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Family welfare methods - Practical class

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Practical class taken for Batch A of II MBBS

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Family welfare methods - Practical class

  1. 1. Family welfare Dr. Rizwan S A Velammal Medical College & Research Institute, Madurai 3.12.2014
  2. 2. 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
  3. 3. Classification - contraceptive methods Barrier • Physical, Chemical, Combined IUCD • First, Second and Third generation • OCP, POP, male pills, Depot injection, Implants Hormonal • Abstinence, interruptus, rhythm, cervical mucus, BBT, symptothermic, LAM Misc Emergency • Oral pills, IUCD Post conception • MTP, Menstrual regulation, induction Terminal • Male and female sterilization Spacing methods 3
  4. 4. Barrier Male condom Female condom Vaginal cap, diaphragm Spermicidal jelly Combined – cap + spermicide4
  5. 5. Intra uterine contraceptive devices Non medicated Copper, silver Hormone 5
  6. 6. Hormonal Combined OCP – Mala N, D Centchroman Implants Vaginal ring Depot injections 6
  7. 7. Natural Abstinence Coitus interruptus Symptothermic BBT Cervical mucus Rhythm/safe period 7 LAM
  8. 8. Post-coital or Emergency LVG pills Cu T Combined OCP Mifepristone 8
  9. 9. Post-conception MTP by surgery MTP by drugs Menstrual regulation 9
  10. 10. Terminal Conv. Vasectomy NSV Minilap Laparoscopy 10
  11. 11. Points describing a method 1. Type 2. MOA 3. Instructions/ conditions 4. Time of use 5. Duration of effect 6. Advantages 7. Disadvantages 8. Side effects/ adverse effects 9. Contraindications 10. Efficacy/ Failure rate 11. Additional points 11
  12. 12. Failure rates hierarchy 12
  13. 13. Condom - NIRODH • Variants • Distinct advantage over others • Disposal • How to increase effectiveness? • Allergy 13
  14. 14. OCP – Mala N • Low dose • Withdrawal bleeding • N vs. D • What is not taken? • 7 black tablets • Other uses 14
  15. 15. EC pill • Dose • Indications • Side effects 15
  16. 16. Cu T 380A • Removal indications • Place, person • Variants • National program • Follow up 16
  17. 17. Sterilization • Pre operative instructions • Post operative instructions • Follow up • Comparison between male and female • Failure • Recanalization • Incentives and Insurance scheme 17
  18. 18. 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
  19. 19. Find this presentation at www.vmchcm2.blogspot.in THANK YOU 19

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