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Family Planning (Contraceptive) Methods.pptx
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- 2. Contraceptive Methods What’s available? Whatare Couples choosing? Why?
- 3. GATHER APPROACH G- Greet A-Ask T- Talk H- Help E- Explain R- Reassure, revisit 3
- 4. GATHER APPROACH G- Greet A-Ask--- History T- Talk about the side effects, indication & contraindication H- Help in selecting E- Explain- How to use, side effects, warning signals, follow up R- Reassure, revisit 4
- 5. Types Temporary- Spacing Method Permanent-Terminal Methods 5
- 8. Barrier methods Aim– to prevent live sperm from meeting the ovum. This methods require high degree of motivation on the part of the user. Only effective if they are used consistently and carefully.
- 9. most widelyknown n widely used barrier device by the male around the world. In India– trade name– NIRODH. The female condom resembles a male condom. The only difference is, it is larger and has a ring on the inside. The women puts the condom into her vagina until it hits the cervix.
- 10. It isa vaginal barrier known as Dutch-Cap, a shallow cup made up of synthetic rubber/ plastic material.. Spermicidal jelly is must used along with it. Cervical caps are smaller versions of diaphragms. It is made of rubber and fits over the cervix. Diaphragm
- 11. The contraceptivesponge, or birth control sponge, is a soft, round piece of plastic foam with a loop for removal and is inserted deep into vagina The sponge is filled with a spermicide known as nonoxynol-9.
- 12. • This arecontraceptive devices which contain chemicals that can destroy sperms and can be used alone or with other devices like diaphragms or cervical caps. • Most common chemical used is Nonoxynol-9(N-9) • Effectiveness:72% Spermicides
- 13. Intrauterine Contraceptive Devices(IUDs) First generation- LippeLoops Second Generation- CuT-380 A Third generation- Mirena(Levonorgestrel) *All IUDs made up of polyethylene/ other polymers & have tail made up of fine nylon threads
- 14. First generation • Inert &non- medicated acts mechanically • Now only of historical importance Second generation • Metallic copper has anti fertility effect • Are smaller & easier to fit • Currently ‘T Cu-380 A’ is used under NFWP (10yrs) • Multiload devices like CuT 250 are effective for 5 yrs. Third generation • Release hormone - Progesterone or Estrogen • Progestasert: Releases progesterone 65µg daily Effective life of 1 year • LNG-20 (Mirena) – Releases levonorgestrel 20µg daily & effective life of 5 years
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- 18. Ideal candidate forIUD insertion 1. Has at least one living child 2. No history of pelvic disease 3. Normal menstrual periods 4. Willing to check IUD tail 5. Access to follow-up & treatment of potential complication 6. Monogamous relationship 18
- 21. The vaginal ring(NuvaRing) • is a small soft, plastic ring that is inserted into the vagina. • It releases a continuous dose of the hormones estrogen and progestogen into the bloodstream to prevent pregnancy. • It also thickens the cervical mucus, which makes it more difficult for sperm to move through the cervix, and thins the lining of the womb so a fertilised egg is less likely to implant itself.
- 22. Oral Contraceptive Pills(OCPs) Combined Pills a)Progestog en onlypill (POP) a)Post coital pill a)Non hormonal pills a)Male pill
- 24. How to takepills The standard way to take the pill is to take 1 every day for 21 days, then have a break for 7 days, and during this week you have a bleed like a period. You start taking the pill again after 7 days.
- 25. • They areProgestin only pills(POPs) • It thickens the mucus inside the cervix • It also thins the lining of the uterus. This helps keep the fertilized egg from implanting itself. • Highly effective for breast feeding mothers.
- 26. 21 OCP +7 iron tablets(60mg ferrous fumarate) Available free of cost at PHC,UHTC. 21 OCP + 7 iron tablets(60mg ferrous fumarate) Available at subsidized cost at health centres @Rs 3 Under Governmental RCH programmes
- 27. Chhaya or Centchromanis a non-hormonal pill that needs to be taken twice a week for first 3 months and once a week thereafter. It is a safe and effective method and can be given to breastfeeding mothers.
- 28. Post-coital contraception Within 72hrs of unprotected intercourse Levonorgestrel (i-pill): 1.5mg stat (0.75mg – 2 tab) OC pills: 4 pills stat & 4 pills after 12 hrs interval IUD Failure rate: 1-2 / HWY
- 30. Injectables contraceptives Progestogen only injectable DMPA (Depot medroxyprogest eroneacetate)- IM NET-EN (Norethisteron e enantate) DMPA-SC Combined injectable •Cyclofem/cycl o-provera and Mesigyna
- 31. Injectable contraceptive isan effective method of contraception that can be injected subcutaneously or in the muscles (usually buttock or upper arm). It prevents pregnancy from taking place by releasing progestogen in the body. Each dose of injectable contraceptive prevents pregnancy for three months. Currently intramuscular variety of Injectable contraceptive(ANTARA) is available at government facilities, free of cost.
- 33. Subdermal Implants Norplant 6sialistic capsules, Each 35 mg of levonorgestrel Norplant (R) – 2 2 rods Effective contraception is provided for 5 years Failure rate: 0.05 / HWY 33
- 34. • The contraceptive patchis a small sticky patch that releases hormones into your body through your skin to prevent pregnancy. In the UK, the patch's brand name is Evra. • Each patch lasts for 1 week. You change the patch every week for 3 weeks, then have a week off without a patch.
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- 37. During a NSV-no-scalpel vasectomy(also referred to as a keyhole vasectomy), no incisions are made. Instead, the surgeon uses a hemostat (locking forceps with a sharp tip) to puncture through the skin of the scrotal sac.
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Editor's Notes
- #19 eatment