Professional Documents
Culture Documents
PLANNING
PROGRAM
-There are about 3-4 million women
getting pregnant every year
unmet needs
Promote frontline participation of
hospitals
Mainstream modern natural family
planning
Policies in FP:
1. Non-coercive (give freedom of choice); you
are just a facilitator, never force/command/
dictate the couple what contraceptive method
to use.
4. Unacceptability of Abortion
Abortion – is the termination of pregnancy before
reaching the age of viability.
- “E” contraceptives – used for legal cases such as rape.
May give OC pills (special pills with increase amount of
progesterone & estrogen): 1 pack then after 12 hours
another pack.
Function of the Health
Professional in Family Planning
To counsel, reassure, give
information and allow an
individual/couple to decide
his/her/their course of action
according to what he/she think
is appropriate for them and in
accordance to their own
personal, societal, religious
beliefs & values
TYPES OF FAMILY PLANNING
TEMPORARY
PREVENTATION OF OVULATION
I. PILLS- contains estrogen and progesteron,
tenderness
o Health risk for some women
o No protection against STI
o Some may suppress lactation
o Requires regular intake
II. DMPA (Depo Medroxy Progesterone
Acetate) / INJECTABLES – supressess
ovulation, thickens cervical mucus, making it
difficult for sperm to pass through.
ADVANTAGES:
• Reversible
• No need for daily intake
• Does not interfere with sexual
intercourse
• Acceptable by some women
• No estrogen related side effects (nauses
and dizziness)
• Does not affect breast feeding
• 3 months effective
DISADVANTAGES:
oPain
oSome may experience
weight gain
oAmmenorrhea
III. Implant (Norplant)
6 tiny biodegradble silicone rubber capsules
or 2 rods containing progestin
(evonorgestiel), surgically implanted under
the skin of the upper arm; removed surgically
in about 5 years or when the woman wishes
to discontinue the method.
slowly release the hormone to suppress
ovulation
The contraceptive is implanted under
anesthesia during menses or within 7 days
of menses, 6 weeks after delivery or
immediately after abortion.
Advantages:
•Long term reversible
contraception
•Do not interfere with coitus
•Has no estrogen related side-
effects
•Can be used during breastfeeding
•Can be used by adolescents
•Rapid return of fertility w/c occurs
3 months after removal
Disadvantages:
•Expensive
•Scarring at insertion site
Contraindications:
•Pregnancy
•Desire to get pregnant within 2
years
•Undiagnosed vaginal bleeding
PREVENTION OF IMPLANTATION
planning
Easily accessible
Used in managing premature
ejaculation
DISADVATAGES:
Some allergy to latex
Less sensation
Interrupts sexual act
Requires man’s cooperation
Self-lubricated type breaks easily
ectopic pregnancy
Requires physical examination and
minor surgery
No protection against STD
Limit physical activities after surgery.
II. VASECTOMY/MALE STERILIZATION
Male sterilization is achieved by ligation of the vas
deferens to block the passage of sperm cells.
A small incision is made on each side of the
perform
Can be performed in a clinic and H.C.
Do not require repeated check ups
Does not affect male hormonal
enjoyment
DISADVANTAGES:
Slightpain and swelling 2-3
days after the procedure
Reversibility is difficult and
expensive
Bleeding may result in
hematoma in scrotum.
-Oldest type of birth control practiced by
man.
-The premature withdrawal of the penis
before ejaculation during sexual
intercourse
-Reliability is low because sperms are
emitted in varying quantities in the
normal lubricating fluid secreted
throughout intercourse
-Psychological disadvantage
-Not accepted by the Catholic Church
Client instructions: