Family welfare methods - Practical class
-
Upload
rizwan-s-a -
Category
Health & Medicine
-
view
405 -
download
5
Transcript of Family welfare methods - Practical class
Some terms
• Contraception
• Family planning, welfare
• Unmet need for family planning
• Eligible couple, target couple
• Cafeteria approach
• Efficacy of contraception, Pearl index
2
• 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
3
BarrierMale condom Female condom Vaginal cap, diaphragm
Spermicidal jelly Combined – cap + spermicide4
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
11
Condom - NIRODH
• Variants
• Distinct advantage over others
• Disposal
• How to increase effectiveness?
• Allergy
13
OCP – Mala N
• Low dose
• Withdrawal bleeding
• N vs. D
• What is not taken?
• 7 black tablets
• Other uses
14
Sterilization
• Pre operative instructions
• Post operative instructions
• Follow up
• Comparison between male and female
• Failure
• Recanalization
• Incentives and Insurance scheme
17
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
18
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