of fertile period is equal to length of longest cycle minus 11
STANDARD DAYS METHOD
- Identifies days ____ to ____ of a woman’s cycle as the fertile days
- Uses a necklace to identify the fertile & infertile days
- Women w/ regular menstrual cycle ranging from ____ to ____ days can use the method
- Identifies days 8 to 19 of a woman’s cycle as the fertile days
- Uses a necklace to identify the fertile & infertile days
- Women w/ regular menstrual cycle ranging from 26 to 32 days can use the method
STANDARD DAYS METHOD
- ____ Bead - First day of period
- ____ Bead - Cycle is shorter than 26 days
- ____ Beads - Pregnancy is vary unlikely
- ____ Breads - Preganancy is most likley
- Movable rubber ring
- Red Bead - First day of period
- Dark Brown Bead - Cycle is shorter than 26 days
- Brown Beads - Pregnancy is vary unlikely
- White Breads - Preganancy is most likley
- Movable rubber ring
STANDARD DAYS METHOD
What are the advantages of SDM?
- Safe, easy to learn, easy to use
- ____% effective when correctly used
- Provides opportunity for the ____ between couples
- The necklace is ____ and is a ____ purchase even when not provided free by the center.
What are the advantages of SDM?
- Safe, easy to learn, easy to use
- 95% effective when correctly used
- Provides opportunity for the open communication between couples
- The necklace is low-cost and is a one-time purchase even when not provided free by the center.
STANDARD DAYS METHOD
What are the disadvantages of SDM?
- Cannot be used by women with very short (less than ____ days) or long (more than ____ days) menstrual cycles
- Needs the cooperation of the ____ for a back-up method to be very effective
What are the disadvantages of SDM?
- Cannot be used by women with very short (less than 26 days) or long (more than 32 days) menstrual cycles
- Needs the cooperation of the husband for a back-up method to be very effective
This method entails observing the changes in the cervical mucus secretion during the menstrual cycle.
CERVICAL MUCUS & BILLING METHOD
CERVICAL MUCUS & BILLING METHOD
- Postmenstrual mucus: ____
- Preovulation mucus: ____
- Ovulation mucus: ____
- Postovulation fertile mucus: ____
- Postovulation, postfertile mucus: ____
- Postmenstrual mucus: scant
- Preovulation mucus: cloudy, yellow or white, sticky
- Ovulation mucus: clear, wet, stretchy, slippery
- Postovulation fertile mucus: thick, cloudy, sticky
- Postovulation, postfertile mucus: scant
OBSERVATIONS RECORDED IN NFP CHART
SYMBOLS
- R - ____
- D - ____
- M - ____
- X - ____
- X w/ CIRCLE - ____
- HEART - ____
SYMBOLS
- R - Regla or menses
- D - Dry days, dry feeling in the vaginal canal
- M - Thick, pasty, not elastic (postovulatory)
- X - Wet feeling, watery, clear, stretchy, slippery
- X w/ CIRCLE - Peak day, last day of wetness, clear slippery
- HEART - Love-making /intercourse
CERVICAL MUCUS & BILLING METHOD
RULES
- Peak Day Rule = on the ____ day after the peak day (last day of wetness) intercourse will not result to pregnancy
- Early Days Rule = on dry days following menstruation, ____ on alternate evenings will not result in pregnancy
RULES
- Peak Day Rule = on the 4th day after the peak day (last day of wetness) intercourse will not result to pregnancy
- Early Days Rule = on dry days following menstruation, intercourse on alternate evenings will not result in pregnancy
CERVICAL MUCUS & BILLING METHOD
REMINDERS IN CERVICAL MUCUS
- Avoid intercourse on days when mucus is present & for at least ____ days afterwards.
- No intercourse on the days of slight bleeding & for at least ____ days afterwards, when bleeding occurs between ____ menstrual period and the next.
REMINDERS IN CERVICAL MUCUS
- Avoid intercourse on days when mucus is present & for at least 3 days afterwards.
- No intercourse on the days of slight bleeding & for at least 3 days afterwards, when bleeding occurs between 1 menstrual period and the next.
BASAL BODY TEMPERATURE (BBT) METHOD
- Identifies the fertile and infertile period of a woman’s cycle by daily taking and recording of the rise in ____ during and after ovulation.
- BBT is the temperature of the body at rest after at least ____ hours of continuous sleep before temperature taking.
- Identifies the fertile and infertile period of a woman’s cycle by daily taking and recording of the rise in body temperature during and after ovulation.
- BBT is the temperature of the body at rest after at least 3 hours of continuous sleep before temperature taking.
BASAL BODY TEMPERATURE (BBT) METHOD
REMINDERS IN BBT
- Avoid intercourse all throughout the ____ half of the cycle & resume on the ____ day of the thermal shift.
- Some factors may affect the increase or decrease in temp.
REMINDERS IN BBT
- Avoid intercourse all throughout the first half of the cycle & resume on the 4th day of the thermal shift.
- Some factors may affect the increase or decrease in temp.
SYMPTO-THERMAL METHOD
- Combined measurement of ____ & observation of the ____ with other fertility symptoms
- Combined measurement of BBT & observation of the cervical mucus with other fertility symptoms
SYMPTO-THERMAL METHOD
GUIDELINES
- In postponing pregnancy, intercourse is allowed during the first ____ days of the menstrual cycle if the peak day and thermal shift rules are applied.
- ____ days are relatively infertile days for women with average or long cycles.
- After menstrual bleeding stops, intercourse can occur in the evening of every ____ during the infertile days before ovulation if pregnancy is being postponed
GUIDELINES
- In postponing pregnancy, intercourse is allowed during the first 5 days of the menstrual cycle if the peak day and thermal shift rules are applied.
- Menstrual days are relatively infertile days for women with average or long cycles.
- After menstrual bleeding stops, intercourse can occur in the evening of every other day during the infertile days before ovulation if pregnancy is being postponed
SYMPTO-THERMAL METHOD
GUIDELINES
- The first day a woman observes any type of ____ or the first day she begins to feel a ____, whichever comes first, is the beginning of the fertile phase.
- To postpone pregnancy, the couple should abstain from intercourse until the ____ and the ____ have been applied, whichever comes later.
GUIDELINES
- The first day a woman observes any type of mucus or the first day she begins to feel a wet sensation, whichever comes first, is the beginning of the fertile phase.
- To postpone pregnancy, the couple should abstain from intercourse until the peak day rule and the thermal shift rule have been applied, whichever comes later.
Based upon the principle of natural infertility experienced by the breastfeeding women
LACTATIONAL AMENORRHEA METHOD (LAM)
LACTATIONAL AMENORRHEA METHOD (LAM)
- Natural infertility effects:
A. Delays ____
B. Delays ____ - ____% effective if fully breastfeeding within ____ months postpartum
- Natural infertility effects:
A. Delays ovulation
B. Delays menstruation - 98% effective if fully breastfeeding within 6 months postpartum
LACTATIONAL AMENORRHEA METHOD (LAM)
CRITERIA FOR USE
- Baby is less than ____ months
- ____ Mama
- Mother is not ____
CRITERIA FOR USE
- Baby is less than 6 months
- Breastfeeding Mama
- Mother is not menstruating
LACTATIONAL AMENORRHEA METHOD (LAM)
WHO CAN USE LAM?
- has just delivered a baby and starts ____ right after delivery
- is ____ day and night
- is not ____ yet and is into less than six months post delivery
WHO CAN USE LAM?
- has just delivered a baby and starts breastfeeding right after delivery
- is fully and regularly breastfeeding day and night
- is not menstruating yet and is into less than six months post delivery
LACTATIONAL AMENORRHEA METHOD (LAM)
WHO CANNOT USE LAM?
- The mother has started to ____
- ____ in between breast feedings has been started
- The child is more than ____ months old
WHO CANNOT USE LAM?
- The mother has started to menstruate
- Bottle feeding or supplemental feeding in between breast feedings has been started
- The child is more than six months old
LACTATIONAL AMENORRHEA METHOD (LAM)
ADVANTAGES
- Breast milk is very ____.
- Breast milk also contains ____
- It is ____ and does not require medical supervision
- It can help prevent postpartum ____
- It reduces the incidence of ____ of the breast or ovary
- It provides the couple enough time to choose other methods of family planning.
ADVANTAGES
- Breast milk is very nutritious.
- Breast milk also contains antibodies
- It is cheap and does not require medical supervision
- It can help prevent postpartum bleeding
- It reduces the incidence of cancer of the breast or ovary
- It provides the couple enough time to choose other methods of family planning.
LACTATIONAL AMENORRHEA METHOD (LAM)
HEALTH TEACHINGS
- Breastfeed baby by ____
- Do not abandon ____ breastfeeding
- Breastfeed : ____ times a day, ____ times at night
- Use other contraceptives when:
A. Wants to stop breastfeeding
B. Introduced ____
C. Had ____ and already past 6 months postpartum
HEALTH TEACHINGS
- Breastfeed baby by demand
- Do not abandon night time breastfeeding
- Breastfeed : 6 times a day, 2 times at night
- Use other contraceptives when:
A. Wants to stop breastfeeding
B. Introduced supplementary feeding
C. Had menstruated and already past 6 months postpartum
Man pulls his penis out of the vagina before ejaculation
WITHDRAWAL / COITUS INTERRUPTS
WITHDRAWAL / COITUS INTERRUPTS
NOT RECOMMENDED BECAUSE:
- Causes too much ____ for the couple
- ____ often leaks out before the man feels ready to ejaculate
NOT RECOMMENDED BECAUSE:
- Causes too much tension for the couple
- Sperm often leaks out before the man feels ready to ejaculate
