FAMILY PLANNING Flashcards
Warning Signs of Pills
Abdominal pain (severe)
● Chest pain (severe)
● Headache (severe)
● Eye problems (blurred vision, flashing lights, blindness)
● Severe leg pain (calf or thigh)
● Others: depression, jaundice, breast lumps
IUD (Intrauterine Device)
● Period late, no symptoms of pregnancy, abnormal bleeding or spotting
● Abdominal pain during intercourse
● Infection or abnormal vaginal discharge
● Not feeling well, has fever or chills
● String is missing or has become shorter or longer
WARNING SIGNS:
Injectables
● Dizziness
● Severe headache
● Heavy bleeding BTL
● Fever
● Weakness
● Rapid pulse
● Persistent abdominal pain
● Vomiting
● Dizziness
NATURAL FAMILY PLANNING
● The natural family planning methods do notinclude any chemical or foreign bodyintroduction into the human body. Most peoplewho are very conscious of their religious beliefsare more inclined to use the natural way of birthcontrol. Some want to use natural methodsbecause it is more cost effective.
● This natural method involves abstaining from sexual intercourse and is the most effective natural birth control method with ideally 0% fail rate.
● It is also the most effective way to avoid STls
Abstinence
In this method, you use past menstrual cycles to estimate the time of your ovulation. When used on its own, this is the least reliable method of birth control. It should be avoided if your menstrual cycles are shorter than 26 days or longer than 32 days.
Calendar rhythm method ( CALENDAR METHOD )
CALENDAR METHOD EXAMPLE:
Example:
● shortest day - 26-18 = 8th of th month firstfertile day
● longest day - 29-11= 18th of the month lastfertile day ○ no vaginal coitus from 8th of themonth to 18th of the month.
● The basal body temperature is the woman’s temperature at rest.
● BBT falls at 0.5°F before the day of ovulation and during ovulation, it rises to a full degree because of progesterone and maintains its level throughout the menstrual cycle, and this is the basis for the method
● The woman must take her temperature early every morning before any activity, and if she notices that there is a slight decrease and then an increase in her temperature, this is a sign that she has ovulated.
● The woman must abstain from coitus for the next 3 days.
● The BBT method has an ideal fail rate of 9% and has a typical use fail rate of 25%.
BASAL BODY TEMPERATURE
CERVICAL MUCUS METHOD
The symptothermal method is simply a combination of the BBT method and the cervical mucus method.
● The woman takes her temperature every morning before getting up and also takes note of any changes in her cervical mucus every day.
● She abstains from coitus 3 days after a rise in her temperature or on the fourth day after the peak of a mucus change.
● Symptothermal method has an ideal failure rate of 2%.
Symptothermal Method
●This is one of the oldest methods of contraception.
● The couple still proceeds with the coitus, but the man withdraws the moment he ejaculates to emit the spermatozoa outside of the vagina.
● The disadvantage of this method is the pre-ejaculation fluid that contains a few spermatozoa that may cause fertilization.
● Coitus interruptus is only 75% effective because of this.
Coitus Interruptus
These hormonal contraceptives are effective through manipulation of the hormones that directly affect the normal menstrual cycle so that ovulation would not occur.
Hormonal Contraception
● Also known as the pill, oral contraceptives contain synthetic estrogen and progesterone.
● Estrogen suppresses the FSH and LH to suppress ovulation, while progesterone decreases the permeability of the cervical mucus to limit the sperm’s access to the ova.
● To use the pill, it is recommended that the woman takes the first pill on the first Sunday after the beginning of a menstrual flow, or the
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woman may choose to start the pill as soon as it is prescribed.
Oral Contraceptives
● The transdermal patch has a combination of both estrogen and progesterone in a form of a patch.
● For three weeks, the woman should apply one patch every week on the following areas: upper outer arm, upper torso, abdomen, or buttocks.
● At the fourth week, no patch is applied because the menstrual flow would then occur.
● The area where the patch is applied should be clean, dry, free from any applications. And without any redness or irritation.
● Patches can be worn while bathing or swimming, but when the woman notices that the patch is loose, she should immediately replace the patch.
● If the patch has been loose for less than 24 hours, the woman need not use an alternative form of contraceptive, out if she is not sure of how long the patch has been loose, she should replace it and start with a new week cycle and also use an additional contraceptive method.
Transdermal Patch
are two rod-like implants embedded under the skin of the woman during her menses or on the 7th day of her menstruation to make sure that she is not pregnant.
● It contains etonogestrel, desogestrel, and progestin.
● It is effective for 3 to 5 years.
● Subdermal implants have a fail rate of 1%.
Subdermal Implants