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DEPARTMENT OF
OBSTETRIC AND
GYNECOLOGY
AFMC, PUNE
POPULATION! A PANDEMIC!
WHAT IS THE
SOLUTION?
FAMILY PLANNING
◦ Family planning refers to practices that help individuals or couples to attain
certain objectives:
◦ To avoid unwanted births
◦ To bring about wanted births
◦ To regulate intervals between pregnancies
◦ To control timing of birth
◦ To determine no of children in the family
Ref :WHO (1971) Tech. Rep. Ser. No. 476.
DEPARTMENTOF
OBSTETRICSAND
GYNECOLOGY
AFMC, PUNE
BECOMING A MOTHER
SHOULD BE BY CHOICE AND
NOT BY CHANCE!
EMPOWER YOURSELF!
NATURAL METHODS
◦ SPACING- CALENDER METHOD
◦ CERVICAL MUCUS MONITORING METHOD
•Abstinence
•Coitus interruptus
•Breastfeeding
CALENDER
METHOD/RHYTHM
METHOD/SAFEPERIOD
METHOD/
CERVICAL MUCUS METHOD
ABNORMAL VAGINAL
DISCHARGES
BREAST
FEEDING
BARRIER METHODS
◦ MALE CONDOM
FEMALE CONDOM
DIAPHRAGM
VAGINAL RINGS
HORMONAL BIRTH
CONTROL PILLS
FREQUENTLY ASKED QUESTIONS
HORMONAL BIRTH CONTROL PILLS
HORMONAL
METHODS
◦ COMBINED ORAL CONTRACEPTIVE PILLS
◦ PROGESTERONE ONLY PILLS
COMBINED ORAL CONTRACEPTIVES
COMBINEDORAL
CONTRACEPTIVE
PILLS
SIDE EFFECTS
CONTRAINDICATIONS
SAHELI/
CHAYYA
DISCOVERED IN INDIA
AVAILABLE FREE OF COST
ONLY ONCE A WEEK DOSAGE
FREE FROM HORMONAL SIDE EFFECTS
SAFE IN BREAST FEEDING MOTHERS
PROGESTERONE
ONLY PILLS
CONTRACEPTIVE PATCH
HORMONE
DEPOTS
WHY INJECTABLE
CONTRACEPTIVE
IS THE RIGHT
CHOICE FOR YOU
HOWTOADMINISTER
/DOSEFREQUECY&
SIDEEFFECTS
IUCD
INTRAUTERINE
DEVICES
IMPLANON
• INSERT AND FORGET FOR 3 YEARS
• ONLY PROGESTERONE
• IMPROVES ACNE
• NO WEIGHT GAIN
• 99%EFFECTIVECAN USE WHILE
BREAST FEEDING
• QUICK RETURN OF FERTILITY ON
REMOVAL
TERMINAL
METHODS
VASECTOMY
◦ MORE THAN 99% EFFECTIVE
◦ NO NEED FOR GENERALANAESTHESIA
◦ LOWER COST THAN ALL OTHER FORMS OF BIRTH CONTROL
◦ DOES NOT AFFECT SEXUALPLEASURE
◦ TAKES ABOUT 7-10 MINS FOR THE PROCEDURE AND PATIENT IS BACK HOME IN 24 HOURS AND READY TO RESUME DAILY ACTIVITY IN 48 HOURS AND
ALSO CAN RESUME SEXUAL ACTIVITY AS AND WHEN DESIRED
◦ IT IS ALMOST ALWAYS REVERSIBLE!
TUBECTOMY
• MORE INVASIVE THAN TUBECTOMY
• AN HOUR OR LONGER PROCEDURE IN OT
UNDER GA
• RECOVERY NEEDS 4-7 DAYS
• RISK OF INJURY TO VITAL ORGANS WHICH IS
NOT THERE IN VASECTOMY
EMERGENCY
CONTRACEPTION
EMERGENCY!!
TOH AP KYA CHUNENGE?

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