RUFAIDA COLLEGE OF NURSING

LESSON PLAN
ON
FAMILY PLANNING

Submitted To Submitted By
Mrs.Somibala Ms. Deepti Kukreti
Rufaida College of Nursing Rufaida College Of Nursing

Submitted On
GENERAL INFORMATION

Name of the student teacher :Ms. Deepti Kukreti

Topic :Family Planning

Group :Reproductive age group

Venue :ANC OPD

Time duration :30 minutes

Size of group :10-15

Subject :Obstetrics and Gynaecology

Method of teaching :Role play

Av aids :Charts, flash cards

Previous knowledge of the group :Group have some knowledge about the family planning through their practices and knowledge given by

their elders
GENERAL OBJECTIVES

o According To Group Point Of View:-

At the end of teaching group will be able to understand about the family planning and also able to implement those advices and clarify doubts.
o According To Student Teacher Point Of View:-
At the end of health education , student teacher will gain more confidence and skills in delivering health talk and also able to have depth knowledge about topic
and counselling the mother on family planning.

SPECIFIC OBJECTIVES

At the end of the health talk the group will be able to:-
o Define family planning.
o Enlist the objectives of family planning.
o enlist the services that makes family planning possible.
o describe the small family norm and its importance.
o explain the advantages of family planning.
o define contraceptive methods.
o discuss the criteria for ideal contraceptive
o explain the methods of contraceptives.
 LEARMING AND
TIME SPECIFIC CONTENT TEACHING EVALUATION
OBJECTIVE ACTIVITY
2min To Introduce self and I Deepti Kukreti student of
topic to the group. M.sc 1st year from
Rufaida College Of
Nursing going to present
health talk on
‘FAMILY PLANNING’
Family planning services
are defined as educational
comprehensive medical or
social activities which
enables individuals,
including minors, to
determine freely the
number and spacing of
their children.
2min To define family Definition Of Family Planning The student teacher Define family
planning Family planning is a way of thinking and living that it is adopted defines family planning. planning?
voluntary upon the basis of knowledge, attitude and responsible
decision by person and couple in order to provide the health and
welfare of the family group and thus contribute effectively to the
social development of a country-WHO

2 min To enlist the objectives Objectives Of Family Planning:-

of family planning.
To enlist the services that
2min make family planning
possible.
To describe the small
family norm and its
3min
importance.
 To avoid unwanted births. The student teacher enlist What are the objectives
 To bring out wanted births. the objectives of family of family planning?
 To regulate the interval between pregnancies planning.
 To control the time at which birth occurs in relation to the
age of parents.
 To determine the number of children in the family.
Services That Make This Practice Possible Are:- The student teacher enlist What are the devices
 Education and counselling on family planning. the devices that make that make family
family planning possible planning possible?
 The provision of contraception.
 The management of infertility.
 Education about sex and parenthood.
 Organizationally related activities such as genetic and
marriage counselling, screening for abnormalities and
adoption services.
The student teacher What are the small
Small Family Norm And Its Importance describe the small family family norm and its
All the efforts are being made through mass communication that norm and its importance. importance?
the concept is accepted , adopted into the lifestyle of the people.
The norm in relation into family size, implies a pattern which sets
the limits of any community’s fertility behaviour. The size of
family affects the quality of life of human beings.

Family size affects the family in following spheres of life:-

-Basic human needs
-Income and growth of economy and savings.
-Food and nutrition ,quality and quantity.
-Use of land and urban public system.
-Health especially that of mothers of child.
 -Education particularly that children.

5min To explain the Advantages Of Family Planning

advantages of family The student teacher What are the
planning.  TO MOTHER explain the advantages of advantages of family
 In a small planned family, a mother can maintain her health family planning. planning?
by restricting the no. of the children and spacing her
pregnancy.
 It creates loss of fear about unwanted pregnancy.
 Mother will have been strain and worry due to limited
number of children.
 Mother will have more to give proper attention and love her
children.
 Mother will have more time to participate in other fruitful
attributes like education, vocation training, community
project etc.
 Mother can await better job opportunities in small family.
 Mother can save child’s health, low chance of foetal death,
birth defects, mortality during infancy and childhood.

 TO CHILD
 Child will have a good environment for his proper
psychological growth and development.
 Child get proper nutrition, education, parental care and love.
 Child can provide sound economic base for family.

 TO FATHER
 Father can provide children with better education ,comfort,
food, clothing, recreation.
 He will be more relaxed and enjoy good health.
 He will have improved living standard, better health.

 TO COMMUNITY
 Small family leads to conservation of natural resources and
savings.
 Small family norms helps the nation to have enough school,

To define contraceptive
1min methods.
To discuss the criteria for
2min ideal contraceptive.
To explain the methods
20min
of contraceptives.
hospital and other basis services.
 Small family norm yields more employment.
 Small planned families would gradually bring happiness,
harmony and prosperity.
CONTRACEPTIVE METHODS The student teacher Define contraceptive
Contraceptive methods are preventive methods to help women defines contraceptive methods?
avoid unwanted pregnancies. They include all temporary and methods.
permanent methods to prevent pregnancy resulting from coitus,
Criteria For Ideal Contraceptive The student teacher What is the criteria for
 It should be safe for use ,means free from any kind of side discuss the criteria for an ideal contraceptive?
effects. ideal contraceptive.
 It should be reliable.
 It should be easy to administer and convenient.
 It should be cost effective.
 It should be culturally feasible and acceptable.
Methods Of Contraceptives:-
The student teacher Explain contraceptive
explains the various methods?
methods of contraceptives.
contraceptive
methods
spacing terminal
methods methods
post- intra- female
barrier hormonal male
conceptional uterine miscellaneous sterlizatio
methods methods sterlization
methods devices n
I. SPACING METHODS
o Help in prevention of pregnancy as long as they are used.
o Help in timing and spacing of pregnancy preventing
unwanted children.
o These methods are temporary methods.
A. Barrier Methods
 Barrier methods are those methods which prevent meeting
of sperms with the ovum. There are three types of barrier
method:-
1. Physical Barrier method
 Condom(nirodh)
It is a thin rubber sheath which is used by men.it is rolled
over the erect penis before having sex. This rubber sheath
prevents the entry of semen into the vagina.
 Female condom
It is a pouch made of polyurethane, which lines the vagina.
An internal ring in the close end of the pouch covers the
cervix and an external ring remains outside the vagina.
 Diaphragm
The diaphragm is used by women in her vagina to form a
barrier in front of the cervix. The diaphragm is dome shape
and is like a shallow cap. It is made of soft synthetic rubber
or plastic with a stiff but flexible rim around the edge.
 Vaginal sponge
It is a small polyurethane foam sponge, diffused with
spermicide. The sponge is shaped in a way that it can be
fitted on the cervix and has a loop on its outer surface which
can be used to pull out the sponge after use.
-should be inserted before the coitus
-provides protection for 24 hours.

2. Chemical methods
These methods usually kills the sperms and the chemical
contraceptives help in preventing the pregnancy. They
comprise four categories:-
 Foams
 Creams
 Suppositories
 Soluble films

3. Combined methods

B. Intra-Uterine Devices
 These are the devices which are placed into the uterine
cavity. Earlier these devices were made up of silk worm gut,
silk and gold.
There are three different type of IUD’s:-
 First generation IUD’s
These devices comprise the inert or non-medicated devices,
usually made of polythene, or other polymers.eg. Lippes
loop-it contains a small amount of barium sulphate to allow
x-ray observation.
 Second generation IUD’s
These are also made of polythene but copper is added into
these. The copper enhances the contraceptive effect. Variety
of copper-T devices are:-
-copper-7 and copper-T200
-Variants of T devices: TCu:220C:and TCu:380A
-Multiload devices:ML-Cu:250,ML-Cu:375
-nova T:TCu-380
 Third generation IUD’s
These contains hormones which is released slowly in the
uterus. The hormone affects the lining of uterus and cervical
mucus. It may affect the sperm.eg- progestasert and LNG-
20(Mirena).

C. Hormonal Methods
These are found to be the most effective method to prevent
unwanted pregnancies. These are classified as below:-
 Oral pills:
-Combined pill
It contains oestrogen and progesterone. The pill is given
orally for 21 consecutive days beginning on the 5th day of
menstrual cycle followed by a break of 7 days during which
period mensturationoccurs.eg:- MALA-N and MALA-D.
-Progesterone only pill
This pill commonly referred as minipill or micropill. It
contains only progesterone, which is given in small doses
through-out the cycle.eg:-levonorgestrel.
 -Post-coital pill
It recommended within 72 hours of an unprotected
intercourse.
-Once a month(long-acting pill)
Once-a-month oral pill in which quinestrol, a long acting
oestrogen is given in combination with short acting
progesterone.
-Male pill
An ideal male contraceptive pill would decrease sperm
count while leaving testosterone at normal levels. A male
pill is made up of gossypol- a derivative of cotton seed oil.

 Depot formulations:
They are highly effective, reversible, long-acting and
oestrogen- free for spacing pregnancies in which a single
administration is sufficient for several months or years.
-Injectables
There are two types of injectable contraceptives:-
*Progesterone-only injectables i.e DMPA,NET-EN,DMPA-
SC.
*Combined injectables contraceptives:-these contain
progesterone and an oestrogen. They are given at monthly
intervals plus or minus 3 days.
-Subdermal implants
Nor- plant is a highly effective, reversible, oestrogen free,
long- acting contraceptive.it is implanted sub dermally.
-Vaginal rings
Vaginal rings containing levonorgestrel have been found to
be effective. The hormone is slowly absorbed through the
vaginal mucosa. The ring is worn in the vagina for 3 weeks
of the cycle and removed for the fourth.

D. Post-Conceptional Methods
Post conceptional method is advocated as an emergency
method.eg. after unprotected intercourse, rape or
contraceptive failure. Two methods are available:-
 Hormonal- in this progesterone 0.75mg is taken as soon as
 possible or within 72 hours of unprotected intercourse and
2nd dose is taken 12 hours after the intake of first dose or
two tablets(1.5mg) are taken together as soon as possible or
within 72 hours.
 IUD-The the simplest technique is to insert IUD within 5
days of unprotected sex.

E. Miscellaneous
 Abstinence(withdrawl)- It is an ancient method of
contraception. The male withdraws just before ejaculation
and thereby prevents deposition of semen in the vagina.
The risk of pregnancy is very high because small amounts
of pre-ejaculatory fluid containing sperms ooze out during
intercourse.
 Rhythm method- A week before and a week after the
menses is considered as the safe period. During this period
the women is not fertile because she can not ovulate. For eg.
If the day of menstruation for a women is Monday, the next .
Monday will be her first risky day. The period between the
first risky Monday and last risky Monday will be the unsafe
period.
 Breast feeding- Breast feeding has a natural contraceptive
effect. The mother should be encouraged to breast feed their
babies for more than one year. This will help in spacing the
birth of their children more widely.

II. TERMINAL METHODS

A. Male Sterilization
Male sterilization or vasectomy being a comparatively
simple operation under strict aseptic technique. It involve
cutting and tying off the vas deferens(sperm tubes) on each
side.
No scalpel vasectomy:-it is performed under local
anaesthesia. The vas is grasped with a specially designed
forceps. Stretched skin over the vas is punctured with the
sharp pointed end of a forceps instead of using a scalpel. No
skin suturing is needed.
 B. Female Sterilization
Female sterilization can be done as an interval procedure or
at the time of abortion.
It involves cutting and tying off the fallopian tube
There are three main methods of female sterilization:-
 Traditional tubectomy:- This is an abdominal
operation in which small piece of each fallopian tube
is removed and ligated.
 Mini-lap operation:- It is a modification of the
traditional laparotomy tubectomy. It requires a small
suprapubic incision of 2.5 to 3cm just above the
pubic hair. The tubes are cut ends are blocked then
the incision is closed.
 Laparoscope:- With the laparoscope the tubes are
identified then the fallope rings are applied to
occlude the tubes.

SUMMARY
5min
Today we discussed about
family planning methods.
it explained about the
definition of family
planning, contraceptive
methods, classification of
contraceptive methods
criteria for ideal
contraceptive, types of
contraceptive methods like
barrier methods, intra-
uterine devices, post-
conceptional methods,
hormonal methods or
terminal methods.
 CONCLUSION

family planning services

are educational
comprehensive medical or
social activity which
enables individuals,
minors to determine freely
the number of spacing of
their children’s. The group
was able to understood the
topic and giving a good
response. it was a
knowledgeable experience
for me.
BIBLIOGRAPHY
 PARK.K, Textbook Of Preventive And Social
Medicine,23th Edition, Bhanot Publications, Page 526-531
 Basavanthappa, Textbook Of Community Health Nursing
Practice, Jay Pee Publication,Page-568
 Gulani K.K.A Textbook Of Community Health
Nurse.Kumar Publishing2016;85-89
 www.WHO.com
 www.unicef.in