SlideShare a Scribd company logo
Medical Termination of Pregnancy
(MTP),
sterilization and birth control
Content Questions
Q. Define and categorize abortion.
Q. Enumerate the complications and sequele of
abortions.
Q. Describe the condition, person and place covered
under MTP act 1971
Q. Explain the male and female terminal methods of
contraceptive procedures with their complications
Q. Describe the various miscellaneous methods of birth
control
2/24/2016 2
• Abortion = Termination of pregnancy before
the foetus becomes viable.
Category:
- Spontaneous: “ Natures method of birth control”
- Induces: deliberately done legally or illegally
Abortion facts
• Out of 210 m pregnancies, 80 m are unintended
• 2008: 21.6 m unsafe abortions causing 47,000 deaths
• 14 unsafe abortions/ 1000 women (15-44 yrs)
• Developing countries, its 16 per 1000 women
• India: ICMR study documented safe 6.1 and unsafe
13.5 per 1000 pregnancies
• 2/3rd takes place outside authorized health service
Complications and sequelae
Early complications:
- Haemorrhage
- Shock
- Sepsis
- Uterine perforation
- Cervical injury
- Thromboembolism
- Anaesthetic and
psychiatric
Late sequelae
- Infertility
- Ectopic gestation
- sed risk of
spontaneous abortion
- Reduced birth weight
Medical termination of pregnancy act
1971
Coverage under MTP act 1971
1. Conditions under which preg can be terminated
2. Person/s who can perform
3. The place – terminations are performed
1. Conditions under which pregnancy can be
terminated
Five
- Medical: continuation might endanger mothers life
- Eugenic: risk of the child being born handicap
- Socio-economic: could lead to mothers health injury
- Humanitarian: pregnancy is the result of rape
- Failure of contraception: anguish caused by
unwanted pregnancy causing grave mental injury to
the mother
Medical termination of pregnancy (MTP) act 1971 (contd.)
2. The Person/s who can perform abortion
• The act authorises only Registered Medical
Practitioner having experience in Gynaec. and obs.
(preg < 12 wks)
• 12wks – 20 wks: Opinion of two RMPs is necessary
Medical termination of pregnancy (MTP) act 1971 (contd.)
3. The place where abortion is performed
• NGOs may also take up – licence from dist. CMO
Medical termination of pregnancy (MTP) act 1971 (contd.)
Strategies of safe MTP centres and service
providers
At community level:
a. Spread awareness regarding availability of safe MTP
b. Access to confidential counselling: train ANMs, AWW,
ASHA
c. Provide post abortion care
At the facility level:
a. To provide manual vaccum aspiration facility
b. Provide comprehensive & high quality services at FRUs
c. Encourage private and NGO sectors to establish
Terminal methods
Sterilization
Male Sterilization: 10-15% of sterilization in India though it is
simpler, safer & cheaper than female sterilization (85%)
Guidelines for sterilization
1) Age of husband should not be <25 yrs or >50 yrs
2) Age of wife should not be<20 yrs or >45 yrs
3) Motivated couple must have 2 living children
4) If the couple has 3 or more children the lower age limit of
couple can be relaxed by surgeon
5) Acceptor declares having obtained consent of his/her
spouse to undergo sterilization
Female sterilization
• Postpartum/ at time of abortion
• 2 procedures:
– Laparoscopy,
– Mini-laparotomy
(pomeroy)
Laparoscopic female sterilization
• Abdominal approach, specialized instrument called
“laparoscope”
• Abdomen inflated with gas
• Falope rings (clips) applied to occlude the tubes
• Specialists availability ensured prior operation
• Short operating time, short hospital stay, small scar
Complications: Puncture of large vessels
Patient selection: Not advisable postpartum for 6 wks
Minilaparotomy
• Modification of abdominal Tubectomy
• Simpler procedure requiring a smaller abdominal
incision of only 2.5 – 3cm under LA
• Minilap/ Pomeroy technique
• Suitable technique at PHC for mass campaigns
• Suitable for post partum period.
Male sterilization (vasectomy)
• Simpler, faster, less expensive than tubectomy in
terms of instruments, hospitalization
and doctor’s training
• Cost wise ratio: 5 vasectomy to 1 tubal ligation
Procedure:
• Acceptor is not immediately sterile after operation
usually until 30 ejaculations have taken place
• Remove at least 1 cm vas after clamping
Complications of male sterilization
• Operative : Pain, haematoma, wound infection
(3%)
• Sperm granules (7mm)
• Spontaneous recanalization
• Autoimmune response
• Psychological
Post – operative advice
• Pt should be told that he is not sterile immediately after
operation, at least 30 ejaculations may be necessary
before seminal examination is negative
• Use contraceptives until aspermia has been established
• Avoid taking bath for at least 24 hrs after operation
• Wear T-bandage / scrotal support for 15 days
• Avoid cycling/heavy wt. lifting for 15 days
• To have stitch removed on 5th day after operation
No Scalpel Vasectomy (NSV)
• New technique that is safe, convenient &
acceptable to males
• Accepted by NHFWP
• Availability of this new technique at the
peripheral level will increase the acceptance
of male sterilization
• Project is being funded by UNFPA
Miscellaneous methods of birth control
1) Abstinence
2) Coitus interruptus
3) Safe period (rhythm method)
4) Natural methods:
a) Basal body temperature method
b) Cervical mucus method
c) Symptothermic method
i. Breast-feeding
ii. Birth control vaccines
Safe period (Rhythm method)
• Calendar method
• First day of fertile period:
Shortest cycle – 18 days
• Last day of fertile period:
Longest cycle – 10 days
• Eg
Safe period (contd.)
• Drawbacks:
– Woman’s menstrual cycle is not regular
– To be used by educated & responsible couples
with high degree of motivation
– Compulsory abstinence of sexual intercourse for
nearly half of every month
– Not applicable during post natal period
– High failure rate: 9 per 100 HWY
• Complications:
– Ectopic pregnancy
– Embryonic abnormality
Natural family planning methods
a) Basal body temperature method (BBT) :
– Rise of body temp by 0.3 – 0.5 degree C at the time of
ovulation
– Intercourse restricted to post-ovulatory infertile period
b) Cervical mucus method
– Billings method/ ovulation method
– At the time of ovulation, cervical mucus becomes watery
clear resembling raw egg white, smooth, sleepery
– After ovulation mucus thickens (progesterone)
c) Symptothermic method (combines temp. cervical
and calender technique
Miscellaneous methods (Contd.)
• Breast feeding:
– Lactational amenorrhoea
• Birth control vaccine
– Prepared from B subunit of hCG
– Research phase
Summary
2/24/2016 25
‘THANKS FOR THE
ATTENTION’
REVISE IT Today
2/24/2016 26

More Related Content

What's hot

Child adoption
Child adoptionChild adoption
Child adoption
BHARGAVSIRMEHTA
 
State health administration
State health administrationState health administration
State health administration
Aparna M Ajay
 
Reproductive and child health programme
Reproductive and child health programmeReproductive and child health programme
Reproductive and child health programme
Thomaskutty Saji
 
Nurse role in fp
Nurse role in fpNurse role in fp
Nurse role in fp
MamataSharma3
 
The MTP Act Rules Regulation.pptx
The MTP Act Rules Regulation.pptxThe MTP Act Rules Regulation.pptx
The MTP Act Rules Regulation.pptx
Dr Sayan Das
 
medical termination of pregnancy
medical termination of pregnancymedical termination of pregnancy
medical termination of pregnancy
Snehlata Parashar
 
Dr. anita singh mtp presention
Dr. anita singh mtp presentionDr. anita singh mtp presention
Dr. anita singh mtp presention
Anita Singh
 
MTP
MTPMTP
Medical Termination of Pregnancy Act 1971
Medical Termination of Pregnancy Act 1971Medical Termination of Pregnancy Act 1971
Medical Termination of Pregnancy Act 1971
Ganesh Shevalkar
 
Mother and child tracking system
Mother and child tracking systemMother and child tracking system
Mother and child tracking system
kanmani shriraam
 
Mtp act
Mtp actMtp act
Mtp act
RADHA
 
National diabetes controal program
National diabetes controal programNational diabetes controal program
National diabetes controal program
PawanKumar2883
 
The medical termination of pregnancy act 1971
The medical termination of pregnancy act 1971The medical termination of pregnancy act 1971
The medical termination of pregnancy act 1971
Sneha Patel
 
Rch
RchRch
Child adoption act
Child adoption actChild adoption act
Child adoption act
RADHA
 
National leprosy eradication program CHN
National leprosy eradication program CHNNational leprosy eradication program CHN
National leprosy eradication program CHN
NehaNupur8
 
Consumer protection act
Consumer protection actConsumer protection act
Consumer protection act
Gill Kaur
 
Hormonal contraceptives
Hormonal contraceptivesHormonal contraceptives
Hormonal contraceptives
Sourav Chowdhury
 
Medical termination of pregnancy
Medical termination of pregnancyMedical termination of pregnancy
Medical termination of pregnancy
VisheshSAXENA11
 
Role of regulatory bodies
 Role of regulatory bodies Role of regulatory bodies
Role of regulatory bodies
Swati Sunshine
 

What's hot (20)

Child adoption
Child adoptionChild adoption
Child adoption
 
State health administration
State health administrationState health administration
State health administration
 
Reproductive and child health programme
Reproductive and child health programmeReproductive and child health programme
Reproductive and child health programme
 
Nurse role in fp
Nurse role in fpNurse role in fp
Nurse role in fp
 
The MTP Act Rules Regulation.pptx
The MTP Act Rules Regulation.pptxThe MTP Act Rules Regulation.pptx
The MTP Act Rules Regulation.pptx
 
medical termination of pregnancy
medical termination of pregnancymedical termination of pregnancy
medical termination of pregnancy
 
Dr. anita singh mtp presention
Dr. anita singh mtp presentionDr. anita singh mtp presention
Dr. anita singh mtp presention
 
MTP
MTPMTP
MTP
 
Medical Termination of Pregnancy Act 1971
Medical Termination of Pregnancy Act 1971Medical Termination of Pregnancy Act 1971
Medical Termination of Pregnancy Act 1971
 
Mother and child tracking system
Mother and child tracking systemMother and child tracking system
Mother and child tracking system
 
Mtp act
Mtp actMtp act
Mtp act
 
National diabetes controal program
National diabetes controal programNational diabetes controal program
National diabetes controal program
 
The medical termination of pregnancy act 1971
The medical termination of pregnancy act 1971The medical termination of pregnancy act 1971
The medical termination of pregnancy act 1971
 
Rch
RchRch
Rch
 
Child adoption act
Child adoption actChild adoption act
Child adoption act
 
National leprosy eradication program CHN
National leprosy eradication program CHNNational leprosy eradication program CHN
National leprosy eradication program CHN
 
Consumer protection act
Consumer protection actConsumer protection act
Consumer protection act
 
Hormonal contraceptives
Hormonal contraceptivesHormonal contraceptives
Hormonal contraceptives
 
Medical termination of pregnancy
Medical termination of pregnancyMedical termination of pregnancy
Medical termination of pregnancy
 
Role of regulatory bodies
 Role of regulatory bodies Role of regulatory bodies
Role of regulatory bodies
 

Viewers also liked

INDIAN TOBACCO
INDIAN TOBACCOINDIAN TOBACCO
INDIAN TOBACCO
NANDHA KUMAR
 
Monisha antenatal care
Monisha antenatal careMonisha antenatal care
Monisha antenatal care
obgymgmcri
 
MTP Act & MTP - Made simple Dr. Sharda Jain , Lifecare Centre 11 Gagan Vihar ...
MTP Act & MTP - Made simple Dr. Sharda Jain , Lifecare Centre 11 Gagan Vihar ...MTP Act & MTP - Made simple Dr. Sharda Jain , Lifecare Centre 11 Gagan Vihar ...
MTP Act & MTP - Made simple Dr. Sharda Jain , Lifecare Centre 11 Gagan Vihar ...
Lifecare Centre
 
Difference between the pcpndt act
Difference between the pcpndt  actDifference between the pcpndt  act
Difference between the pcpndt act
Secretary-Pragati Dehradun
 
antenatal care
antenatal careantenatal care
antenatal care
Muni Venkatesh
 
Antenatal care
Antenatal careAntenatal care
Dr r n goel PCPNDT ACT WHAT YOU MUST KNOW
Dr r n goel PCPNDT ACT WHAT YOU MUST KNOWDr r n goel PCPNDT ACT WHAT YOU MUST KNOW
Dr r n goel PCPNDT ACT WHAT YOU MUST KNOW
NARENDRA C MALHOTRA
 
Antenatal care and high risk assessment1
Antenatal care and high risk assessment1Antenatal care and high risk assessment1
Antenatal care and high risk assessment1
Pave Medicine
 
Understanding the MTP Act Interpretation & implications dr. Sharda Jain & Team
Understanding the MTP Act Interpretation & implications dr. Sharda Jain & Team Understanding the MTP Act Interpretation & implications dr. Sharda Jain & Team
Understanding the MTP Act Interpretation & implications dr. Sharda Jain & Team
Lifecare Centre
 
sterilisation operation insurance india
sterilisation operation insurance indiasterilisation operation insurance india
sterilisation operation insurance india
CONSULTANT IN OBGYN, ODISHA ,INDIA
 
Malimu demography
Malimu demographyMalimu demography
Malimu demography
Miharbi Ignasm
 
Mtp act
Mtp actMtp act
MTP Act & MTP - Made simple, Dr. Sharda Jain, Presented at Multispecialty C...
MTP Act & MTP - Made simple, Dr. Sharda Jain, Presented at Multispecialty   C...MTP Act & MTP - Made simple, Dr. Sharda Jain, Presented at Multispecialty   C...
MTP Act & MTP - Made simple, Dr. Sharda Jain, Presented at Multispecialty C...
Lifecare Centre
 
MTP
MTPMTP
Antenatal care dr rabi
Antenatal care   dr rabiAntenatal care   dr rabi
Antenatal care dr rabi
Rabi Satpathy
 
PNDT ACT/ PCPNDT ACT FOR UNDERGRADUATES
PNDT ACT/ PCPNDT ACT FOR UNDERGRADUATESPNDT ACT/ PCPNDT ACT FOR UNDERGRADUATES
Scientific basis for antenatal care
Scientific basis for antenatal careScientific basis for antenatal care
Scientific basis for antenatal care
Asha Bhat
 
Pcpndt act
Pcpndt actPcpndt act
Pcpndt act
amitjogdand
 
Pre-Conception and Prenatal Diagnostic Techniques Act (PCPNDT)
Pre-Conception and Prenatal Diagnostic Techniques Act (PCPNDT)Pre-Conception and Prenatal Diagnostic Techniques Act (PCPNDT)
Pre-Conception and Prenatal Diagnostic Techniques Act (PCPNDT)
Centre for Social Research
 
Population and Demography
Population and DemographyPopulation and Demography
Population and Demography
Angelo Rivera
 

Viewers also liked (20)

INDIAN TOBACCO
INDIAN TOBACCOINDIAN TOBACCO
INDIAN TOBACCO
 
Monisha antenatal care
Monisha antenatal careMonisha antenatal care
Monisha antenatal care
 
MTP Act & MTP - Made simple Dr. Sharda Jain , Lifecare Centre 11 Gagan Vihar ...
MTP Act & MTP - Made simple Dr. Sharda Jain , Lifecare Centre 11 Gagan Vihar ...MTP Act & MTP - Made simple Dr. Sharda Jain , Lifecare Centre 11 Gagan Vihar ...
MTP Act & MTP - Made simple Dr. Sharda Jain , Lifecare Centre 11 Gagan Vihar ...
 
Difference between the pcpndt act
Difference between the pcpndt  actDifference between the pcpndt  act
Difference between the pcpndt act
 
antenatal care
antenatal careantenatal care
antenatal care
 
Antenatal care
Antenatal careAntenatal care
Antenatal care
 
Dr r n goel PCPNDT ACT WHAT YOU MUST KNOW
Dr r n goel PCPNDT ACT WHAT YOU MUST KNOWDr r n goel PCPNDT ACT WHAT YOU MUST KNOW
Dr r n goel PCPNDT ACT WHAT YOU MUST KNOW
 
Antenatal care and high risk assessment1
Antenatal care and high risk assessment1Antenatal care and high risk assessment1
Antenatal care and high risk assessment1
 
Understanding the MTP Act Interpretation & implications dr. Sharda Jain & Team
Understanding the MTP Act Interpretation & implications dr. Sharda Jain & Team Understanding the MTP Act Interpretation & implications dr. Sharda Jain & Team
Understanding the MTP Act Interpretation & implications dr. Sharda Jain & Team
 
sterilisation operation insurance india
sterilisation operation insurance indiasterilisation operation insurance india
sterilisation operation insurance india
 
Malimu demography
Malimu demographyMalimu demography
Malimu demography
 
Mtp act
Mtp actMtp act
Mtp act
 
MTP Act & MTP - Made simple, Dr. Sharda Jain, Presented at Multispecialty C...
MTP Act & MTP - Made simple, Dr. Sharda Jain, Presented at Multispecialty   C...MTP Act & MTP - Made simple, Dr. Sharda Jain, Presented at Multispecialty   C...
MTP Act & MTP - Made simple, Dr. Sharda Jain, Presented at Multispecialty C...
 
MTP
MTPMTP
MTP
 
Antenatal care dr rabi
Antenatal care   dr rabiAntenatal care   dr rabi
Antenatal care dr rabi
 
PNDT ACT/ PCPNDT ACT FOR UNDERGRADUATES
PNDT ACT/ PCPNDT ACT FOR UNDERGRADUATESPNDT ACT/ PCPNDT ACT FOR UNDERGRADUATES
PNDT ACT/ PCPNDT ACT FOR UNDERGRADUATES
 
Scientific basis for antenatal care
Scientific basis for antenatal careScientific basis for antenatal care
Scientific basis for antenatal care
 
Pcpndt act
Pcpndt actPcpndt act
Pcpndt act
 
Pre-Conception and Prenatal Diagnostic Techniques Act (PCPNDT)
Pre-Conception and Prenatal Diagnostic Techniques Act (PCPNDT)Pre-Conception and Prenatal Diagnostic Techniques Act (PCPNDT)
Pre-Conception and Prenatal Diagnostic Techniques Act (PCPNDT)
 
Population and Demography
Population and DemographyPopulation and Demography
Population and Demography
 

Similar to Mgm mtp act abortion

Asia
AsiaAsia
Family Planning Methods.pdf
Family Planning Methods.pdfFamily Planning Methods.pdf
Family Planning Methods.pdf
Anindita Choudhury
 
A brief introduction to c section and how its done.
A brief introduction to c section and how its done.A brief introduction to c section and how its done.
A brief introduction to c section and how its done.
JudeMusoke1
 
A brief introduction to c section and how its done.
A brief introduction to c section and how its done.A brief introduction to c section and how its done.
A brief introduction to c section and how its done.
JudeMusoke1
 
Safe abortion, abortion,
Safe abortion, abortion,Safe abortion, abortion,
Safe abortion, abortion,
ema899
 
Pprom by dr alka mukherjee dr apurva mukherjee nagpur india
Pprom by dr alka mukherjee dr apurva mukherjee nagpur indiaPprom by dr alka mukherjee dr apurva mukherjee nagpur india
Pprom by dr alka mukherjee dr apurva mukherjee nagpur india
alka mukherjee
 
contraceptive.pptx
contraceptive.pptxcontraceptive.pptx
contraceptive.pptx
jyotisingh511183
 
Surgical Emergencies in Pregnancy Presentation
Surgical Emergencies in Pregnancy PresentationSurgical Emergencies in Pregnancy Presentation
Surgical Emergencies in Pregnancy Presentation
Thomas Onyango Kirengo
 
Topic 5 about abortion and the problems related
Topic 5 about abortion and the problems relatedTopic 5 about abortion and the problems related
Topic 5 about abortion and the problems related
MominaMehmood1
 
Iol
IolIol
CESAREAN DELIVERY AND VAGINAL DELIVERY AFTER CAESAREAN SECTION
CESAREAN DELIVERY AND VAGINAL DELIVERY AFTER CAESAREAN SECTIONCESAREAN DELIVERY AND VAGINAL DELIVERY AFTER CAESAREAN SECTION
CESAREAN DELIVERY AND VAGINAL DELIVERY AFTER CAESAREAN SECTION
NGODINH4
 
FAMILY PLANNING
FAMILY PLANNINGFAMILY PLANNING
FAMILY PLANNING
Shiya Collins
 
Management-Puerperal-Sepsis-SLCOG.pdf
Management-Puerperal-Sepsis-SLCOG.pdfManagement-Puerperal-Sepsis-SLCOG.pdf
Management-Puerperal-Sepsis-SLCOG.pdf
PreciousBlessing
 
preoperative care for gyecologic patient
preoperative care for gyecologic patientpreoperative care for gyecologic patient
preoperative care for gyecologic patient
Dr Mengistu Kassa
 
Contraception
ContraceptionContraception
Contraception
Saraswati yadav
 
Making abortion safe
Making abortion safeMaking abortion safe
Making abortion safe
Sujoy Dasgupta
 
METHODS OF POPULATION CONTROL.pptx
METHODS OF POPULATION CONTROL.pptxMETHODS OF POPULATION CONTROL.pptx
METHODS OF POPULATION CONTROL.pptx
YogeswaranElangovan2
 
2-6-contraceptive-methods-4-idris-2021.pptx
2-6-contraceptive-methods-4-idris-2021.pptx2-6-contraceptive-methods-4-idris-2021.pptx
2-6-contraceptive-methods-4-idris-2021.pptx
Delhi University
 
Radiation dose and pregnancy
Radiation dose and pregnancyRadiation dose and pregnancy
Radiation dose and pregnancy
fathima Hasan Mohamed
 
Methods of population control and National population policy (1).pptx
Methods of population control and National population policy (1).pptxMethods of population control and National population policy (1).pptx
Methods of population control and National population policy (1).pptx
soundaryajananisenth
 

Similar to Mgm mtp act abortion (20)

Asia
AsiaAsia
Asia
 
Family Planning Methods.pdf
Family Planning Methods.pdfFamily Planning Methods.pdf
Family Planning Methods.pdf
 
A brief introduction to c section and how its done.
A brief introduction to c section and how its done.A brief introduction to c section and how its done.
A brief introduction to c section and how its done.
 
A brief introduction to c section and how its done.
A brief introduction to c section and how its done.A brief introduction to c section and how its done.
A brief introduction to c section and how its done.
 
Safe abortion, abortion,
Safe abortion, abortion,Safe abortion, abortion,
Safe abortion, abortion,
 
Pprom by dr alka mukherjee dr apurva mukherjee nagpur india
Pprom by dr alka mukherjee dr apurva mukherjee nagpur indiaPprom by dr alka mukherjee dr apurva mukherjee nagpur india
Pprom by dr alka mukherjee dr apurva mukherjee nagpur india
 
contraceptive.pptx
contraceptive.pptxcontraceptive.pptx
contraceptive.pptx
 
Surgical Emergencies in Pregnancy Presentation
Surgical Emergencies in Pregnancy PresentationSurgical Emergencies in Pregnancy Presentation
Surgical Emergencies in Pregnancy Presentation
 
Topic 5 about abortion and the problems related
Topic 5 about abortion and the problems relatedTopic 5 about abortion and the problems related
Topic 5 about abortion and the problems related
 
Iol
IolIol
Iol
 
CESAREAN DELIVERY AND VAGINAL DELIVERY AFTER CAESAREAN SECTION
CESAREAN DELIVERY AND VAGINAL DELIVERY AFTER CAESAREAN SECTIONCESAREAN DELIVERY AND VAGINAL DELIVERY AFTER CAESAREAN SECTION
CESAREAN DELIVERY AND VAGINAL DELIVERY AFTER CAESAREAN SECTION
 
FAMILY PLANNING
FAMILY PLANNINGFAMILY PLANNING
FAMILY PLANNING
 
Management-Puerperal-Sepsis-SLCOG.pdf
Management-Puerperal-Sepsis-SLCOG.pdfManagement-Puerperal-Sepsis-SLCOG.pdf
Management-Puerperal-Sepsis-SLCOG.pdf
 
preoperative care for gyecologic patient
preoperative care for gyecologic patientpreoperative care for gyecologic patient
preoperative care for gyecologic patient
 
Contraception
ContraceptionContraception
Contraception
 
Making abortion safe
Making abortion safeMaking abortion safe
Making abortion safe
 
METHODS OF POPULATION CONTROL.pptx
METHODS OF POPULATION CONTROL.pptxMETHODS OF POPULATION CONTROL.pptx
METHODS OF POPULATION CONTROL.pptx
 
2-6-contraceptive-methods-4-idris-2021.pptx
2-6-contraceptive-methods-4-idris-2021.pptx2-6-contraceptive-methods-4-idris-2021.pptx
2-6-contraceptive-methods-4-idris-2021.pptx
 
Radiation dose and pregnancy
Radiation dose and pregnancyRadiation dose and pregnancy
Radiation dose and pregnancy
 
Methods of population control and National population policy (1).pptx
Methods of population control and National population policy (1).pptxMethods of population control and National population policy (1).pptx
Methods of population control and National population policy (1).pptx
 

More from mgmcricommunitymed

Epid of cancer
Epid of cancerEpid of cancer
Epid of cancer
mgmcricommunitymed
 
Epidemiology of diabetes mellitus
Epidemiology of diabetes mellitusEpidemiology of diabetes mellitus
Epidemiology of diabetes mellitus
mgmcricommunitymed
 
Health planning and management
Health planning and managementHealth planning and management
Health planning and management
mgmcricommunitymed
 
Introduction to genetics
Introduction to geneticsIntroduction to genetics
Introduction to genetics
mgmcricommunitymed
 
Mental health
Mental healthMental health
Mental health
mgmcricommunitymed
 
VI & VII SEM THEORY Dr. K.A. NARAYAN
VI & VII SEM THEORY Dr. K.A. NARAYANVI & VII SEM THEORY Dr. K.A. NARAYAN
VI & VII SEM THEORY Dr. K.A. NARAYAN
mgmcricommunitymed
 
Rmncha strategy
Rmncha strategyRmncha strategy
Rmncha strategy
mgmcricommunitymed
 
poliomyelitis 12 04-2016
poliomyelitis 12 04-2016poliomyelitis 12 04-2016
poliomyelitis 12 04-2016
mgmcricommunitymed
 
nutrition
 nutrition nutrition
nutrition
mgmcricommunitymed
 
Itp ari
Itp ariItp ari
Proposed lesson plan
Proposed lesson planProposed lesson plan
Proposed lesson plan
mgmcricommunitymed
 
Who guidelines ari
Who guidelines ariWho guidelines ari
Who guidelines ari
mgmcricommunitymed
 
Seminar ari
Seminar ariSeminar ari
Seminar ari
mgmcricommunitymed
 
Rf prevention control of ari
Rf prevention control of ariRf prevention control of ari
Rf prevention control of ari
mgmcricommunitymed
 
Prevalence of ari pdy
Prevalence of ari pdyPrevalence of ari pdy
Prevalence of ari pdy
mgmcricommunitymed
 
Nhp 2015
Nhp 2015Nhp 2015
Management of ari
Management of ariManagement of ari
Management of ari
mgmcricommunitymed
 
Epidemiology of acute respiratory infections
Epidemiology of acute respiratory infectionsEpidemiology of acute respiratory infections
Epidemiology of acute respiratory infections
mgmcricommunitymed
 
Imci 2014 who chartbook eng
Imci 2014 who chartbook engImci 2014 who chartbook eng
Imci 2014 who chartbook eng
mgmcricommunitymed
 
Cohort study
Cohort studyCohort study
Cohort study
mgmcricommunitymed
 

More from mgmcricommunitymed (20)

Epid of cancer
Epid of cancerEpid of cancer
Epid of cancer
 
Epidemiology of diabetes mellitus
Epidemiology of diabetes mellitusEpidemiology of diabetes mellitus
Epidemiology of diabetes mellitus
 
Health planning and management
Health planning and managementHealth planning and management
Health planning and management
 
Introduction to genetics
Introduction to geneticsIntroduction to genetics
Introduction to genetics
 
Mental health
Mental healthMental health
Mental health
 
VI & VII SEM THEORY Dr. K.A. NARAYAN
VI & VII SEM THEORY Dr. K.A. NARAYANVI & VII SEM THEORY Dr. K.A. NARAYAN
VI & VII SEM THEORY Dr. K.A. NARAYAN
 
Rmncha strategy
Rmncha strategyRmncha strategy
Rmncha strategy
 
poliomyelitis 12 04-2016
poliomyelitis 12 04-2016poliomyelitis 12 04-2016
poliomyelitis 12 04-2016
 
nutrition
 nutrition nutrition
nutrition
 
Itp ari
Itp ariItp ari
Itp ari
 
Proposed lesson plan
Proposed lesson planProposed lesson plan
Proposed lesson plan
 
Who guidelines ari
Who guidelines ariWho guidelines ari
Who guidelines ari
 
Seminar ari
Seminar ariSeminar ari
Seminar ari
 
Rf prevention control of ari
Rf prevention control of ariRf prevention control of ari
Rf prevention control of ari
 
Prevalence of ari pdy
Prevalence of ari pdyPrevalence of ari pdy
Prevalence of ari pdy
 
Nhp 2015
Nhp 2015Nhp 2015
Nhp 2015
 
Management of ari
Management of ariManagement of ari
Management of ari
 
Epidemiology of acute respiratory infections
Epidemiology of acute respiratory infectionsEpidemiology of acute respiratory infections
Epidemiology of acute respiratory infections
 
Imci 2014 who chartbook eng
Imci 2014 who chartbook engImci 2014 who chartbook eng
Imci 2014 who chartbook eng
 
Cohort study
Cohort studyCohort study
Cohort study
 

Recently uploaded

Procaine powder cas 51-05-8 safe Transport safety to Europe Netherlands Facto...
Procaine powder cas 51-05-8 safe Transport safety to Europe Netherlands Facto...Procaine powder cas 51-05-8 safe Transport safety to Europe Netherlands Facto...
Procaine powder cas 51-05-8 safe Transport safety to Europe Netherlands Facto...
grandmotherprocess99
 
Cardiac_Disease-1.ppt in canine & feline
Cardiac_Disease-1.ppt in canine & felineCardiac_Disease-1.ppt in canine & feline
Cardiac_Disease-1.ppt in canine & feline
MadhudarshiKumar2
 
Chennai @Girls @Call WhatsApp Numbers 🫦0000XX0000🫦 List For Friendship Girls ...
Chennai @Girls @Call WhatsApp Numbers 🫦0000XX0000🫦 List For Friendship Girls ...Chennai @Girls @Call WhatsApp Numbers 🫦0000XX0000🫦 List For Friendship Girls ...
Chennai @Girls @Call WhatsApp Numbers 🫦0000XX0000🫦 List For Friendship Girls ...
paridubey2024#G05
 
Premium Girls Call Mumbai 9910780858 Provide Best And Top Girl Service And No...
Premium Girls Call Mumbai 9910780858 Provide Best And Top Girl Service And No...Premium Girls Call Mumbai 9910780858 Provide Best And Top Girl Service And No...
Premium Girls Call Mumbai 9910780858 Provide Best And Top Girl Service And No...
saroni night girls
 
Girls Call Delhi 000XX00000 Provide Best And Top Girl Service And No1 in City
Girls Call Delhi 000XX00000 Provide Best And Top Girl Service And No1 in CityGirls Call Delhi 000XX00000 Provide Best And Top Girl Service And No1 in City
Girls Call Delhi 000XX00000 Provide Best And Top Girl Service And No1 in City
snehamittal#G05
 
nhs fpx 4000 assessment 2 applying research skills.pdf
nhs fpx 4000 assessment 2 applying research skills.pdfnhs fpx 4000 assessment 2 applying research skills.pdf
nhs fpx 4000 assessment 2 applying research skills.pdf
aleyna0069
 
High Class Girls Call Mumbai 9910780858 Provide Best And Top Girl Service And...
High Class Girls Call Mumbai 9910780858 Provide Best And Top Girl Service And...High Class Girls Call Mumbai 9910780858 Provide Best And Top Girl Service And...
High Class Girls Call Mumbai 9910780858 Provide Best And Top Girl Service And...
jealousviolet
 
New Girls Call Navi Mumbai 9930245274 Unlimited Short Providing Girls Service...
New Girls Call Navi Mumbai 9930245274 Unlimited Short Providing Girls Service...New Girls Call Navi Mumbai 9930245274 Unlimited Short Providing Girls Service...
New Girls Call Navi Mumbai 9930245274 Unlimited Short Providing Girls Service...
revolutionary575
 
Positive Parenting: Raising Happy, Confident Children | UCS
Positive Parenting: Raising Happy, Confident Children | UCSPositive Parenting: Raising Happy, Confident Children | UCS
Positive Parenting: Raising Happy, Confident Children | UCS
info513572
 
chapter 1- changing trends in physical education.pptx
chapter 1- changing trends in physical education.pptxchapter 1- changing trends in physical education.pptx
chapter 1- changing trends in physical education.pptx
divijsinghrenu10
 
Welco to PowerPointhihhlljjjllasfafafkkk
Welco to PowerPointhihhlljjjllasfafafkkkWelco to PowerPointhihhlljjjllasfafafkkk
Welco to PowerPointhihhlljjjllasfafafkkk
TngHunh31
 
Top 10 Antibiotic Manufacturers in India
Top 10 Antibiotic Manufacturers in IndiaTop 10 Antibiotic Manufacturers in India
Top 10 Antibiotic Manufacturers in India
DM Pharma
 
How Virtual Medical Assistants Improve Patient Engagement.pdf
How Virtual Medical Assistants Improve Patient Engagement.pdfHow Virtual Medical Assistants Improve Patient Engagement.pdf
How Virtual Medical Assistants Improve Patient Engagement.pdf
johnmark49490
 
Mind Sound Resonance Technique (MSRT) Certificate Course.ppt
Mind Sound Resonance Technique (MSRT) Certificate Course.pptMind Sound Resonance Technique (MSRT) Certificate Course.ppt
Mind Sound Resonance Technique (MSRT) Certificate Course.ppt
Karuna Yoga Vidya Peetham
 
Girls Call Thane 000XX00000 Provide Best And Top Girl Service And No1 in City
Girls Call Thane 000XX00000 Provide Best And Top Girl Service And No1 in CityGirls Call Thane 000XX00000 Provide Best And Top Girl Service And No1 in City
Girls Call Thane 000XX00000 Provide Best And Top Girl Service And No1 in City
snehamittal#G05
 
ALTERNATIVE THERAPIES DURING LABOUR.pptx
ALTERNATIVE THERAPIES DURING LABOUR.pptxALTERNATIVE THERAPIES DURING LABOUR.pptx
ALTERNATIVE THERAPIES DURING LABOUR.pptx
BhagyashreeDash6
 
Top Companies Empowering Access to Healthcare 2024.pdf
Top Companies Empowering Access to Healthcare 2024.pdfTop Companies Empowering Access to Healthcare 2024.pdf
Top Companies Empowering Access to Healthcare 2024.pdf
insightscare
 
Visual Processing, Visual Perception & Visual-Motor Deficit.pdf
Visual Processing, Visual Perception & Visual-Motor Deficit.pdfVisual Processing, Visual Perception & Visual-Motor Deficit.pdf
Visual Processing, Visual Perception & Visual-Motor Deficit.pdf
Occupational Therapist
 
Girls Call Hyderabad 000XX00000 Provide Best And Top Girl Service And No1 in ...
Girls Call Hyderabad 000XX00000 Provide Best And Top Girl Service And No1 in ...Girls Call Hyderabad 000XX00000 Provide Best And Top Girl Service And No1 in ...
Girls Call Hyderabad 000XX00000 Provide Best And Top Girl Service And No1 in ...
pinkichadda23 #v08
 
RNA AND DNA VIRUSES morphology,chemical composition
RNA AND DNA VIRUSES morphology,chemical compositionRNA AND DNA VIRUSES morphology,chemical composition
RNA AND DNA VIRUSES morphology,chemical composition
BenjaminMutisyaMuimi
 

Recently uploaded (20)

Procaine powder cas 51-05-8 safe Transport safety to Europe Netherlands Facto...
Procaine powder cas 51-05-8 safe Transport safety to Europe Netherlands Facto...Procaine powder cas 51-05-8 safe Transport safety to Europe Netherlands Facto...
Procaine powder cas 51-05-8 safe Transport safety to Europe Netherlands Facto...
 
Cardiac_Disease-1.ppt in canine & feline
Cardiac_Disease-1.ppt in canine & felineCardiac_Disease-1.ppt in canine & feline
Cardiac_Disease-1.ppt in canine & feline
 
Chennai @Girls @Call WhatsApp Numbers 🫦0000XX0000🫦 List For Friendship Girls ...
Chennai @Girls @Call WhatsApp Numbers 🫦0000XX0000🫦 List For Friendship Girls ...Chennai @Girls @Call WhatsApp Numbers 🫦0000XX0000🫦 List For Friendship Girls ...
Chennai @Girls @Call WhatsApp Numbers 🫦0000XX0000🫦 List For Friendship Girls ...
 
Premium Girls Call Mumbai 9910780858 Provide Best And Top Girl Service And No...
Premium Girls Call Mumbai 9910780858 Provide Best And Top Girl Service And No...Premium Girls Call Mumbai 9910780858 Provide Best And Top Girl Service And No...
Premium Girls Call Mumbai 9910780858 Provide Best And Top Girl Service And No...
 
Girls Call Delhi 000XX00000 Provide Best And Top Girl Service And No1 in City
Girls Call Delhi 000XX00000 Provide Best And Top Girl Service And No1 in CityGirls Call Delhi 000XX00000 Provide Best And Top Girl Service And No1 in City
Girls Call Delhi 000XX00000 Provide Best And Top Girl Service And No1 in City
 
nhs fpx 4000 assessment 2 applying research skills.pdf
nhs fpx 4000 assessment 2 applying research skills.pdfnhs fpx 4000 assessment 2 applying research skills.pdf
nhs fpx 4000 assessment 2 applying research skills.pdf
 
High Class Girls Call Mumbai 9910780858 Provide Best And Top Girl Service And...
High Class Girls Call Mumbai 9910780858 Provide Best And Top Girl Service And...High Class Girls Call Mumbai 9910780858 Provide Best And Top Girl Service And...
High Class Girls Call Mumbai 9910780858 Provide Best And Top Girl Service And...
 
New Girls Call Navi Mumbai 9930245274 Unlimited Short Providing Girls Service...
New Girls Call Navi Mumbai 9930245274 Unlimited Short Providing Girls Service...New Girls Call Navi Mumbai 9930245274 Unlimited Short Providing Girls Service...
New Girls Call Navi Mumbai 9930245274 Unlimited Short Providing Girls Service...
 
Positive Parenting: Raising Happy, Confident Children | UCS
Positive Parenting: Raising Happy, Confident Children | UCSPositive Parenting: Raising Happy, Confident Children | UCS
Positive Parenting: Raising Happy, Confident Children | UCS
 
chapter 1- changing trends in physical education.pptx
chapter 1- changing trends in physical education.pptxchapter 1- changing trends in physical education.pptx
chapter 1- changing trends in physical education.pptx
 
Welco to PowerPointhihhlljjjllasfafafkkk
Welco to PowerPointhihhlljjjllasfafafkkkWelco to PowerPointhihhlljjjllasfafafkkk
Welco to PowerPointhihhlljjjllasfafafkkk
 
Top 10 Antibiotic Manufacturers in India
Top 10 Antibiotic Manufacturers in IndiaTop 10 Antibiotic Manufacturers in India
Top 10 Antibiotic Manufacturers in India
 
How Virtual Medical Assistants Improve Patient Engagement.pdf
How Virtual Medical Assistants Improve Patient Engagement.pdfHow Virtual Medical Assistants Improve Patient Engagement.pdf
How Virtual Medical Assistants Improve Patient Engagement.pdf
 
Mind Sound Resonance Technique (MSRT) Certificate Course.ppt
Mind Sound Resonance Technique (MSRT) Certificate Course.pptMind Sound Resonance Technique (MSRT) Certificate Course.ppt
Mind Sound Resonance Technique (MSRT) Certificate Course.ppt
 
Girls Call Thane 000XX00000 Provide Best And Top Girl Service And No1 in City
Girls Call Thane 000XX00000 Provide Best And Top Girl Service And No1 in CityGirls Call Thane 000XX00000 Provide Best And Top Girl Service And No1 in City
Girls Call Thane 000XX00000 Provide Best And Top Girl Service And No1 in City
 
ALTERNATIVE THERAPIES DURING LABOUR.pptx
ALTERNATIVE THERAPIES DURING LABOUR.pptxALTERNATIVE THERAPIES DURING LABOUR.pptx
ALTERNATIVE THERAPIES DURING LABOUR.pptx
 
Top Companies Empowering Access to Healthcare 2024.pdf
Top Companies Empowering Access to Healthcare 2024.pdfTop Companies Empowering Access to Healthcare 2024.pdf
Top Companies Empowering Access to Healthcare 2024.pdf
 
Visual Processing, Visual Perception & Visual-Motor Deficit.pdf
Visual Processing, Visual Perception & Visual-Motor Deficit.pdfVisual Processing, Visual Perception & Visual-Motor Deficit.pdf
Visual Processing, Visual Perception & Visual-Motor Deficit.pdf
 
Girls Call Hyderabad 000XX00000 Provide Best And Top Girl Service And No1 in ...
Girls Call Hyderabad 000XX00000 Provide Best And Top Girl Service And No1 in ...Girls Call Hyderabad 000XX00000 Provide Best And Top Girl Service And No1 in ...
Girls Call Hyderabad 000XX00000 Provide Best And Top Girl Service And No1 in ...
 
RNA AND DNA VIRUSES morphology,chemical composition
RNA AND DNA VIRUSES morphology,chemical compositionRNA AND DNA VIRUSES morphology,chemical composition
RNA AND DNA VIRUSES morphology,chemical composition
 

Mgm mtp act abortion

  • 1. Medical Termination of Pregnancy (MTP), sterilization and birth control
  • 2. Content Questions Q. Define and categorize abortion. Q. Enumerate the complications and sequele of abortions. Q. Describe the condition, person and place covered under MTP act 1971 Q. Explain the male and female terminal methods of contraceptive procedures with their complications Q. Describe the various miscellaneous methods of birth control 2/24/2016 2
  • 3. • Abortion = Termination of pregnancy before the foetus becomes viable. Category: - Spontaneous: “ Natures method of birth control” - Induces: deliberately done legally or illegally
  • 4. Abortion facts • Out of 210 m pregnancies, 80 m are unintended • 2008: 21.6 m unsafe abortions causing 47,000 deaths • 14 unsafe abortions/ 1000 women (15-44 yrs) • Developing countries, its 16 per 1000 women • India: ICMR study documented safe 6.1 and unsafe 13.5 per 1000 pregnancies • 2/3rd takes place outside authorized health service
  • 5. Complications and sequelae Early complications: - Haemorrhage - Shock - Sepsis - Uterine perforation - Cervical injury - Thromboembolism - Anaesthetic and psychiatric Late sequelae - Infertility - Ectopic gestation - sed risk of spontaneous abortion - Reduced birth weight
  • 6. Medical termination of pregnancy act 1971 Coverage under MTP act 1971 1. Conditions under which preg can be terminated 2. Person/s who can perform 3. The place – terminations are performed
  • 7. 1. Conditions under which pregnancy can be terminated Five - Medical: continuation might endanger mothers life - Eugenic: risk of the child being born handicap - Socio-economic: could lead to mothers health injury - Humanitarian: pregnancy is the result of rape - Failure of contraception: anguish caused by unwanted pregnancy causing grave mental injury to the mother Medical termination of pregnancy (MTP) act 1971 (contd.)
  • 8. 2. The Person/s who can perform abortion • The act authorises only Registered Medical Practitioner having experience in Gynaec. and obs. (preg < 12 wks) • 12wks – 20 wks: Opinion of two RMPs is necessary Medical termination of pregnancy (MTP) act 1971 (contd.)
  • 9. 3. The place where abortion is performed • NGOs may also take up – licence from dist. CMO Medical termination of pregnancy (MTP) act 1971 (contd.)
  • 10. Strategies of safe MTP centres and service providers At community level: a. Spread awareness regarding availability of safe MTP b. Access to confidential counselling: train ANMs, AWW, ASHA c. Provide post abortion care At the facility level: a. To provide manual vaccum aspiration facility b. Provide comprehensive & high quality services at FRUs c. Encourage private and NGO sectors to establish
  • 12. Sterilization Male Sterilization: 10-15% of sterilization in India though it is simpler, safer & cheaper than female sterilization (85%) Guidelines for sterilization 1) Age of husband should not be <25 yrs or >50 yrs 2) Age of wife should not be<20 yrs or >45 yrs 3) Motivated couple must have 2 living children 4) If the couple has 3 or more children the lower age limit of couple can be relaxed by surgeon 5) Acceptor declares having obtained consent of his/her spouse to undergo sterilization
  • 13. Female sterilization • Postpartum/ at time of abortion • 2 procedures: – Laparoscopy, – Mini-laparotomy (pomeroy)
  • 14. Laparoscopic female sterilization • Abdominal approach, specialized instrument called “laparoscope” • Abdomen inflated with gas • Falope rings (clips) applied to occlude the tubes • Specialists availability ensured prior operation • Short operating time, short hospital stay, small scar Complications: Puncture of large vessels Patient selection: Not advisable postpartum for 6 wks
  • 15. Minilaparotomy • Modification of abdominal Tubectomy • Simpler procedure requiring a smaller abdominal incision of only 2.5 – 3cm under LA • Minilap/ Pomeroy technique • Suitable technique at PHC for mass campaigns • Suitable for post partum period.
  • 16. Male sterilization (vasectomy) • Simpler, faster, less expensive than tubectomy in terms of instruments, hospitalization and doctor’s training • Cost wise ratio: 5 vasectomy to 1 tubal ligation Procedure: • Acceptor is not immediately sterile after operation usually until 30 ejaculations have taken place • Remove at least 1 cm vas after clamping
  • 17. Complications of male sterilization • Operative : Pain, haematoma, wound infection (3%) • Sperm granules (7mm) • Spontaneous recanalization • Autoimmune response • Psychological
  • 18. Post – operative advice • Pt should be told that he is not sterile immediately after operation, at least 30 ejaculations may be necessary before seminal examination is negative • Use contraceptives until aspermia has been established • Avoid taking bath for at least 24 hrs after operation • Wear T-bandage / scrotal support for 15 days • Avoid cycling/heavy wt. lifting for 15 days • To have stitch removed on 5th day after operation
  • 19. No Scalpel Vasectomy (NSV) • New technique that is safe, convenient & acceptable to males • Accepted by NHFWP • Availability of this new technique at the peripheral level will increase the acceptance of male sterilization • Project is being funded by UNFPA
  • 20. Miscellaneous methods of birth control 1) Abstinence 2) Coitus interruptus 3) Safe period (rhythm method) 4) Natural methods: a) Basal body temperature method b) Cervical mucus method c) Symptothermic method i. Breast-feeding ii. Birth control vaccines
  • 21. Safe period (Rhythm method) • Calendar method • First day of fertile period: Shortest cycle – 18 days • Last day of fertile period: Longest cycle – 10 days • Eg
  • 22. Safe period (contd.) • Drawbacks: – Woman’s menstrual cycle is not regular – To be used by educated & responsible couples with high degree of motivation – Compulsory abstinence of sexual intercourse for nearly half of every month – Not applicable during post natal period – High failure rate: 9 per 100 HWY • Complications: – Ectopic pregnancy – Embryonic abnormality
  • 23. Natural family planning methods a) Basal body temperature method (BBT) : – Rise of body temp by 0.3 – 0.5 degree C at the time of ovulation – Intercourse restricted to post-ovulatory infertile period b) Cervical mucus method – Billings method/ ovulation method – At the time of ovulation, cervical mucus becomes watery clear resembling raw egg white, smooth, sleepery – After ovulation mucus thickens (progesterone) c) Symptothermic method (combines temp. cervical and calender technique
  • 24. Miscellaneous methods (Contd.) • Breast feeding: – Lactational amenorrhoea • Birth control vaccine – Prepared from B subunit of hCG – Research phase
  • 26. ‘THANKS FOR THE ATTENTION’ REVISE IT Today 2/24/2016 26