MATERNAL AND CHILD HEALTH NURSING

FAMILY PLANNING
FOUR PILLARS OF PHILIPPINE FAMILY
PLANNING PROGRAM
• 1. Responsible parenthood – refers to the will and ability to responds to the
needs and aspirations of the family. Freedom to decide on the timing and
size of their family.
• Respect for life – protects the life of the unborn from moment of conception.
• 3. Birth spacing- proper spacing of 3 to 5 years.
• 4. Informed choice- couples and individual are informed of the different
methods of family planning.
BENEFITS OF FAMILY PLANNING

• A. to the mother
• 1. Enables to regain her health after delivery
• 2. gives enough time and opportunity to love and provide attention to her
husband and children
• 3. Gives more time for her family and own personal advancement.
• 4. When suffering from an illness, gives enough time for treatment and
recovery
B. BENEFITS TO THE CHILDREN

• 1. Healthy mothers produce healthy children.

• 2. Will get the attention, security , love , and care they deserve.

• C. Benefits to the father

• 1. Lightens the burden and responsibility in supporting the family
• 2. Enables him to give the basic needs of his children
• 3. Gives him time for his family and own self advancement.
• 4. When suffering from illness gives enough time for treatment and recovery.
TYPES OF FAMILY PLANNING METHODS

• 1Natural family planning methods

• A. Periodic abstinence –
• > abstinence from sexual intercourse during fertile period of each
cycle
• > usually depends on identification of fertile period – usually 14
• days before the next menstrual period
• > abstinence for about 7-18 days
• B. Cervical Mucus Method ( Billing’s Method )
• > during ovulation , the cervical mucus becomes, wet, slippery , abundant,
clear, stretchable like a raw egg white - period of wet days and signals the
unsafe period ( fertile period –no sexual intercourse prevent pregnancy )
• C. Coitus Interruptus
• > withdrawal of the penis from the vagina when ejaculation is imminent
• .> contraindicated when male has no self control, has psychological effect.
• D. Basal Body Temperature

• > take body temperature every morning before getting up, 2days before ovulation
temperature decrease slightly and begins to rise for several days afterwards.
• > under the influence of progesterone ,24-48 hours after ovulation temperature
rises from 3-6 degree Celcius and remains slightly elevated until next menstruation
begins – period of fertile ( unsafe period )
• This is ineffective if a woman is sick or under stress and illness that changers her
temperature
B. ARTIFICIAL FAMILY PLANNING METHODS

• 1. Condom – stretchable rubber sheath worn over the penis during intercourse.
• B. Diaphragm- shallow rubber dome fits over the cervix, blocking passage of
sperms through the cervix. Device left 6-23 hours after intercourse.
• C. Intrauterine Device ( IUD )
• placement of plastic or noncreative device into the uterine cavity during
menstruation or after delivery, tail of IUD hangs into vagina through cervix
• > action of IUD- creation of sterile endometrial inflammation discourages
implantation.
• Disadvantage- increased risk of PID
• D. Hormonal Contraceptives
• A, Oral contraceptives- ingestion of estrogen and progesterone to prevent
the release of FSH and LH thus preventing ovulation and pregnancy.
• > usually pill is taken day 5 of the menstrual cycle through day 25 then
discontinued
• >withdrawal bleeding occurs within 2-3 days
• > Contraindicated to women over 35 years of age, history of
hypertension, or vaginal disorders and cigarette smoking
• > Minor side effects – weight gain, breast changes, headache and
vaginal spotting,
PERMANENT FAMILY PLANNING METHODS

• A. Bilateral tubal ligation – done in female by clamping or blocking the

isthmus of the fallopian tubes to prevent the passage of ova and is done
after menstruation.
• > female will still menstruate but will not conceive
• B. Bilateral Vasectomy – done in male to prevent the passage of sperm.
Sperm will be absorbed by the cells after ligation.
• > no effect on male capacity for erection or penetration