FAMILY PLANNING ‘ a way of thinking and living that is adopted voluntarily, upon the basis of knowledge, attitude and responsible decision by individual and couples, in order to promote the health and welfare of the family group and thus contribute effectively to the social development of a country.’ -----WHO 1971
To avoid unwanted birth
To bring about wanted birth
To regulate the interval between pregnancy
To control the time at which the birth occur in relation to the ages of the parents
To determine the number of children in the family
ELIGIBLE COUPLE:CURRENTLY MARRIED COUPLE WHEREIN THE WIFE IN THE REPRODUCTIVE AGE(15-45) TARGET COUPLE::COUPLES WHO HAVE HAD 2-3 LIVING CHILDREN. FP WAS LARGELY DIRECTED TO SUCH COUPLLES. TWO CHILD FAMILY NORM NRR=1 COUPLE PROTECTION RATE=60%
Physician obligations are: First do no harm . ( primum non nocere, Hippocrates ) 400 B.C Assessing the balance between risk and benefit
Temporary methods Permanent methods
Lactational Amenorrhea Method
4.Intra uterine contraceptive devices
5.Emergency (Post coital ) contraception
Method used for determination of pregnancy failure rate:
Pregnancy rate = no. of pregnancies x100women/12 months of use
PHYSICAL METHOD CHEMICAL METHOD
Condoms Benefits No medical side-effects Inexpensive, easily accessed Protecting against STDs ( Latex ) HPV that can cause genital warts HSV that can cause genital herpes Hepatitis-B virus Lower risk for cervical dysplasia and cancer
Condoms Disadvantages Can interrupt sexual activity May sometimes tear or leak Failure rate 2-3----14 HWY Can cause an allergic reaction
INTRAUTERINE DEVICES (IUD)
1) Non medicated(inert) or first generation IUD :: lippes loop
Large size Good anti-fertility effect but higher removal rate due to pain and bleeding.
2) Copper IUD ::( Second generation IUD)
T Cu 380 A(2002 NFPP) no. SA(sq.mm) of
Nova T, T Cu 380 Ag Cu on the device.
Low side effect---low expulsion rate---great efficacy—better tolerated by nullipara-----------but still bleeding be the commonest S/E.