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WELCOME
India’s Contribution to World Population
FAMILY PLANNING
PURPOSES/OBJECTIVES
• PROPER SPACING AND LIMITATION OF BIRTHS
• PARENTHOOD EDUCATION
• SEX EDUCATION
• SCREENING OF PATHOLOGICAL CONDITIONS
• GENETIC COUNSCILLING
• PREPARTION OF COUPLES FOR THE ARRIVAL OF CHILD
• TEACHING HOME ECONOMICS AND NUTRITION
• PROVIDING ADOPTION SERVICES
PURPOSES/OBJECTIVES
• CONTRACEPTIVE SERVICES
• PREGNANCY TESTING AND COUNSELING
• PREGNANCY–ACHIEVING SERVICES INCLUDING
PRECONCEPTION HEALTH SERVICES
• BASIC INFERTILITY SERVICES
• SEXUALLY TRANSMITTED DISEASE SERVICES
• BROADER REPRODUCTIVE HEALTH SERVICES,
• BREAST AND CERVICAL CANCER SCREENING
• SEXUALLY TRANSMITTED INFECTION (STI) AND HUMAN
IMMUNODEFICIENCY VIRUS (HIV) PREVENTION
EDUCATION
NATURAL METHODS
• ADVANTAGES:
• Simple spacing method
• No side effects
• Easily available, safe & inexpensive
• Protects against STDs
DISADVANTAGES
Chances of slip off and tear off
Allergic reaction to latex
Failure rate: 16%
Female condoms:
• It is a pouch made up of polyurethane which lines the vagina
and also external genitalia.
• It is 17 cm in length with one flexible polyurethane ring at
each end.
• ADVANTAGES:
• Prevents STDs including HIV/AIDS
• Not damaged by oils and other chemicals
• First generation
• Non-medicated made up of polyethylene.
• Different shapes and sizes
• LIPPE’S LOOP
• Double ‘s’ shaped device , made up of polyethylene material.
Non- toxic, non-tissue reactive and extremely durable.
• Small amount of barium sulphate is also added for
radiological examination
• Available in 4 sizes A,B,C,D
• Second generation
• Made up of metal Cu
• Earlier devices Cu-7 , Cu-T 200
• Newer devices T copper 220 C ,T copper 380 C ,nova T
• multiload devices:
• ML-Cu 250
• ML-Cu 375
• Third generation
• Hormones releasing IUD
• PROGESTASTERT : Most commonly used T shaped
device filled with 38 mg progesterone
• Effective for 1 year
• LNG- mirena Mirena (levonorgestrel-releasing intrauterine
device) is a form of birth control that is indicated for intrauterine
contraception for up to 5 years and Releases 20 µg of
levonorgestrol.
• Effective for 5 years.
INJECTABLE
TUBECTOMY
• Tubectomy is a major surgical procedure in which the fallopian
tubes are cut open and clipped or tied up to block the passage
of the egg into the uterus.
• Recovery
• Patients may be discharged on the same day after tubectomy.
• However, after undergoing the surgery, one may expect:
• Pain and nausea in the first four to eight hours (short-term pain
medication may be required)
• Abdominal pain and cramps
• Fatigue
• Dizziness
Comparing Effectiveness of Family Planning Methods
How to make your
method more effective
Implants, IUD, female sterilization:
After procedure, little or nothing to do or
remember
Vasectomy: Use another method for first
3 months
Injectables: Get repeat injections on time
Lactational Amenorrhea Method (for 6 months):
Breastfeed often, day and night
Pills: Take a pill each day
Patch, ring: Keep in place, change on time
Male condoms, diaphragm: Use correctly every
time you have sex
Fertility awareness methods: Abstain or use
condoms on fertile days. Standard Days Method
and Two-Day Method may be easier to use.
Moreeffective
Less than 1 pregnancy per
100 women in one year
Lesseffective
About 30 pregnancies per
100 women in one year
Female condoms, withdrawal, spermicides:
Use correctly every time you have sex
41
Family Planning: A Global Handbook for Providers (3rd Edition, 2018)
SEXUALLY TRANSMITTED DISEASES
STD’S
42
43
REPRODUCTIVE TRACT INFECTIONS
• ENDOGENOUS INFECTION
• IATROGENIC INFECTIONS
• STD
CLINICAL FEATURES-FEMALES
• ABNORMAL VAGINAL DISCHARGE
• GENITAL PAIN
• ITCHING
• BURNING FEELING WITH URINATION
• ABDOMINAL PAIN
• IRREGULAR MENSTRUAL CYCLE
• BLOOD STAINED DISCHARGE
CLINICAL FEATURES-MALES
• SWOLLEN , RED OR WARM SCROTUM
• PAINFUL URINATION
• DISCHARGE FROM PENIS
• BLOOD IN SEMEN
• PAIN IN LOWER ABDOMEN
PREVENTION
• Abstinence-The most reliable way to avoid infection is to not
have sex
• Use CONDOMS
• Avoid sharing towels or underclothing.
• Wash before and after intercourse.
• Get a vaccination for HEPATITIS B.
• Get tested for HIV
THANK YOU

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FAMILY PLANNING

  • 2. India’s Contribution to World Population
  • 4.
  • 5. PURPOSES/OBJECTIVES • PROPER SPACING AND LIMITATION OF BIRTHS • PARENTHOOD EDUCATION • SEX EDUCATION • SCREENING OF PATHOLOGICAL CONDITIONS • GENETIC COUNSCILLING • PREPARTION OF COUPLES FOR THE ARRIVAL OF CHILD • TEACHING HOME ECONOMICS AND NUTRITION • PROVIDING ADOPTION SERVICES
  • 6. PURPOSES/OBJECTIVES • CONTRACEPTIVE SERVICES • PREGNANCY TESTING AND COUNSELING • PREGNANCY–ACHIEVING SERVICES INCLUDING PRECONCEPTION HEALTH SERVICES • BASIC INFERTILITY SERVICES • SEXUALLY TRANSMITTED DISEASE SERVICES • BROADER REPRODUCTIVE HEALTH SERVICES, • BREAST AND CERVICAL CANCER SCREENING • SEXUALLY TRANSMITTED INFECTION (STI) AND HUMAN IMMUNODEFICIENCY VIRUS (HIV) PREVENTION EDUCATION
  • 7.
  • 8.
  • 9.
  • 10.
  • 12.
  • 13.
  • 14.
  • 15.
  • 16.
  • 17. • ADVANTAGES: • Simple spacing method • No side effects • Easily available, safe & inexpensive • Protects against STDs DISADVANTAGES Chances of slip off and tear off Allergic reaction to latex Failure rate: 16%
  • 19. • It is a pouch made up of polyurethane which lines the vagina and also external genitalia. • It is 17 cm in length with one flexible polyurethane ring at each end. • ADVANTAGES: • Prevents STDs including HIV/AIDS • Not damaged by oils and other chemicals
  • 20.
  • 21.
  • 22.
  • 23.
  • 24. • First generation • Non-medicated made up of polyethylene. • Different shapes and sizes • LIPPE’S LOOP • Double ‘s’ shaped device , made up of polyethylene material. Non- toxic, non-tissue reactive and extremely durable. • Small amount of barium sulphate is also added for radiological examination • Available in 4 sizes A,B,C,D
  • 25. • Second generation • Made up of metal Cu • Earlier devices Cu-7 , Cu-T 200 • Newer devices T copper 220 C ,T copper 380 C ,nova T • multiload devices: • ML-Cu 250 • ML-Cu 375
  • 26. • Third generation • Hormones releasing IUD • PROGESTASTERT : Most commonly used T shaped device filled with 38 mg progesterone • Effective for 1 year • LNG- mirena Mirena (levonorgestrel-releasing intrauterine device) is a form of birth control that is indicated for intrauterine contraception for up to 5 years and Releases 20 µg of levonorgestrol. • Effective for 5 years.
  • 27.
  • 28.
  • 29.
  • 30.
  • 32.
  • 33.
  • 34.
  • 35.
  • 36.
  • 37.
  • 38.
  • 40. • Tubectomy is a major surgical procedure in which the fallopian tubes are cut open and clipped or tied up to block the passage of the egg into the uterus. • Recovery • Patients may be discharged on the same day after tubectomy. • However, after undergoing the surgery, one may expect: • Pain and nausea in the first four to eight hours (short-term pain medication may be required) • Abdominal pain and cramps • Fatigue • Dizziness
  • 41. Comparing Effectiveness of Family Planning Methods How to make your method more effective Implants, IUD, female sterilization: After procedure, little or nothing to do or remember Vasectomy: Use another method for first 3 months Injectables: Get repeat injections on time Lactational Amenorrhea Method (for 6 months): Breastfeed often, day and night Pills: Take a pill each day Patch, ring: Keep in place, change on time Male condoms, diaphragm: Use correctly every time you have sex Fertility awareness methods: Abstain or use condoms on fertile days. Standard Days Method and Two-Day Method may be easier to use. Moreeffective Less than 1 pregnancy per 100 women in one year Lesseffective About 30 pregnancies per 100 women in one year Female condoms, withdrawal, spermicides: Use correctly every time you have sex 41 Family Planning: A Global Handbook for Providers (3rd Edition, 2018)
  • 43. 43
  • 44.
  • 45.
  • 46.
  • 47. REPRODUCTIVE TRACT INFECTIONS • ENDOGENOUS INFECTION • IATROGENIC INFECTIONS • STD
  • 48. CLINICAL FEATURES-FEMALES • ABNORMAL VAGINAL DISCHARGE • GENITAL PAIN • ITCHING • BURNING FEELING WITH URINATION • ABDOMINAL PAIN • IRREGULAR MENSTRUAL CYCLE • BLOOD STAINED DISCHARGE
  • 49. CLINICAL FEATURES-MALES • SWOLLEN , RED OR WARM SCROTUM • PAINFUL URINATION • DISCHARGE FROM PENIS • BLOOD IN SEMEN • PAIN IN LOWER ABDOMEN
  • 50. PREVENTION • Abstinence-The most reliable way to avoid infection is to not have sex • Use CONDOMS • Avoid sharing towels or underclothing. • Wash before and after intercourse. • Get a vaccination for HEPATITIS B. • Get tested for HIV