This document provides information on reproductive health counseling. It defines reproductive health as complete physical, mental and social well-being relating to the reproductive system. The document outlines key components of reproductive health including family planning, sexually transmitted infections, and maternal and newborn health. It discusses counseling for family planning and provides symptoms and interventions for postpartum depression. Finally, it defines sexual health and outlines five key steps to achieve good sexual health.

1. Mrs. Thahir Noorrul Isra
Rehabilitation Counselor (OfR) & visiting lecture (NISD)
M.Phil.r (Psy. SW) , M.S.W (M&P) & BA (Pera)
Dip: Psy. Counseling & HR.
Reg: A&NZ-7173, Contact: 077-6231276
Reproductive Health
Counseling
a
Training session for student Counselor
In National institute of Social Development
On 13/07/2019

2. Definition of Reproductive
Health (RH)
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 it’s functions and processes. (WHO)

3. Components of (RH)
Preventing
Unsafe Abortion
Maternal and New
Born Health
Family Planning
Prevention and
Management of Sexually
Transmitted Infections
(STIS)/HIV
Promoting Sexual
Health

4. Key facts of (RH)
 Every day, approximately 830 women die from
preventable causes related to pregnancy and
childbirth.
 99% of all maternal deaths occur in developing
countries.
 Maternal mortality is higher in women living in rural
areas and among poorer communities.
 Young adolescents face a higher risk of complications
and death as a result of pregnancy than other women.
 Skilled care before, during and after childbirth can
save the lives of women and newborn babies. (WHO)

5. Counselling in family planing
Counselling a woman on family planning
 When advising a woman how to care for herself after an
abortion remember that it is important to discuss the use of a
family planning method to prevent another unwanted
pregnancy.
 Explain that she can become pregnant as soon as two weeks
after an abortion if she begins to have sexual relations.
 A woman who has recently experienced an induced or
spontaneous abortion should wait at least six months before
another pregnancy to reduce risks to her health and to her
future baby.
 A woman who has recently experienced given birth should
wait 2 years before another pregnancy to reduce risks to her
health and to her living and future baby

6. Counselling in Family planing

7. Key facts of (HIV / Aids in
Sri Lanka-2018)

8. Counseling in the field of RH
WHO guide line

9. Counseling in Maternal &
Newborn Health
Post partum check list by Min.
Health
A note from a patient in ward 39
after the miscarriage

10. Symptoms of PPD
 Difficulty breastfeeding
 Sleep deprivation
 Panicky feelings
 Being overwhelmed
 Irritability and anger with partners
 Disturbing thoughts
 Going back to work
 “Mommy-guilt”
 History of infertility, miscarriage, pregnancy or infant loss.
 Complications during pregnancy, previous or existing medical
problems.

11. Symptoms of PPD
 Women with older children. They may be tired and struggling to
keep up with the demands of parenting. They worry how they
will care for a newborn with little ones underfoot, or how an older
sibling will adjust to a new baby.
 Difficult birth or unexpected outcomes (miscarriage, NICU, etc.)
 Previous episode of pregnancy or postpartum depressive or
anxiety
 History of premenstrual mood or anxiety symptoms
 History of trauma or abuse (physical, emotional, sexual)
 Unsupportive, critical or absent partner
 History of trauma or abuse (physical, emotional, sexual)
 Financial problems

12. PPD Intervention
IPT
IPT is currently thought to be one of the most effective therapy
models for treating PPD. IPT is a time-limited form of therapy (12-16
weeks) and the main goal is symptom relief.
CBT
CBT is best known for its efficacy in treating anxiety including
OCD. CBT works with the understanding that the way we think
affects the way that we feel, and so treatment is focused on helping
mom have control over her thoughts so that she feels more able to
change them.
DBT
uses practice and homework as a part of its process. DBT teaches
skills in the following categories: mindfulness, distress tolerance,
emotional regulation, and interpersonal effectiveness. DBT is often
supported through both group and individual therapy and follows a
specific guideline for teaching skills to reduce symptoms related to
distress.

13. PPD Intervention
Group therapy
Group therapy uses the role of community in support. A true group
therapy session is facilitated by one or more trained
psychotherapists and uses the dynamics that occur between
members of the group to help identify problem areas and
interpersonal distress.
A Postpartum depression support group
Couples Therapy
Couples Therapy provides a space for partners to be heard during a time of
crises. In a couples therapy setting, recurrent negative patterns within the
relationship will be addressed and couples will learn communication and
listening strategies necessary in working through these challenges.

14. Sexual Health
Sexual health is a big part of life. It can
affect and is affected by other aspects of
health. This includes physical, mental,
emotional, and social health. Being in good
sexual health means well informed, careful,
and respectful to yourself and others. It also
means enjoying sexually in a way
comfortable with.

15. Sexual Health
ACTION STEPS TO GOOD SEXUAL HEALTH
There are five key steps can take to help to achieve good sexual health. These
steps apply regardless of age or the relationships choose to have:
 Value who you are and decide what’s right for you
 Get smart about your body and protect it
 Treat your partners well and expect them to treat
you well
 Build positive relationships
 Make sexual health part of your health care routine

16. Thank you for listening