Date PageNo.

: 51

CHAPTER-4
REPRODUCTIVE, HEALTH
Repuaduolino health i s ilhe atake elysical,emakional,
bekauiaual and Socialtnoss os iadling a suepsueduclú
ile

Accadina ko 1OHO aXalal _well being n all

aspec auRadluckian
To acheue thus amil planning weue ntiatid n
4951

dal okjectiues of_Repuadhucie_and Child heallh Can

Suealing aueness_ amang peaple akauk auiaus RepHaduch
olaka aspecka
erouidingfncilitis anddupnt fo huildingly
kpdtuotiuely healhy
ateaces o ehile puadhuctie htal
WTb the helo al_audio-wsual and pint media
taken
ohranenlal andnan9avemonlab agencies hae
LOLDUS wips io kate auaMenSSamah peaple

9nuaduckion a s e c eduuealion un schaals

npe_unownalan akat keppuedkuclie gans, adolescon
"Feith is the bird tthat feels the light when the dawn
is still dark." Rablndrar.ath Tego
Ce
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Date

STDS AIDS

Dducaling peqple_about auwailable bitu cental

gpkionscane e_Rueanant matheus2e-natal
Gakions

Caul mathe andclhilo ekc.

FACTORS LEADING TO SucCESSEUL TMPLEMENTATIO

9ngasiuotual fadlits
Puaesional exypeulise
Makeuialduygpou

AMNIOCENTESIS
Lenalal diaganisio fe.
amnioio ud u aken hom lhe uwemb pugnan
womanduuing ulu Xaje o fetal_dluelappmanl
poxloumd dukeumine he eneiodisaudes, , Clea
soma abrnoumalikie uwiuabiltyo th okus
Sfnce hib_u0as misuUbe_doy akouking ho nBumal
female hekus theu s sakkouy ban an lis
Hechnigue

he 0ns0ns a daigk papulak2an explanian

Decline in deal ale
bange espan.
üitbJeline in maliunal meulality sale
Declint un inant mautalityale
w)Seme ulginus belie against Jhintl ucartual.
iack aupaductiue haLt
knauledge

1
Sincerely believe that indians have the ability to compete with the best in the world."-DniruDnai o
 Page No. s3
Date

Sdicattus h a l u upaducie 2aci

betteu dunvenessabeul_sex selatedmatoes
Ancuase uumber al_medlically_assised delieries
Bettepust-atal caue deading la deoesas maenal
and unlant maxlalily ates
Anouasea umbeu cauples wih small famlie
Befeu deleclian anl cuue g/ SIDs
Medical faciliHies ou allsead-uelaled puobloms

tep to contxo population

Stakutauy aibingomanxiogeable age h emale

48 andmale 21 ueaus
inconEiuesguento couple ita Sma_fomilies
CanlwaLoolive mehads to ovent unwanked Rronacies

9doal CouOLeptue
Shauld be use iend
Uasily Owailable
etteclive
HOvesaible Lo no u asb side efeck.

Centaceptie melhads
akwal /Toaditional
Bari
IUDs
al Canbracephves
Snjeckables
Gopkanks
Sagical mathads
stitt
dlark."-Rabindranatih
Tagor
ught when the dawn 1s
that feels the
"Faith is the bird
Date. Page No.:S4

Rhythm methad ov Safe mahad

Aaluralpoiodicalastinencee mahod ase
ase
Coilins intewupk
Lslactalional amenoehoea ehad
TempoenLenrical
Chemical
Came undeu bawuly mithad ajct
used toprevent live spetm trn
Mechanicall nueting Hh ouum

Male emale
Condoms(suubbek
Sheax on penis)Cowical cop 9nkaukewine Candum
LideuMd baiex and vaginal Conkrnophue uubbu
deuice as an eechive, dliophuagma Deuices (TucbD laker shedh.
Simple spadingmethodken _umd They pauent fo Cauek
o Contracepfion with a the oxkilisahon Hhe vaginau
oitho side speumiciclalo tht eog 0
Preven Semen jely.aerens implantatian
an being &peun an th embaue
deposiled n vogino enkoxiag he Ex:Baw
ufeus and (iisCoppok-T() Ring
KillsComhose tohiçlGtDloop
in contat
(U skield
oith spexmicide.
Pills hauing pogestexane. & estangan (Pk vent
0ulalion).eg. MalaD Cdonl),Saholi (weeky
>Hovmanal plon pogeloxcma implont bala skín
Haumone iniectiong
Vaseckomy (cut in vasa defoanlio n mab
Resmanen-Sugical- LTubectomy Ccuk an
fallopian uba in eral

1 sincerely believe that Indians have the ability to compete with the best in the world."-Dhirubhani Ambani
 Date- Page No.: 55

MEDICAL TERMINATION OF PREGaNANCY CnT)

Gnkentional a valuntany fexminatlon panancy balaxe
Hue fexm is called medical feeminakion o-ppnan
CMTP) e 9nduerdaboukian

LAly MT ?
To get kid o unwanked pKggnan.ciesoitha dua to casual
Jwnpualeckel
unpuakecfal inter.cause failusseo he cankaceptive
used duing cahus 0 Kapes
MTPs axe also sedin casesshene conknuakon
HoRuAnan Cauld be haumpul a even fatal elher
o he methen @ ko_Hhe eekus e kolu.
Tfme how MTP -9t isSafe duing the 4 imesheu

SEXUALLY TRANSMITTED 9NFECTIONS CSTIs)

9neckans diseas0s ulicl aue ansmiiid ihuaugh
Secualinkeucmuxse aue calleckively Called STI @u ventktaL
diseoses CuD) a supuaduckie eadt inleclans CRTI)
Seckians-ronoehota, 34philsgenila heypes,chlamyudiass,
HIV leadina e
genilal auls, Luiclhomaniasis, hepalitis-8,
STls.
AIDS
AIDS (These aue he Some commen

Modle ol_duansnisslan Hepallls-B

and HiV aue uansmitted
yShauin neckon needles ,
Sugical instrumens, infecked
peksans Hanausion blo

mptoms 9tchin4, Fluid dischauge , Stght pain, Swellings

n th genitial Legih
and hence my4
neckedemale may oJten he asynptamalt
Monatn undetecked..

is s t t dark."-Rabindranath
fecls the tignt
i e t CCuwn
Tagor
"Faith is the bird that
 Date PageNo.:S6

uecaukians
tyAvoid sex with unknewn paotners_/muliple padtnexs
UOAluays toy to use condams duning coitus
coitus
di) 9n_case of doubt, cne should gs to a qjualiied dockoe
fov eawldelectian and get Complele toeatmeni t
diaanased Litto inleckion
INEERTILITY
4 is the inabilitte pkodluoe clileluen inspile g
unpuakecked secual Co-hablakion.
Reasons physical,congen?tol,diseases, duugs umrunalagical
e
9nvcase ASchalgaical
e nChweckie eakmenks a e n a t passiblecauld
Covpts be

helpel st Assiste Reaoduckve Technolnqy (ART)

9n uilp Feulisalion CivE)
TFis involes fextilisakion agomeles Qlsicle tho koady un
Condikian that mimic bobycenditions.
Tke tetiWised yaake is on indhuced do oliuidle te feum
the embyo
The embyuyoib then hanaeksed_inko he uleuus h f

y8eke inlio Fallapiar Taanslee (zIFT)

The Zygote a ea embuya lupto 8 blastumexes can be
VAanalexea into theuleriis ohe female
9 - l e u i n Tsonsleg CiUT)
embuyas i maue han s blastomees can be ia bera
diucty inke Hha utexs

romokeYna Folopian Toqnae CGFT)

The Oum om he dan@ Lalleelid and anapes
Sincerely believe that indians have the ability to compete with the best in the world. "-Dhirubhani Ambarn
 Date Page No.

inko
únke anothewemale uha cannat praduce o n e bul
ean peauiole CandiHons fer forlilisations and fauhor
duelapment

9nayplasrie injechany Cics)

9E s a secalived pocedwre h a l fasms a n emby
un HheKabauakaxy by _diuctly injecking a speum into
th ouum

Aucial jnseninakn (A1) technieue

Sn Hiseckniquue tho semen collecked eiHhowfram
th husband a a halHhy clan@u dis auiciallu
inkaduca eithou nt h uoaina, nto he wkeuus
CLUL-nkro -uleine Inseminaian 2 o Hhe emale.

melhods ueguuie cerkized expouks handllina

AlLAlL hese also need
the puoceddunes ith high pecisionTha
ecpensive instaumentakon.
arahegaadmelhadfor cauples
Legal adeptian is
daaking far paanhaad

when the dawn is still dark."- Rabndranath Tagor

bird that feels the light
"Faith is the
 Date / Page No.:S8

ecises
hat do yyau uink thv sonilicanee tediuakie
healh un a soduek

Anb Reproduckive heall is tho total Loell-being n all aspeck

oepduckan. 9 +nckudes physical emobional, behavinuaeal
and Social well-being. Sexuall unasmilied diseases u e a
AIDS, unaxxhasa ke. aue ansferuedprom ane vdiikaal
o anotho theagl secual Contack It cas also luad_do uniyatkl
paeanancies. Hence t ds necessak uko cutake auauonos anong
peapke Spuading auwOLenssugakding unconallad populakan
guh and socal eils_amang young indiidluals willhulp in
building up a suepovdustivel healthu Sociek
Suggest e aspecks epordluckive kealth uelil reed o
be given special alenkion in the pMAAent scenario
Ans Repaoduckive htalth is tho o l a well-being in all aspecá
poduuckion The aspecks ahicl have to be gien special
atenkianin hapsen genauio3 a
Counbelling andCuLatng ausakenAs among- peaple, especially
Hho yauth, abaut vauiaus
apecksoepodluclie halh ,
Suc a8 Sexual dansmilte diseases available cankracephve
mehads,C abe Panont mathesadalescence , etc.
Buoviding Suppot and tailitie Sucl as medical _assiskance
topeaple duung pgnancy, STDs, abalians , Canlacephe
ineuHy,ekc. tax buldna huay Soit
a tapooduckiely ha s

S1ncerely Delieve that lndians have the ability to compet with the best in the world."-Ohirubhani Ambani
 Page N o . : S 9
Date

43.9s Sex educakon nece38a in Scheals uly

in chasls
Yes, 9neduckion o sec educaan
dto
necessasu9E LouRd uauidle sinlt iaumalian
abaut vaúous
wng individual_al ihwsuigit im
aspecs upuaduckive haal uel as Jupduokive
aNganbpubouky, and adales.cence olaked changessale
Sexual packices sexcually uansilked diseasesefc
Hencepxauidunginlaumakon to hem at he sujqtf ime
Lwauld halp thom cho l e a d a iuepuaduckHey hilHy ile.

tiho kpuoduckie hial dn Quw

gu.Do yjau duink
has împ0ved in Hhe past 5o geaxg 94
Caun mpaouement.
menion X0nA 8ucl auas o
uO
impaove
Anb.Yes
dns.Yes dhs woauaductiin hualth_has Ukemen.deusy
un 9ndia in Hhe Sast 50 yeaes ha aulas oimpaauemant
akic haas
MaAsiveoild immunizakan pxagamme,
decuase i n he unlant moutalt kafe
Jead f o a
Lolicla has been
Mafeunaland inlank moukall kale,
deoeasedduastically due to beten past-natal cae.

ahich has makuaked pepleAa haue

Jamily planning,
Smali tamilios HLSultedun a decnease
aConkacepive Lakicku has
Juabmútted diseases and unucanfed
n th Hale o secually
PMegrnancies..

dawn i ctill dark."-Rabindranath Tagor

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Date /

seasons opepulalion
5. ushat aw Hh Suggested
explosian ?
he human papulakHian us incusasing day by day leading
Ans.
topapulakan eplasian. 9E is because oHhefallasirg
tue maj@ easans
Decueased deaf uate
9nculase hiuw ate and langeuity
TFhe facko leading to deczensed deadth Tale and inceased
birth3ate ae Conkoal oÉ diseasesaareness ad spzead
of educakion impaovement în medlical facilikies , ens.uaed
ood supplu in emoxgen siuakon, ekc
gs Hha use Caonkanteplies qustied Giw lasan

Ans. Yes the use Contoaceptives is albsalulelustiied

he human populaHion ub inoueasing toemundauslye.ThualCl
to uggulote the populalion gauH by uakigg aep
necesauy demand unHhgpaon imis
has become a
Vauiaus conaceptives haue been deuised to suaduc
devices
unuwonedpaeanandieswhich help in baingang slaan Ha
fnuasdbit uate and hence, in chcking pqpula00
Apulakio

explosion
as a
Remeual genads cannatsbe Consideneod
ContacepeR cpkian L Y
unwanked
Anb. Conuaceptive deuices a e sed do puwent
o STDS. Haweve
Pnanty and to pvent tho speading
gnads cannat be a caiap
caeacuptve

the Compleke domaual wnanilakil

ophion because t wiSI Jaod to ineuiuky and

haumanas that awe 4 u U L d f a naumal
uncH
COHHoun ability compete with the best
in the worid. "-Dhirubhanl Amban
I sincerely believe that Indians have the to
 Date Page No.: 61

acesS0M4 Mepaoducive ule. Thoueaxe, onythase

Centa.cepoive melhods tan be used that paeuernt h e
chances lzakionsalherthan making hapexs@n
inledtiluaxeve
8.Sggest Some methads lo assiie nketile Couples t e
have childen
tns.he technique used_o assist iahextil caupes te
have cildeonr ax astallauss
Tet tube bables
This invalves in-vitroexkiUzakion Lalheue Hhe speums
maa h eag ukside he body aemale he zygoBe,
hence poduce is then Juansgexxed in Hho ufeuus a
Haapian u b ee a naemalfemale.

Gramule Inua fallaplan arsheu CotET)

9t a technique that invalves tho uansew
Qamale Covum) om a dona I n t he tallepian tube
unable te pacduce
tth
hee eipient temalesho S
0ag but has the ahili
t o canciee and can prouide
elght_condihionsfo
the develgpment af an embya.
CicsD
9naytplasmic spewn njeclion
Spoen dieely inho the
9 a methad injecking
n lah@Kaloy
t o jaum a n embayo
um

AiciaL TnseminaPion
8emen Cspexm) tecon a
9tis a methado kansewg the vagina a ueus tha
dano nto
haalh male when he male parkne
acipent temale 9t is employed
has d a s speum
h e temala has
not_able to inseminate when the dawn 1s still dark."-Rabindranath Tagor
feels the light
Lunts "Faith is the bird that