COLLEGE OF NURSING

In Partial Requirement for NCM 107 Care of Mother, Child and Adolescents
(Well Clients)

Submitted by:
Casey D. Rosios
Nichelle Mitch A. Lordan
Aisha Marie Pepito
Jhia Willin Prada
Wendelyn Arcamo
Mary Cleir Credo
Jyssa Mae B. Javelona
Rusty Vincent Heyrosa
Dave Barbon

Submitted to:
Mrs. Fleoy T. Ysmael, RN, Ed. D, MAN, RM, PT
General Objective:
To educate married couples who are still on their reproductive years about the Family Planning
Methods.
Specific Objectives:
At the end of the discussion the married couples will be able to:
1. Understand the definition of contraception and family planning.
2. Understand the concept of Coitus interruptus or the Withdrawal method
3. Understand the concept of the Bilateral Tubal ligation.
4. To be more knowledgeable about the proper usage of condoms.

Introduction:

Profile of each participant:

Names:
Age:
Occupation:
Year (s) of marriage:
Number (s) of children:
Religion:

Profile of each participant:

Names:
Age:
Occupation:
Year (s) of marriage:
Number (s) of children:
Religion:

Profile of each participant:

Names:
Age:
Occupation:
Year (s) of marriage:
Number (s) of children:
Religion:

Profile of each participant:

Names:
Age:
Occupation:
Year (s) of marriage:
Number (s) of children:
Religion:

Profile of each participant:

Names:
Age:
Occupation:
Year (s) of marriage:
Number (s) of children:
Religion:

Textual Narrative Discussion:

Definition of Contraception
Contraception (birth control) prevents pregnancy by interfering with the normal process of
ovulation, fertilization, and implantation. There are different kinds of birth control that act at
different points in the process.
Definition of Family Planning
Family Planning (FP) is having the desired number of children and when you want to have them
by using safe and effective modern methods. Proper birth spacing is having children 3 to 5 years
apart, which is best for the health of the mother, her child, and the family.
Family planning allows people to attain their desired number of children, if any, and to
determine the spacing of their pregnancies. It is achieved through use of contraceptive methods
and the treatment of infertility.
Contraceptive information and services are fundamental to the health and human rights of all
individuals.
The prevention of unintended pregnancies helps to lower maternal ill-health and the number of
pregnancy-related deaths. Delaying pregnancies in young girls who are at increased risk of health
problems from early childbearing, and preventing pregnancies among older women who also
face increased risks, are important health benefits of family planning.
By reducing rates of unintended pregnancies, contraception also reduces the need for unsafe
abortion and reduces HIV transmissions from mothers to newborns. This can also benefit the
education of girls and create opportunities for women to participate more fully in society,
including paid employment.
Natural Method (Coitus Interruptus or Withdrawal method)
The withdrawal method of contraception (coitus interruptus) is the practice of withdrawing the
penis from the vagina and away from a woman's external genitals before ejaculation to prevent
pregnancy. The goal of the withdrawal method is also called "pulling out" and is to prevent
sperm from entering the vagina.

Using the withdrawal method for birth control requires self-control. Even then, the withdrawal
method isn't an especially effective form of birth control. Sperm may enter the vagina if
withdrawal isn't properly timed or if pre-ejaculation fluid contains sperm. The withdrawal
method doesn't offer protection from sexually transmitted infections.
Advantages:

• Is free and readily available

• Has no side effects
• Doesn't require a fitting or prescription

Some couples choose to use the withdrawal method because they don't want to use other
contraceptive methods.

Disadvantages:

• Does not offer protection from sexually transmitted infections.

• Some couples may also feel that this method disrupts sexual pleasure.
• The withdrawal method isn't as effective at preventing pregnancy as other forms of birth
control.
• Requires great self-control, practice and experience.

What you can expect:

To use the withdrawal method:

 Properly time withdrawal.

- When the man feels the urge to ejaculate while having sex, he must pull out his penis
from the vagina of the woman and must ejaculate away from the genitalia of the
woman.
 Take precautions before having sex again.
- Make sure that the man urinates first and cleans off the tip of his penis if he plans to
have sex again within a short period of time. This will help to remove the remaining
sperm from the previous ejaculation.

Artificial Method (Condoms)

A male condom is a thin sheath placed over the erect penis. When left in place during sexual
intercourse, oral sex or anal sex, male condoms are an effective way to protect yourself and your
partner from sexually transmitted infections (STIs). Male condoms are also an effective way to
prevent pregnancy.
Condoms, also called rubbers, are usually made of latex, but some are made from polyurethane
or lambskin. Latex and polyurethane condoms provide the most protection against STIs.
Male condoms are simple to use, inexpensive and widely available. They are available with or
without a lubricant and come in a variety of lengths, shapes, widths, thicknesses and colors.
Some condoms are textured to increase sensation.
Advantages:
• Condoms may be purchased without a prescription.
• Easy to use.
• Condoms do not physically alter the fertility of the person using them.
• Condoms is freely available from number of places (grocery stores, condom dispensing
machines in public restrooms, and even online).
• Protection against STIs and pregnancies.
• Condoms have high success rate as a contraceptive method when used properly. This
means that condoms are inexpensive means of contraception that is easily available to the
masses.
Disadvantages:
• Those with latex allergies may not be able to use regular condoms. An alternative would
be to use polyurethane condoms, or condoms made from lambskin. These are more
expensive than the regular condoms.
• Reduced sensitivity during intercourse.
• Condoms cannot be used oil-based lubricants, on water-based ones. Oil based lubricants
can cause the latex material of the condoms to disintegrate, and the condom may tear
during actual intercourse.
• Excessive friction During intercourse may cause the condom to tear and may result in an
unwanted pregnancy.
Incorrect removal and disposal of the condom may cause unintended pregnancy.
Types of Condoms
 Lubricated
 Spermicide-coated
 Textured Condoms
The female condom is also called an internal condom and is a birth control (contraceptive)
device that acts as a barrier to keep sperm from entering the uterus. It protects against pregnancy
and sexually transmitted infections (STIs).
The female condom is a soft, loose-fitting pouch with a ring on each end. One ring is inserted
into the vagina to hold the female condom in place. The ring at the open end of the condom
remains outside the vagina. The outer ring helps keep the condom in place and is also used for
removal. The female condom can be used during anal sex, too.
Advantages:
 Female condoms help to protect both partners from STIs, including HIV.
 When used correctly, they're a reliable method of preventing pregnancy.
 It's a form of contraception you only need to use when you have sex.
 There are no serious side effects.
Disadvantages:
 Some couples find that putting in a condom interrupts sex. To get around this, insert it in
advance or try to make doing so a part of foreplay.
 Female condoms are very strong, but they may split or tear if not used properly.
 They're not as widely available as male condoms and can be more expensive.
What you can expect:
To use the female condom:
 Open the package carefully. Don't use your teeth or fingernails, which could tear the
condom.
 Consider using additional lubrication. You can apply additional water-based or oil-based
lubricant to the condom to make it easier to insert and to minimize noise during sex.
 Insert the female condom. Squeeze the ring at the closed end of the pouch with your
middle finger and thumb and insert it into your vagina like a tampon. Place your index
finger inside the condom and push the ring up as far as it will go.
 Don't allow the condom to twist. Make sure the outer ring remains outside the vagina,
extending about 1 inch (or about 2.5 centimeters) beyond the labia. You can place the
female condom inside your vagina up to eight hours before sex.
 Guide the penis into the female condom. Make sure the penis doesn't slip between the
vagina and the outer surface of the female condom. During sex, make sure the outer ring
of the condom doesn't get pushed into the vagina.
Permanent Method (Bilateral Tubal Ligation)
Sterilization is meant to be permanent. Getting a sterilization reversed is really expensive,
complicated, and it doesn't always work — your fertility may never come back.

Bilateral Tubal Ligation

• is a of birth control called sterilization where in it blocks your fallopian tubes, preventing sperm
from meeting egg, effectively preventing pregnancy. Bilateral means the procedure is being done
to both fallopian tubes.

TYPES OF BILATERAL TUBAL LIGATION

 Hulka or Filshie Clip Tubal Ligation

 Falloope ring (Rubber band) Tubal Ligation
 Pomeroy or Modified Pomeroy Ligation
 Bipolar Cauterization of the Tubes
 Monopolar Cauterizations of the Tubes
 Salpingectomy

BEFORE THE SURGERY THE PATIENT IS GIVEN

 • Make sure you are not pregnant
• IV Line
• Medicine for relaxation
• Local anesthesia
• General or Spinal Anesthesia can also be used

AFTER SURGERY

• The gas or carbon dioxide will be release

• Abdominal pain or cramping
• Fatigue
• Dizziness
• Gassiness or bloating
• Before you leave the hospital, your health care practitioner will talk to you about how to
manage any post-procedure pain.

• You can bathe 48 hours after the procedure, but don't massage or stretch the incision.
After showering, carefully dry the incision.
• Heavy lifting and sex should be avoided until your health care practitioner says it's okay.
As you begin to feel better, gradually resume your normal activities. Your stitches will
dissolve and you will not need to remove them.
• Check with your doctor to determine whether you need to schedule a follow-up
appointment.

Advantages

• You do not have to remember to take a pill every day.

• Permanently prevents pregnancy. A single procedure leads to lifelong, safe and effective
contraception.
• May also decrease your risk of ovarian cancer, especially if the fallopian tubes are
removed.
• Does not interfere with sex.
• Results increased sexual enjoyment-no need to worry about pregnancy.
• No effect in breastfeeding-quantity and quality of milk not affected.
• No known long term side effects or health risks.

Disadvantages

• Uncommon complications of surgery; infection or bleeding at the incision site, internal

infection or bleeding, injuries to internal organs.
• It cannot be undone depending on the type of ligation but even reversible ligation may
lead to infertility
• In rare cases Tubal ligation can cause fallopian tubes to rejoin or unblock, however this is
extremely uncommon.
• If you become pregnant after tubal ligation, the pregnancy may develop in your fallopian
tube, a condition known as ectopic pregnancy. Ectopic pregnancy is extremely risky.
• Requires physical examination and minor surgery by trained service provider
 • Clients may have limitation in physical activities such as heavy work and lifting heavy
objects immediately after surgery.

Task and Responsibilities of each member:

Casey D. Rosios – Leader/ Reporter
Nichelle Mitch A. Lordan- Reporter
Aisha Marie Pepito- Videographer and Video editor
Jhia Willin Prada- Reporter
Wendelyn Arcamo- Reporter
Mary Cleir Credo
Jyssa Mae B. Javelona- Reporter
Rusty Vincent Heyrosa- Reporter
Dave Barbon- Reporter

References:
http://www.healthofchildren.com/C/Contraception.html?
fbclid=IwAR2GoAduGz0S1dCQos1FRpCTuBXvhgkxU5zHjiO2_Qr58B8FBGlV_6lCliY
https://doh.gov.ph/faqs/What-is-family-planning?
fbclid=IwAR3WoUJcCS4DYGn8gBgQsEh4VzFW7IekKS-OFBp9uDBtJ97rYpr_nqO984U
https://www.who.int/health-topics/contraception?fbclid=IwAR0zoRiRCCSiIV5paqkj271-
B_8CeSHfb2xqFJduJdndCANkXmQWhTg-Yow#tab=tab_1
https://www.mayoclinic.org/tests-procedures/withdrawal-method/about/pac-20395283?
fbclid=IwAR0cz8MX_SMhUj86bK8LutkyWvYPtDDDQufiNyocNtNyzj4DH1O_kzUyz6I
https://www.mayoclinic.org/tests-procedures/condoms/about/pac-20385063
https://www.news-medical.net/health/Condoms-Advantages-and-Disadvantages.aspx
https://www.webmd.com/sex/birth-control/birth-control-condoms
https://www.mayoclinic.org/tests-procedures/female-condom/about/pac-20394129#:~:text=A
%20female%20condom%20is%20a,sperm%20from%20entering%20the%20u
https://www.mayoclinic.org/tests-procedures/tubal-ligation/about/pac-20388360
https://geneticsandfertility.com/services/tubal-reversal/common-types-of-tubal-ligation-reversal/
Rubrics: