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Reproductive Health Nursing NUR 324. CONTRACEPTIVE METHODS. Lecture 8. CONTRACEPTION. prevention of conception is called as contraception . Contraception is useful to prevent population explosion . It is also called as Birth Control methods or Family Planning Methods.
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Reproductive Health NursingNUR 324 CONTRACEPTIVE METHODS Lecture 8
CONTRACEPTION • prevention of conception is called as contraception. • Contraception is useful to prevent population explosion. • It is also called as Birth Control methods or Family Planning Methods. • This can be done at the female, male or coital stages.
CONTRACEPTIVE METHODS: A CLASSIFICATION • TERMINAL OR PERMANENT METHODS: • There is a permanent stopping of conception. • Used by couples who have finished their family. • TEMPORARY SPACING METHODS: • Used for spacing or giving a gap between children • Used to postpone children’s arrival while the couple gets adjusted.
TERMINAL METHODS I. VASECTOMY: • MALE STERILISATION: • A SIMPLE OUT PATIENT PROCEDURE. • THE ‘VAS DEFERENS’ IS ISOLATED AND CUT. • THE TWO ENDS ARE LIGATED.
TERMINAL METHODS II. TUBECTOMY: • FEMALE STERILIZATION: • PART OF THE FALLOPIAN TUBE IS REMOVED. • THE TWO ENDS ARE TIGHTLY LIGATED. • CAN BE DONE AS: • POST PARTUM STERILIZATION • LAPAROSCOPIC STERELIZATION
SPACING METHODS • BARRIER METHODS: A) PHYSICAL BARRIER: • CONDOMS • DIAPHRAGM • VAGINAL SPONGE • FEMALE CONDOM. B) CHEMICAL BARRIER:SPERMICIDAL • FOAMS • CREAMS • SUPPOSITORIES
DIAPHRAGM + SPERMICIDE A diaphragm is a flexible, latex, dome-shaped cup. It is designed to fit securely in the vagina to cover the cervix.
A foam sponge inserted into the vagina to prevent pregnancy VAGINAL SPONGE+ SPERMICIDE
INTRA UTERINE CONTRACEPTIVEDEVICES (IUCD): • FUNCTION BY PREVENTING IMPLANTATION. • I GENERATION: • NON MEDICATED: LIPPE’S LOOP • II GENERATION: MEDICATED BIOACTIVE • COPPER T • III GENERATION: HORMONE RELEASING • PROGESTASERT
LIPPE’S LOOP Cu T & PROGESTASERT
Summary IUDs are: • Safe, effective, convenient, reversible, long lasting, cost effective, easy to use. Providers can ensure safety by: • Careful screening • Proper follow-up
HORMONAL CONTRACEPTIVES • ALSO CALLED ORAL PILLS OR ORAL CONTRACEPTIVES. • ARE USUALLY HORMONES OR COMBINATIONS TAKEN BY MOUTH. • THEY CAUSE THE TEMPORARY CESSATION OF THE OVARIAN CYCLES.
ORAL CONTRACEPTIVES • COMBINED PILLS: • HAS BOTH ESTROGEN & PROGESTERONE. • PROGESTRONE ONLY PILL. • DEPOT FORMULATIONS • INJECTABLES: DEPOT PROVERA
POST CONCEPTIONAL METHODS • Abortion is the termination of pregnancy. • Therapeutic Abortion • Intentional termination of pregnancy before age of viability to preserve the health of the mother • Elective Abortion • Intentional termination of pregnancy for reasons unrelated to mothers health
OTHER METHODS • ABSTINENCE: THE BEST • COITUS INTERRUPTUS: • HISTORICALLY THE OLDEST IN HUMANS. • THE SEMEN WAS SPILLED ON THE GROUND. • THE MALE PILL: • GOSSYPOL : COTTON SEED OIL • KILLS SPERMATIDS.
NATURAL FAMILY PLANNING METHODS • SAFE PERIOD METHOD: • DURING THE FERTILE PERIOD, COITUS IS AVOIDED. • THE REST OF THE CYCLE IS ‘SAFE’ • OVULATION TESTS: • BASAL BODY TEMPERATURE CHARTS • CERVICAL MUCUS : BILLINGS METHOD • SYMPTOTHERMIC: ‘SELF RECOGNITION’
REVIEW • Contraception is the prevention of conception. • There two main types: • Permanent or Terminal methods: • Vasectomy or Male sterilization. • Tubectomy or Female sterilization. • Temporary or Spacing methods: • Barriers • IUCDs • Other methods.