Family planning By : Sandy Sami Mari

Outline Introduction Definition Type Intervention summary Conclusion Article References

Introduction How effective are birth control methods? The effectiveness of birth control methods is critically important for reducing the risk of unintended pregnancy. Effectiveness can be measured during “perfect use,” when the method is used correctly and consistently as directed, or during “typical use,” which is how effective the method is during actual use (including inconsistent and incorrect use). unintended pregnancy

Definition Family planning : A program to regulate the number and spacing of children in a family through the practice of contraception or other methods of birth control.

fact 86% Jordanian women used contraceptive method Women are less likely to use short-acting and reversible methods, such as oral contraceptive The most commonly used methods are the I.U.D. (64%), and oral contraception (27%) other (9%).

Must be (intervention ) Age Past medical history How the method works to prevent pregnancy (mechanism of action); How the method is used; Effectiveness; Advantages/Disadvantages

Hormonal Methods Implant—The implant is a single, thin rod that is inserted under the skin of a women’s upper arm. The rod contains a progestin that is released into the body over 3 years. Typical use failure rate: 0.05%. Injection or "shot"—Women get shots of the hormone progestin in the buttocks or arm every three months from their doctor. Typical use failure rate: 6%. Combined oral contraceptives—Also called “the pill,” combined oral contraceptives contain the hormones estrogen and progestin. It is prescribed by a doctor. A pill is taken at the same time each day. If you are older than 35 years and smoke, have a history of blood clots or breast cancer, your doctor may advise you not to take the pill. Typical use failure rate: 9%. Progestin only pill—Unlike the combined pill, the progestin-only pill (sometimes called the mini-pill) only has one hormone, progestin, instead of both estrogen and progestin. It is prescribed by a doctor. It is taken at the same time each day. It may be a good option for women who can’t take estrogen. Typical use failure rate: 9%.

con’t Patch—This skin patch is worn on the lower abdomen, buttocks, or upper body (but not on the breasts). This method is prescribed by a doctor. It releases hormones progestin and estrogen into the bloodstream. You put on a new patch once a week for three weeks. During the fourth week, you do not wear a patch, so you can have a menstrual period. Typical use failure rate: 9%, but may be higher in women who weigh more than 198 pounds ( kg). Hormonal vaginal contraceptive ring—The ring releases the hormones progestin and estrogen. You place the ring inside your vagina. You wear the ring for three weeks, take it out for the week you have your period, and then put in a new ring. Typical use failure rate: 9%

Complication of IUD Pelvic infection Expulsion Perforation Pregnancy Ectopic pregnancy

Other Spermicides—These products work by killing sperm and come in several forms—foam, gel, cream, film, suppository, or tablet. They are placed in the vagina no more than one hour before intercourse. You leave them in place at least six to eight hours after intercourse. You can use a spermicide in addition to a male condom, diaphragm, or cervical cap. They can be purchased at drug stores. Typical use failure rate: 28%.

sterilization Female: Tubal ligation Tubal clips Male: Vasectomy

Nursing Interventions Classification (NIC) defined as facilitation of pregnancy prevention by providing information about the physiology of reproduction and methods to control conception

Conclusion Warning Signs/Major Side Effects Teaching the acronym "ACHES" is a "gold standard" of family planning education. Warning signs that a woman may be developing the major side effects of birth control (rare cardiovascular complications) are: A = Abdominal Pain C = Chest Pain H = Headaches (severe) E = Eyes (i.e., blurred vision, loss of vision) S = Severe leg pain (blood clot in the legs

Minor Side Effects Minor side effects of the birth control pill may include nausea, appetite changes, breast tenderness, and/or spotting or bleeding between menstrual periods. Although they usually resolve within one to three months, and do not pose health risks to women, minor side effects may result in method discontinuation

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