Natural family planning methods
BMI
1. Basal body temperature
2. Billing’s method
3. Symptothermal method
Basal body temperature
 Elevated body temperature due to
ovulation.
 Check temp as soon as waking up
 Three hours rest full sleep before taking
temperature
Billing’s method
 Cervical mucus
 Women has three seasons; wet, dry,
and bloody season.
 Dry season means infertile/ not fertile.
No secretion or thick, sconty, or cloudy
secretion.
 Wet season, abundant cervical mucus/
fertile
 Thin cervical mucus (malabnaw) clear
secretion.
 Stretchable / like jelly or spinnbarkeit
sign
 Bloody season
Sympthotermal is a combination of billings and
basal body temperature.
Day of ovulation is 14 days after the start of
menstruation.
COPPER T380A IUD used in Philippines
FAMILY HEALTH SERVICES
(MATERNAL CARE)
KEY POINTS IN MATERNAL CARE:
3 stages involved in maternity care:
1.) Pregnancy – antenatal care/ prenatal
care
2.) Delivery – natal care
3.) Puerperium – postpartum (1st six
weeks in maternity) (in CHN up to 42
days after delivery)
PRENATAL CARE
1. At least 4 pre-natal check ups
2.
3. TD Vaccine diphtheria
4. Micronutrient (Iron with folic acid,
calcium carbonate, iodine capsule)
5. Deworming tablet
6. Testing (syphilis, hepa B, HIV; LAB TEST
FOR CBC, hemoglobin, hematocrit
count, GDM)
INTRAPARTUM CARE/ DELIVERY CARE
 birth weight
 delivery by skilled health
professional (RM, RN, MD)
 facility based delivery
 vaginal (msd) CS
 full term, pre term, post term
 abortion/ miscarriage, fetal death
POST PARTUM CARE
 At least 2 post-partum check-up within
seven days post-partum
 Micronutrient supplementation
(micronutrients continue for 3 months)
 Vitamin A (within 1 month post-
partum)
EXPECTED DATE OF DELIVERY/ EXPECTED DATE
OF CONFINEMENT
 Formula: LMP + 9 + 7 (Naegele’s rule)
TRIMESTERS OF PREGNANCY
1st – up to 12 weeks and 6 days
2nd – 12-27 weeks and 6 days
3rd – 28 weeks and more
Tetanus Diphtheria Immunization
 Alternative is tetanoid toxoid
 5 doses
 TD 1 – ASAP 1st pregnancy (even non
pregnant 15-49 years old WRA)
 TD 2 – 4 weeks after TD 1
 TD 3 – 6 months after TD 2
 TD 4 – 1 year after TD 3
 TD 5 – 1 year after TD 4
MICRONUTRIENT- SUPPLEMENTATION
1.) Iron sulfate with folic acid
2.) Calcium carbonate
3.) Iodine capsules
NUTRITIONAL ASSESSMENT
  BMI – taken on the 1st trimester (low,
normal, or high BMI)
 DEWORMING – 1 deworming tablet is
given to pregnant women. (Given
preferably on 2nd or 3rd trimester)

PREGNANCY OUTCOME

 Full term – complete expulsion of

the live fetus from womb (37-42
weeks of full gestation)
 Pre-term – 22-36 weeks AOG
 Fetal death – still birth / died in
womb more than 500 grams aged
22 weeks onwards AOG (crown-to-
heel length >25 cm)
 Abortion – no heartbeat less than
500 grams, less than 20 weeks and
less than 25 cm crown to heel
length

BIRTH WEIGHT

 Low birth weight – less than 2500

grams
 Normal birth weight – more than or
equal to 2500 grams

POSTPARTUM CHECK UP –

1st check up - within 24 hours post-partum

2nd check up – within 1 week post-partum

FACILITY BASED DELIVERY

AMBULANCE BIRTH DELIVERY? – YES