Family Planning Flashcards
Mrs Ola is 28 year old woman who presented to your clinic for a routine check-up. She recent got married and mentions that she and her husband want to focus on their careers for a few more years before starting a family. She wants ways to maintain her reproductive health while planning her future pregnancies. Counsel her on the available options for family planning.
GATHER
GRIP LCCC
Greet- Good days Sir… Good day MA
How are you doing today
My name is “insert name “ a candidate of the ongoing exam, have been tasked to counsel you
May I proceed
Language - is English your preferred language of communication
Comfort: are you comfortable here
Companionship: do you want a loved on to be here with you before we start
Confidentiality : I want to assure you that whatever Is said here will remain between us and will oniy be shared with your permission
Ask
Briet biodata: what is you name. how old are you . what is your highest level of education
Patient’s understanding : have you heard on
the term contraception. what do you Know about the use of contraceptives for family planning.
Tell ( DEAR CDT)
Definition
Contraception is the intention prevention of conception with various means which can be through sexual practices, medications, devices or even surgery
Types
There are various types of contraceptive mechanisms they. include
Hormonal: oral pills ( combined oral contraceptive and progestin only pill)
Implants, injectables
Devices
( non hormonal - Copper T Intrauterne device and the hormonal intrauterine device )
Surgical method: tubal ligation , vasectomy
Natural sexual practices : coitus interruptus
Barrier method : condoms, spermicides
Advantages and disadvantages
Advantages
Each contraceptive method has its own advantage
The combine oral contraceptive pill which contains 2 hormones ( estrogen and progestin ) has non contraceptive benefits like regulation of menstrual flow, reduce menstrual loss and it is not dependent on sexual intercourse
The progestin only pill contains only one hormone progestin) it is also beneficial for reducing menstrual blood loss, it is particularly recommended to patient with hypertension or diabetes
The injectables also contain progestin., can be given every 2- 3months, it is beneficial in reducing ovulation pain, can be used by breast feeding mothers
The implants, these rods placed under the skin, and they could be one or two rods ( implanon has one rod, Jadelle has two .
They contain progestin which is a synthetic form of progesterone.
they provide contraception for 3- 5 years respectively. It can be removed at any time it may decrease blood loss during menstruation and can be used by hypertensive patients
The intrauterine device can either be hormonal or non hormonal and can caused be used for 5-10 years respectively. they both provide rapid return of fertility after removal, especially the non hormonal
The barrier method offers the advantage of protecting from sexually transmitted disease and it is relatively cheap
Disadvantages
The combined oral pill may worsen already existing hypertension and can predispose a hypertensive patient to having stroke.
The progestin only pill, does not protect
against sexually transmitted disease and can cause irregular blood loss like spotting which is also the same side effect of the injectables and implant
Also the pills has to be taken daily., this can lead to poor compliance.
The implants would require a minor surgical insertion and removal
The intrauterine devices can predispose a woman a pelvic infections in the first 3 weeks and can also cause increased blood loss during this period
The barrier method, has many drawbacks for example breakage, allergy if not used properly and it also reduces the spontaneity of sexual intercourse
The natural method is highly ineffective as they have a high failure rate
The surgical method, is usually a permanent method of contraception and only advised for those that have completed their family.
HELP
Do you have any chronic illnesses like hypertension or diabetes
considering you are young and have no chronic illnesses, you have a wide range of contraceptives to choose from
You can pick anyone that fits your schedule and would cause the least inconvenience
I would like you to go for the oral contraceptives, implant or injections
Empathy and Retell
Empathy from the beginning to the end of counseling )
There is no need to be worried about the choice of contraceptive, it will not prevent you from getting pregnant in the future and if you are uncomfortable with your initial choice . it can always be changed to satisfy your needs
RETELL
Do you understand all I have said so far
Do you have any questions for me
In your own words can you retell all I have said so far
So I will like you to discuss this over with your partner or if you have made your decision, can proceed to the next step
Thank your patient
Thank the examiner
