Download presentation
Presentation is loading. Please wait.
Published byFelix Parrish Modified over 9 years ago
1
Women’s Health Family Planning and Contraception
Developed by D. Ann Currie , R.N., M.S.N.
2
Goal of Family Planning
To assist the clients with reproductive decision making, enabling the client to have control of the number of pregnancies, spacing the time between children, and to prevent pregnancy if desired
3
Decision to use a contraceptive
May be made by the individual man or woman or jointly as a couple
4
Legal Issues related to Family Planning and Contraception
May vary from state to state concerning minors,sterilization,and abortions. Informed consent-need to document information provided and understanding of client -the nurse should use (BRAIDED)when counseling client on contraceptive methods decision about contraception should be made voluntarily with informed consent
5
BRAIDED B- Benefits/Advantages R-Risks/Disadvantages
A- Alternatives/Other methods available I-Inquiries/ Allow time for questions D-Decisions/opportunity to decide or change mind E-Explanation/about method/how to use D-Documentation /everything taught
6
What to teach about each method
What it is, How it is used , or How it works? advantages disadvantages effectiveness side effects risks contraindications long term effects
7
Assessment Obtain a history to identify the client’s past and current health status and potential risks factors. Sexual history Reproductive health Future plans for childbearing Psychosocial data- lifestyle, motivation, religious beliefs,cultural influences,
8
Assessment Financial factors
these factors may affect the selection,access,and use of aparticular method Don’t assume anything….ask. Knowledge of and concern about contraceptive methods need to be determined to identify deficits and need
9
Assessment For accurate and additional information
Identify actual or potential problems from the assessment. Provide privacy for assessment and discussion about contraceptive methods
10
Methods of Family Planning or Contraception
Natural methods- abstinence Coitus interruptus -(withdrawal) Fertility awareness methods-calendar method,basal body temperature (BBT), cervical mucus method, symptothermal method
11
Methods of Family Planning and Contraception
Mechanical methods- Barrier methods- Condoms- Male/Female Diaphragm Spermicides Intrauterine device(IUD)
12
Methods of Family Planning and Contraception
Chemical Methods- Oral Contraceptives(birth control pills) Subdermal implants(Norplant) Long-acting progestin injections Postcoital contraception Surgical Methods-Vasectomy Tubal ligation
13
Natural methods Safe Situational methods requiring increased self awareness Self control to be effective
14
Fertility Awareness Methods
Based on an understanding of the woman’s ovulation cycle and the timing of sexual intercourse All methods attempt to identify the female fertility and to avoid unprotected intercourse during that time period Free,safe,and acceptable to couple’s religious beliefs prohibit other methods
15
Female Reproductive Cycle
16
Cont. Increases awareness of the woman’s body encourages communication
can be used to prevent or plan a pregnancy Requires extensive counseling and education interfere with sexual spontaneity difficult with irregular cycles no protection for STI’s
17
Calendar method Rhythm method 75-91 effective 6-8 months period
shortest and longest cycles 18days from shortest cycle 11days from longest cycle avoid sex during fertile period
18
BBT Based on the thermal shift in the menstrual cycle 75-97% effective
drop prior to ovulation then raises .5-1 degree F with ovulation Avoid intercourse when temperature drops and for 3 days after. Factors which could effect BBT
19
Cervical mucus Ovulation or Billing’s Method
Based on the cervical mucus changes that occur during the menstrual cycle 75-97% effective Cervical mucus changes in response to levels of estrogen and progesterone Assess for amount, color,consistency, and viscosity
20
Cervical Mucus Assessment
21
Cervical Mucus Assessment-cont
22
Symptothermal Method Incorporates the assessment of multiple indicators of ovulation-BBT, and cervical mucus,increased libido,abdominal bloating,mittelschmerz ,breast tenderness,pelvic tenderness,pelvic or vulvar fullness,softer cervix located higher in the vagina 75-97% effective
23
Mechanical Methods Male condom-86-97 % effective
water based lubricants proper technique to apply protection from pregnancy and Std’s Female condoms-79-95% effective Proper technique to apply no prescription is needed--OTC
24
Male Condom
25
Applying Male Condom
26
Female condom
27
Diaphragm 80-94% effective
Dome- shaped appliance made of rubber with flexible rim that fits over cervix used with spermicidal jelly or cream physician will assess for size reassessment after birth of baby or weight loss or gain. Proper technique to apply
28
Diaphragm
29
Insertion of Diaphragm
30
Spermicides Chemical barrier to prevent pregnancy by killing sperm or neutralizing vaginal secretions 74-94% effective creams,jelly,melting suppositories, foaming tablets,foam,and films
31
Intrauterine device-IUD
A device placed in the uterus to prevent pregnancy % effective Placed and removed by health professional check for side effects
32
Oral Contraceptives-Birth control pills
Act by inhibiting the release of an ovum,blocking the cyclical release of gonadotropin-releasing hormones and changing cervical mucus % effective combined oral contraceptives-estrogen and progestin progestin-only pill-minipill
34
Subdermal implant(Norplant)
Consist of 6 silastic capsules containing levonorgestrel-progestin % effective placed and removed by health care provider 5 years
35
Long-acting Progestin injection
Depo-Provera long-acting progestin that blocks lh surge,suppresses ovulation and thickens cervical mucus 97.7% effective Repeat every days
37
Postcoital contraception
Emergency method-not to be used on a frequent or regular basis reduces pregnancy rates by 75-85% oral contraceptives-MAP (morning after pill) insertion of IUD abortions
38
Vasectomy Male sterilization
the vas deferens is resected through small incision in the scrotum resulting in blockage of the passage of the sperm Health care provider must do in clinic,office or hospital sperm count to check for sterility 99.5%effective
39
Tubal ligation Surgical procedure done in hospital cuts, tied ,or cauterized the fallopian tubes preventing sperm from fertilizing ovum % effective
40
OTHER
Similar presentations
© 2025 SlidePlayer.com. Inc.
All rights reserved.