FAMILY WELFARE PROGRAMME

Family Planning
Definition: It is defined as,a way of of thinking and living that is adopted
voluntarily,upon the basis of knowledge, attitudes and responsible
decisions by individuals and couples, in order to promote the health and
welfare of the family group and thus contribute effectively to the social
development of a country. (By An Expert Committee of WHO,1971)

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 the intervals between pregnancies
 To control the time at which births occur in relation to the ages of
the parents
 To determine the number of children in the family
CONTRACEPTIVE METHODS(Fertility regulating methods)
Definition: It is defined as, the preventive methods to help women
unwanted pregnancies.
Conventional contraceptives:It is used to denote those methods that
require action at the time of intercourse. Eg:condoms,spermicides etc.
Classification:
1. SPACING METHODS
1. Barrier methods
 Physical methods:
 Condoms(male/female)
 Diaphrragm
 Vaginal sponge
 Chemical methods
 Combained methods
2. Intrauterine devices
3. Hormonal methods
4. Post conceptional methods
5. Miscellaneous

2. TERMINAL METHODS
1. Male sterilization eg: Vasectomy
2. Female sterilization eg: Tubectomy
INTRAUTERINE DEVICES
1. Non medicated
 First generation IUD
Eg: Lippes loop
2. Medicated
 Second generation IUD
Eg: Earlier devices_ Copper 7,Copper T_200
Newer devices_ T cu_ 200c, T cu_380 A/Ag
Nova T
Multiloaded devices_ ML_cu_250,ML_cu_375
 Third generation IUD
 Progestasert(releasing 38mg natural progesterone)
 LNG_20/Minera(releasing 20mg of levonergestrel, a
synthetic hormone)

HORMONAL CONTRACEPTIVES
1) Oral pills
 Combined pills
 Progesterone only pills
 Post coital pill
 Once a month pill(long acting)
 Male pill
2) Depot(slow release) formulations
 Injectables eg: DMPA(depot medroxyprogesterone
acetate),NET_EN(norethisterone enantate)
 Subdermal implants eg: Norplant
 Vaginal rings