Family Planning

Outline
Quiz 1 ? Each has (0.5 point )
 Introduction
Methods/Types of Family
Planning
INTRODUCTION TO IMPLANTS
INTRODUCTION TO IMPLANTS…
INTRODUCTION TO IMPLANTS
cont…
INTRODUCTION TO IMPLANTS…
EFFECTIVENESS
TYPES OF IMPLANTS
TYPES OF IMPLANTS
Comparison Of Norplant®,
JADELLE® and Implanon®
FEATURES OF CONTRACEPTIVE
IMPLANTS
FEATURES OF CONTRACEPTIVE IMPLANTS (Contd…)
NON CONTRACEPTIVE HEALTH
BENEFITS
MECHANISM OF ACTION
RETURN TO FERTILITY
SIDE EFFECTS
Management of Prolonged or Heavy Bleeding
Management of Prolonged or Heavy Bleeding
continued
Management of Amenorrhea
Management of Amenorrhea Cont….
Drug Interaction Effect On Implants Effectiveness
Increase In Plasma Hormone Levels
WHO’s Medical Eligibility Criteria
for Contraceptive Use
Medical Eligibility for Contraceptives
Categories:
Categories for Surgical sterilization
Categories for FAB method
Medical Eligibility for Implants
MEDICAL ELIGIBILITY Cont…
Reading Assignment
CLIENT ASSESSMENT
Timing Of Insertion
If Switching from Another Contraceptive Method
Timing of Implant Removal
Limitations Of Contraceptive Implants
JADELLE
cont……
Mechanism of Action - Jadelle
Pharmacodynamics
Effectiveness - Jadelle
Characteristics of Jadelle
Indications Jadelle
Who can use Jadelle?
WHO CAN USE JADELLE CONT…
Contraindications – Jadelle
Side Effects - Jadelle
How to be Provider Reasonably Sure a Woman is Not
Pregnant.
TIMING FOR INSERTION &
REMOVAL OF JADELLE
WHEN CAN A WOMAN START USING JADELLE
WHEN CAN A WOMAN START USING JADELLE
WHEN CAN A WOMAN START USING JADELLE…
WHEN CAN A WOMAN START USING JADELLE…..
WHEN CAN A WOMAN START USING JADELLE…
WHEN CAN A WOMAN START USING JADELLE…
Facilities & Equipments for
implants service
Facilities & Equipments continued …
Insertion and Removal sets
 PARTS OF THE TROCAR
(SPECIALLY DESIGNED INSERTION NEEDLE)
PRE INSERTION COUNSELING
INSERTION TECHNIQUES
INSERTION SITE IN A V-SHAPE
INSERTION TECHNIQUES
INSERTION TECHNIQUES…
INSERTION TECHNIQUES
INSERTION TECHNIQUES
INSERTION TECHNIQUES
INSERTION TECHNIQUES
INSERTION TECHNIQUES
INSERTION TECHNIQUES
INSERTION TECHNIQUES
INSERTION TECHNIQUES
INSERTION TECHNIQUES
INSERTION TECHNIQUES
Insertion Techniques
Insertion Techniques
WASTE DISPOSAL AND DECONTAMINATION
WASTE DISPOSAL AND DECONTAMINATION
WASTE DISPOSAL AND DECONTAMINATION
POST INSERTION CLIENT CARE
CLIENT INSTRUCTIONS FOR
WOUND CARE
KEY POINTS FOR SUCCESSFUL INSERTIONS
KEY POINTS FOR SUCCESSFUL INSERTIONS
KEY POINTS FOR SUCCESSFUL INSERTIONS
POST INSERTION CLIENT INSTRUCTIONS
POST INSERTION CLIENT INSTRUCTIONS
POST PROCEDURE COUNSELING
JADELLE REMOVAL PROCEDURE
JADELLE REMOVAL PROCEDURE
GETTING READY
PREREMOVAL TASKS
PREREMOVAL TASKS
JADDELLE RODS REMOVAL
PROCEDURE
JADDELLE RODS REMOVAL
PROCEDURE
POST REMOVAL CARE
CLIENT CARE
KEY POINTS FOR SUCCESSFUL REMOVALS
KEY POINTS FOR SUCCESSFUL REMOVALS
 Chapter eight
SINO-IMPLANT
A Dramatically Less-Expensive Implant Option
Sino-implant (II)
Sino-implant (II)
Sino-implant (II)
IMPLANON
The Implanon rod
IMPLANON Cont …….
Mechanisms of Action
CONTRACEPTIVE EFFICACY
SERUM LEVELS AFTER REMOVAL
BLEEDING PATTERNS
TIME OF INSERTION
Insertion and Removal Procedures
Pre-insertion Counseling for Implanon
PRE-INSERTION COUNSELING FOR IMPLANON Cont…
IMPLANON INSERTION
PROCEDURE
PRE-INSERTION TASKS
PRE-INSERTION TASKS
INSERTING THE RODS
INSERTING THE RODS
INSERTING THE RODS
KEY POINTS FOR SUCCESSFUL
INSERTION
POST INSERTION CARE
POST INSERTION CARE
POST INSERTION CARE
CLIENT INSTRUCTIONS FOR WOUND CARE KEY POINTS
CLIENT INSTRUCTIONS FOR WOUND CARE KEY POINTS
IMPLANON® REMOVAL
PROCEDURES
IMPLANON® REMOVAL
PROCEDURES
KEY POINTS FOR SUCCESSFUL
IMPLANON REMOVAL
SIDE EFFECTS AND COMPLICATIONS ASSOCIATED WITH
THE USE OF IMPLANON
IMPLANON NXT™
Implant
Applicator
Applicator
Efficacy
Mechanisms of Action
Pharmacokinetics
Bleeding Patterns
 Adverse Reactions
Based on Clinical Trials
Use While Breastfeeding
Contraindications
Interactions
IMPLANON™ NXT Applicator
Preparation for Insertion
Preparation for Insertion
How to Insert
How to Insert IMPLANON NXT™
How to Insert IMPLANON NXT™
How to Insert IMPLANON NXT™
Post-Insertion Steps
Confirmation Immediately
After Insertion
If You Cannot Feel the Implant
or in Doubt of Its Presence
If You Cannot Feel the Implant
or in Doubt of Its Presence
Removal
Removal
Removal
Removal
Removal
Removal
Removal
Post-Removal Steps
How to Replace IMPLANON NXT™
How to Replace IMPLANON NXT™
Confirmation Immediately
After Insertion
 CHAPTER nine
INTRA UTERINE CONTRACEPTIVE DEVICE -
IUCD
OVERVIEW OF IUCDs
IUCD CHARACTERISTICS
cont...
TYPES OF IUCD AVAILABLE
Progesterone Containing IUCD
Mirena®
COPPER (Cu) CONTAINING IUCDs
Copper T 380A (Cu T - 380A)
PARTS OF IUCDs (CuT 380A)
Components of Paragard
Cu T-380A
Progesterone Releasing IUCDS
Mechanism of Action
EFFECTIVENESS:
EFFECTIVENESS
CONTINUATION RATES AND CLIENT
SATISFACTION
ADVANTAGES OF IUCD
DISADVANTAGES OF IUCD
Precaution for IUCD
Indications/Eligible For IUCD
INDICATIONS/ELIGIBLE FOR IUCD
cont..
CONTRAINDICATIONS/NOT
ELIGIBLE
Facilities & Equipments for IUCD
service
Facilities & Equipments for continued …
Facilities & Equipments for continued …
Technical Points of IUCD Insertion
Procedure
Technical Points of IUCD Insertion
Procedure continued …
Technical Points of IUCD Insertion
Procedure continued …
Technical Points of IUCD Insertion
Procedure continued …
IUD Insertion: Withdrawal Method
Technical Points of IUCD Insertion
Procedure continued …
Technical Points of IUCD Removal
Procedure
Technical Points of IUCD Removal
Procedure
FOLLOW - UP
Emergency contraceptives
Cont…
Side Effects
Cont…
Health benefits
Correcting misconception