Reproductive Health Nursing
NUR 324
CONTRACEPTIVE METHODS
Lecture 8
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CONTRACEPTION
prevention of conception is called as contraception.
Contraception is useful to prevent population
explosion.
It is also called as Birth Control methods or Family
Planning Methods.
This can be done at the female, male or coital stages.
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CONTRACEPTIVE METHODS: A
CLASSIFICATION
TERMINAL OR PERMANENT METHODS:
There is a permanent stopping of conception.
Used by couples who have finished their family.
TEMPORARY SPACING METHODS:
Used for spacing or giving a gap between
children
Used to postpone children’s arrival while the
couple gets adjusted.
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TERMINAL METHODS
I. VASECTOMY:
MALE STERILISATION:
A SIMPLE OUT PATIENT PROCEDURE.
THE ‘VAS DEFERENS’ IS ISOLATED AND
CUT.
THE TWO ENDS ARE LIGATED.
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VASECTOMY
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TERMINAL METHODS
II. TUBECTOMY:
FEMALE STERILIZATION:
PART OF THE FALLOPIAN TUBE IS
REMOVED.
THE TWO ENDS ARE TIGHTLY LIGATED.
CAN BE DONE AS:
POST PARTUM STERILIZATION
LAPAROSCOPIC STERELIZATION
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TUBECTOMY: TYPES
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SPACING METHODS
BARRIER METHODS:
A) PHYSICAL BARRIER:
CONDOMS
DIAPHRAGM
VAGINAL SPONGE
FEMALE CONDOM.
B) CHEMICAL BARRIER:SPERMICIDAL
FOAMS
CREAMS
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SUPPOSITORIES
CONDOMS SPERMICIDES
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FEMALE CONDOM
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DIAPHRAGM + SPERMICIDE
A diaphragm is a flexible, latex, dome-shaped cup. It is designed to fit securely in the
vagina to cover the cervix.
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VAGINAL SPONGE + SPERMICIDE
A foam sponge inserted into the vagina to prevent pregnancy
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INTRA UTERINE CONTRACEPTIVE
DEVICES (IUCD):
FUNCTION BY PREVENTING IMPLANTATION.
I GENERATION:
NON MEDICATED: LIPPE’S LOOP
II GENERATION: MEDICATED BIOACTIVE
COPPER T
III GENERATION: HORMONE RELEASING
PROGESTASERT
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LIPPE’S LOOP Cu T & PROGESTASERT
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Summary
IUDs are:
Safe, effective, convenient, reversible, long lasting,
cost effective, easy to use.
Providers can ensure safety by:
Careful screening
Proper follow-up
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HORMONAL CONTRACEPTIVES
ALSO CALLED ORAL PILLS OR ORAL
CONTRACEPTIVES.
ARE USUALLY HORMONES OR
COMBINATIONS TAKEN BY MOUTH.
THEY CAUSE THE TEMPORARY CESSATION
OF THE OVARIAN CYCLES.
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ORAL CONTRACEPTIVES
COMBINED PILLS:
HAS BOTH ESTROGEN & PROGESTERONE.
PROGESTRONE ONLY PILL.
DEPOT FORMULATIONS
INJECTABLES: DEPOT PROVERA
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POST CONCEPTIONAL METHODS
Abortion is the termination of pregnancy.
Therapeutic Abortion
Intentional termination of pregnancy before age of
viability to preserve the health of the mother
Elective Abortion
Intentional termination of pregnancy for reasons
unrelated to mothers health
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OTHER METHODS
ABSTINENCE: THE BEST
COITUS INTERRUPTUS:
HISTORICALLY THE OLDEST IN HUMANS.
THE SEMEN WAS SPILLED ON THE
GROUND.
THE MALE PILL:
GOSSYPOL : COTTON SEED OIL
KILLS SPERMATIDS. 20
NATURAL FAMILY
PLANNING METHODS
SAFE PERIOD METHOD:
DURING THE FERTILE PERIOD, COITUS
IS AVOIDED.
THE REST OF THE CYCLE IS ‘SAFE’
OVULATION TESTS:
BASAL BODY TEMPERATURE CHARTS
CERVICAL MUCUS : BILLINGS METHOD
SYMPTOTHERMIC: ‘SELF RECOGNITION’
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SAFE PERIOD METHOD
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REVIEW
Contraception is the prevention of conception.
There two main types:
Permanent or Terminal methods:
Vasectomy or Male sterilization.
Tubectomy or Female sterilization.
Temporary or Spacing methods:
Barriers
IUCDs
Other methods.
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