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Family Assessment Tool for Obstetric History

This document provides information on assessing a woman's obstetric and reproductive history. It includes definitions of terms like gravida, para, and gestational age. It also outlines natural family planning methods like calendar-based tracking and basal body temperature readings to identify the fertile window each cycle. Artificial contraceptive options are discussed as well, including hormonal methods like oral contraceptive pills and implants, IUDs, and barrier/surgical methods. The document aims to inform couples' reproductive life planning by explaining how to assess a woman's pregnancy history and review natural and artificial family planning approaches.

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Angelica Aycardo
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73 views2 pages

Family Assessment Tool for Obstetric History

This document provides information on assessing a woman's obstetric and reproductive history. It includes definitions of terms like gravida, para, and gestational age. It also outlines natural family planning methods like calendar-based tracking and basal body temperature readings to identify the fertile window each cycle. Artificial contraceptive options are discussed as well, including hormonal methods like oral contraceptive pills and implants, IUDs, and barrier/surgical methods. The document aims to inform couples' reproductive life planning by explaining how to assess a woman's pregnancy history and review natural and artificial family planning approaches.

Uploaded by

Angelica Aycardo
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

FAMILY ASSESSMENT TOOL

OBSTETRIC HX REPRODUCTIVE LIFE PLANNING

Gravida – number of times woman has been pregnant •Includes all decisions couple make about whether and
including the current pregnancy when to have children, how many children to have, and
how they are spaced.
Para- number of pregnancies that have reached
viability, regardless whether the infants were born alive •Natural Methods

Nulligravida- woman who has never been and is not •Artificial Methods
currently pregnant
NATURAL FAMILY PLANNING
Primigravida- woman who is pregnant for the first time
•Involves no introduction of chemical or foreign
Multigravida- woman who has carried two or more material into the body.
pregnancies
•Abstaining from coitus during fertile period.
Primipara- woman who has given birth past age of
•Effectiveness vary from 25-85%.
viability
FERTILE PERIOD
Multipara- woman who has carried two or more
pregnancies to viability •Days on which the woman has the most likely chance
to get pregnant.
Term- number of infants born at or after the 37 weeks
•4 days before ovulation and 3 days after the ovulation
Preterm- number of infants born before 37 weeks

Abortion- number of spontaneous miscarriages and


therapeutic abortion

Living- number of living children

Multiple pregnancies- number of multi pregnancies

Viability- earliest time at which fetus can survive outside


the uterus. Generally at AOG above 24 weeks

LMP
Methods to detect fertile period:
 Ask the date of the LMP
 Compute for the EDD using the Naegele’s Rule 1. Calculating the period based from formula.
 Naegele’s Rule 2. Measuring the woman’s body temperature.
 minus 3 (month)
 add 7 (day) 3. Observing the consistency of cervical mucus.
 add 1 (year) 4. Use of OTC ovulation kit.
Ex. LMP is September 17, 2020 NFP METHODS
9 17 2020 1. Abstinence
-3 +7 +1 2. Calendar (Rhythm)
6 24 2021 3. Basal Body Temperature
 if the month of the LMP is the first 3 months of ABSTINENCE
the year
 add 12 months to the month of the LMP before •Refraining from coitus during the fertile period.
deducting 3 •Has 0% failure rate
 add 7 to the day
 year is the same with the year of the LMP CALENDAR METHOD
 if the day is at the end of the month (25-31)
•Requires a couple to abstain from coitus on days of the
 minus 3 from the month menstrual cycle when the woman is most likely to
 plus 7 to the day, for those exceeding 30/31, conceive.
add 1 month then identify the number of days
remaining •avoiding coitus 3-4 days before and after ovulation.
 add 1 to the year
•the woman should keep a diary of 6 menstrual cycles.
Then calculate for the “safe” days.
FAMILY ASSESSMENT TOOL
•The menstrual cycle is ranging from 25-29 days.

•25–18=7

•29–11=18

•Fertile period is from day 7-18 of the menstrual cycle.

BASAL BODY TEMPERATURE

•Before the day of ovulation, a woman’s BBT falls about


0.5F and at the time of ovulation, BBTrises.

•As soon as she notice a slight dip followed byanin


creasing temperature, the woman has ovulated and
should refrain from having coitus for the next 3-4days.

Should be used together with Calendar Method so they


can abstain from coitus few days before ovulation.

ARTIFICIAL METHODS

1. Hormonal contraceptives

A. Oral

b. Transdermal contraception

c. Vaginal insertions

D. implantation

E. injection

2. IUD

3. Barrier methods

A. Chemical

b. Mechanical–Caps and Condoms

4. Surgical methods

a. Vasectomy

b. Tubal Ligation

HORMONAL CONTRACEPTIVES

ORAL CONTRACEPTIVES :( 99.7%)

•Commonly known a pills, OC or COC.

•Synthetic Estrogen will suppress the Hypothala must o


release GnRH.

•Synthetic Progesterone complements Estrogen which


limit sperm motility and access to ova

HORMONAL CONTRACEPTIVES

IMPLANTS:(99%)

•ImplantationofRodcontainingProgestinundertheskin.

•Rodthesizeofapencilleadareembeddedjustundertheski
nontheinsideoftheupperarm+

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