ABSTINENCE • Complete Sexual Abstinence • May causes Temperamental changes and even Nervous breakdown.
COITUS INTERRUPTUS • Male withdraws before ejaculation. • Precoital secretion of the male mey contain sperms. • Even one drop of semen is sufficient to cause pregnancy. SIDE EFFECTS: • Pelvic Congestion. • Vaginismus.
SAFE PERIOD Women’s menstrual cycles are not always regular. Programmed sex. Failure rate: 9 per 100 women. Method not applicable during the post natal period.
NATURAL FAMILY PLANNING METHODS Basal Body Temperature (BBT) method. Cervical mucus method. Symptothermic method.
BBT Method The rise BBT at the time of ovulation, as a result of increased production in the progesterone. Temperature measured preferably before getting out of bed in the morning. Abstinence is necessary for the entire
Cervical mucus method Also known as “Billings method”. Observation of changes in the characteristics of cervical mucus. Ovulation periodCervical mucus iswatery clear( Raw egg white, smooth,slippery, & profuse)
Symptothermic method Temperature + Cervical Mucus + Calendar Technique
BREAST FEEDING Lactation prolong postpartum amenorrhea. BIRTH CONTROL VACCINE Vaccine prepared from ß- sub unit of Human chorionic gonadotropin (hcG). Antibodies appear 4-6 wks and lasts upto 5 months.
ABORTION Defined as termination of pregnancy before the foetus becomes viable (capable of living independently.) Types: Spontaneous. Induced. 6 million abortions/ year in India. 4 million are Induced & 2 million are Spontaneous.
THE MEDICAL TERMINATIONOF PREGNANCY ACT 1971 Conditions under which a pregnacy can be terminated. Person or persons who can perform such terminations. Place where such terminations can be performed.
Conditions under which pregnancycan be terminated. MEDICAL EUGENIC HUMANITARIAN SOCIO ECONOMIC FAILURE OF CONTRACEPTIVE DEVICES
MEDICAL: where continuation ofpregnancy might endanger the mother’slife or cause grave injury to her physical ormental health.EUGENIC: where there is substantial riskof the child being born with serioushandicaps due to physical or mental
HUMANITARIAN : where pregnancy is due to rape. SOCIO-ECONOMIC : where actual or reasonably forseeable environments (whether social or economic) could lead to risk of injury to health of the mother.
FAILURE OF CONTRACEPTIVE DEVICES The anguish caused by an unwanted pregnancy resulting from a failure of any contraceptive device or method can be presumed to constitute a grave mental injury to the health of
PERSON WHO CAN PERFORMABORTION RMP having experience in gynecology and obstetrics ( pregnancy doesn’t exceed 12 weeks). 12-20 weeks – Two RMP’s are necessary to terminate a pregnancy.
WHERE ABORTION CAN BEDONE Hospital established or maintained by government or a place approved for the purpose of this Act by government. Name of the abortion seeker is kept confidential.
MTP rulesApproval by Board : The Chief Medical Officer of the district is empowered to certify that a doctor has the necessary training in gynaecology & obstetrics to do abortions.
Qualification required to do abortion : “If he has assisted a RMP in theperformance of 25 cases of medicaltermination of pregnancy in an approvedinstitution.”The doctor may also qualify to do MTP’s :a. 6 months house manship in OBG.b. A post graduate qualification in OBG.c. 3 years of practice in OBG for those doctors registered before the 1971 MTP Act was passed.d. 1 year of practice in OBG for those doctors registered on or after the date of
The place where abortion is performed : Non-governmental institutions mayalso take up abortions provided theyobtain license from the Chief MedicalOfficer of the district.