Family welfare

Dr. Rizwan S AVelammal Medical College & Research

Institute, Madurai3.12.2014

Some terms

• Contraception

• Family planning, welfare

• Unmet need for family planning

• Eligible couple, target couple

• Cafeteria approach

• Efficacy of contraception, Pearl index

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• CPR, TFR, NRR

• NPP-2000

• Ideal contraception (SEEAL CIL)

• Conventional contraceptive

• Social marketing

• Small family norm

• MTP act-1971

Classification - contraceptive methods

• Physical, Chemical, CombinedBarrier

• First, Second and Third generationIUCD

• OCP, POP, male pills, Depot injection, ImplantsHormonal

• Abstinence, interruptus, rhythm, cervical mucus, BBT, symptothermic, LAMMisc

• Oral pills, IUCDEmergency

• MTP, Menstrual regulation, inductionPost conception

• Male and female sterilizationTerminal

Spac

ing

met

ho

ds

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BarrierMale condom Female condom Vaginal cap, diaphragm

Spermicidal jelly Combined – cap + spermicide4

Intra uterine contraceptive devices

Non medicated

Copper, silver

Hormone 5

HormonalCombined OCP – Mala N, D Centchroman

Implants Depot injections 6Vaginal ring

NaturalAbstinence Coitus interruptus

Rhythm/safe periodBBT Cervical mucus

Symptothermic

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LAM

Post-coital or EmergencyLVG pills Cu T

Combined OCP Mifepristone8

Post-conceptionMTP by surgery

MTP by drugs

Menstrual regulation

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TerminalConv. Vasectomy NSV

Minilap Laparoscopy 10

Points describing a method

1. Type2. MOA3. Instructions/ conditions4. Time of use5. Duration of effect6. Advantages 7. Disadvantages8. Side effects/ adverse effects9. Contraindications10. Efficacy/ Failure rate11. Additional points

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Failure rates hierarchy

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Condom - NIRODH

• Variants

• Distinct advantage over others

• Disposal

• How to increase effectiveness?

• Allergy

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OCP – Mala N

• Low dose

• Withdrawal bleeding

• N vs. D

• What is not taken?

• 7 black tablets

• Other uses

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EC pill

• Dose

• Indications

• Side effects

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Cu T 380A

• Removal indications

• Place, person

• Variants

• National program

• Follow up

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Sterilization

• Pre operative instructions

• Post operative instructions

• Follow up

• Comparison between male and female

• Failure

• Recanalization

• Incentives and Insurance scheme

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Candidates and their ideal method

1. Nulliparous women

2. Young couple

3. Couple with one or more children

4. Diabetes, HTN, co-morbidity, hyperlipidemia

5. Lactating mother

6. Postpartum period

7. Couple completed family

8. Adolescents

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9. Older women with CVD risk

10. Couple having RTI

11. Mother with psychiatric disorder

12. Dis-motivated, illiterate woman

13. Highly motivated literate woman

14. Mother on TB drugs

15. h/o ectopic pregnancy

THANK YOU

Find this presentation at www.vmchcm2.blogspot.in

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