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Mevelle L. Asuncion, RN
Central Mindanao University
    College of Nursing        1
Contraception
 Voluntary prevention of conception
 Uses artificial means that prevents the union of sperm
  and egg
 Synonymous with
   Family planning
   Planned parenthood
   Responsible parenthood
   Birth control



                           Mevelle L. Asuncion, RN
                Central Mindanao University College of Nursing   2
BIRTH CONTROL???


               Mevelle L. Asuncion, RN
   Central Mindanao University College of Nursing   3
Birth control is a misnomer!!!!


The birth of a baby cannot be prevented from being
 born or coming out once it is conceived in the womb




                          Mevelle L. Asuncion, RN
              Central Mindanao University College of Nursing   4
STERILIZATION
   Positive use of artificial methods
   Cutting off the sexual capacity in a man and woman
   Usually done surgically
   Types: (according to willingness)
     Voluntary
     Involuntary
 Types: (according to purpose or ends)
    Therapeutic
    Contraceptive
    Eugenic
    Social
    Punitive

                                Mevelle L. Asuncion, RN
                    Central Mindanao University College of Nursing   5
1.Therapeutic sterilization
 Removal of part or all of the reproductive organ
 To save ones life or promote bodily integrity
 Principle of totality (under natural law ethics)




                           Mevelle L. Asuncion, RN
                Central Mindanao University College of Nursing   6
Mevelle L. Asuncion, RN
Central Mindanao University College of Nursing   7
Mevelle L. Asuncion, RN
Central Mindanao University College of Nursing   8
Mevelle L. Asuncion, RN
Central Mindanao University College of Nursing   9
2. Contraceptive sterilization
 Justification:
   1. Serious illness of either husband of wife
        TB, epileptics, syphilitics and lepers
   2. Probability of genetic abnormality
        Carrier of defective gene
   3. Financial burden
   4. Child-bearing puts one’s health in danger




                                Mevelle L. Asuncion, RN
                     Central Mindanao University College of Nursing   10
3. Eugenic and social sterilization
 Purpose of hindering the conception of undesirable
  and physically or mentally unfit offspring
 Social engineering
   Society free from individuals afflicted with social
    diseases
       Grave mental defects
       Lepers, idiots
       Imbeciles
       Morons
       Insane
       Carriers of congenital defective genes

                              Mevelle L. Asuncion, RN
                   Central Mindanao University College of Nursing   11
4. Punitive sterilization
 Done as punishment for crime or antisocial behavior
 Catholic theologians defended this under the double
 effect principle
   The sterilization is not “direct” since the primary and
    intended effect is punishment and the contraceptive
    effect is therefore “indirect” or secondary




                           Mevelle L. Asuncion, RN
               Central Mindanao University College of Nursing   12
Justifications of contraception
1. Parenthood and birth are matters of moral responsibility
   and intelligent choice.
2. An individual should be the one to determine his/her
   fertility and should be able to control his/her fecundity
3. One should be able to decide how many children one is
   able to bear and support
4. Contraceptive technology makes men and women
   persons of will and decision, and not inert and powerless
   bodies subject to church proscriptions or to the divine
   will.
5. Contraception checks the transmission of recessive
   disorders or genetically-linked diseases.
        Genetic testing and chromosomal analysis
                              Mevelle L. Asuncion, RN
                   Central Mindanao University College of Nursing   13
Methods of Contraception
1.       Folk methods
          Precoital/Poscoital Douche
          Prolonged Lactation
          Withdrawal- coitus interruptos, coitus reservatus
2.       Mechanical methods
          condom
          Diaphragm
          Sponge
3. Chemical methods
          Vaginal suppositories and tablets
          Vaginal jellies, creams, and foams
                                 Mevelle L. Asuncion, RN
                      Central Mindanao University College of Nursing   14
4. Hormonal methods
     Contraceptive pills
     Injections and implants
5. Abortifacients
     Intrauterine Device
     DES( diethylstilbestrol
     Prostaglandin
     Antipregnancy vaccine
     Low-dose of contraceptive pills




                           Mevelle L. Asuncion, RN
                Central Mindanao University College of Nursing   15
6. Surgical methods
     Tubal ligation
     Vasectomy
     Hysterectomy
7. Natural or behavioral methods
     Rhythm or calendar method
     Temperature method
     Ovulation (Mucus) Method
     Sympto-thermal method
     Sex relations during menstruation
                           Mevelle L. Asuncion, RN
                Central Mindanao University College of Nursing   16
Mevelle L. Asuncion, RN Central Mindanao
University College of Nursing              17
Mevelle L. Asuncion, RN Central Mindanao
University College of Nursing              18
Mevelle L. Asuncion, RN Central Mindanao
University College of Nursing              19
Mevelle L. Asuncion, RN Central Mindanao
University College of Nursing              20
Mevelle L. Asuncion, RN Central Mindanao
University College of Nursing              21
Mevelle L. Asuncion, RN Central Mindanao
University College of Nursing              22
Mevelle L. Asuncion, RN Central Mindanao
University College of Nursing              23
Mevelle L. Asuncion, RN Central Mindanao
University College of Nursing              24
Application of ethical theories
 Natural law ethics had two division
    only rhythm method and abstinence
    Voluntary sterilization as WRONG
 Utilitarianism
    Justify contraception and sterilization for the greatest
     happiness and benefits
 Pragmatism
    Contraception and sterilization is
     practical, useful, beneficial

                            Mevelle L. Asuncion, RN
                 Central Mindanao University College of Nursing   25
Mevelle L. Asuncion, RN
Central Mindanao University College of Nursing   26

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The moral issues of contraception

  • 1. Mevelle L. Asuncion, RN Central Mindanao University College of Nursing 1
  • 2. Contraception  Voluntary prevention of conception  Uses artificial means that prevents the union of sperm and egg  Synonymous with  Family planning  Planned parenthood  Responsible parenthood  Birth control Mevelle L. Asuncion, RN Central Mindanao University College of Nursing 2
  • 3. BIRTH CONTROL??? Mevelle L. Asuncion, RN Central Mindanao University College of Nursing 3
  • 4. Birth control is a misnomer!!!! The birth of a baby cannot be prevented from being born or coming out once it is conceived in the womb Mevelle L. Asuncion, RN Central Mindanao University College of Nursing 4
  • 5. STERILIZATION  Positive use of artificial methods  Cutting off the sexual capacity in a man and woman  Usually done surgically  Types: (according to willingness)  Voluntary  Involuntary  Types: (according to purpose or ends)  Therapeutic  Contraceptive  Eugenic  Social  Punitive Mevelle L. Asuncion, RN Central Mindanao University College of Nursing 5
  • 6. 1.Therapeutic sterilization  Removal of part or all of the reproductive organ  To save ones life or promote bodily integrity  Principle of totality (under natural law ethics) Mevelle L. Asuncion, RN Central Mindanao University College of Nursing 6
  • 7. Mevelle L. Asuncion, RN Central Mindanao University College of Nursing 7
  • 8. Mevelle L. Asuncion, RN Central Mindanao University College of Nursing 8
  • 9. Mevelle L. Asuncion, RN Central Mindanao University College of Nursing 9
  • 10. 2. Contraceptive sterilization  Justification: 1. Serious illness of either husband of wife  TB, epileptics, syphilitics and lepers 2. Probability of genetic abnormality  Carrier of defective gene 3. Financial burden 4. Child-bearing puts one’s health in danger Mevelle L. Asuncion, RN Central Mindanao University College of Nursing 10
  • 11. 3. Eugenic and social sterilization  Purpose of hindering the conception of undesirable and physically or mentally unfit offspring  Social engineering  Society free from individuals afflicted with social diseases  Grave mental defects  Lepers, idiots  Imbeciles  Morons  Insane  Carriers of congenital defective genes Mevelle L. Asuncion, RN Central Mindanao University College of Nursing 11
  • 12. 4. Punitive sterilization  Done as punishment for crime or antisocial behavior  Catholic theologians defended this under the double effect principle  The sterilization is not “direct” since the primary and intended effect is punishment and the contraceptive effect is therefore “indirect” or secondary Mevelle L. Asuncion, RN Central Mindanao University College of Nursing 12
  • 13. Justifications of contraception 1. Parenthood and birth are matters of moral responsibility and intelligent choice. 2. An individual should be the one to determine his/her fertility and should be able to control his/her fecundity 3. One should be able to decide how many children one is able to bear and support 4. Contraceptive technology makes men and women persons of will and decision, and not inert and powerless bodies subject to church proscriptions or to the divine will. 5. Contraception checks the transmission of recessive disorders or genetically-linked diseases.  Genetic testing and chromosomal analysis Mevelle L. Asuncion, RN Central Mindanao University College of Nursing 13
  • 14. Methods of Contraception 1. Folk methods  Precoital/Poscoital Douche  Prolonged Lactation  Withdrawal- coitus interruptos, coitus reservatus 2. Mechanical methods  condom  Diaphragm  Sponge 3. Chemical methods  Vaginal suppositories and tablets  Vaginal jellies, creams, and foams Mevelle L. Asuncion, RN Central Mindanao University College of Nursing 14
  • 15. 4. Hormonal methods  Contraceptive pills  Injections and implants 5. Abortifacients  Intrauterine Device  DES( diethylstilbestrol  Prostaglandin  Antipregnancy vaccine  Low-dose of contraceptive pills Mevelle L. Asuncion, RN Central Mindanao University College of Nursing 15
  • 16. 6. Surgical methods  Tubal ligation  Vasectomy  Hysterectomy 7. Natural or behavioral methods  Rhythm or calendar method  Temperature method  Ovulation (Mucus) Method  Sympto-thermal method  Sex relations during menstruation Mevelle L. Asuncion, RN Central Mindanao University College of Nursing 16
  • 17. Mevelle L. Asuncion, RN Central Mindanao University College of Nursing 17
  • 18. Mevelle L. Asuncion, RN Central Mindanao University College of Nursing 18
  • 19. Mevelle L. Asuncion, RN Central Mindanao University College of Nursing 19
  • 20. Mevelle L. Asuncion, RN Central Mindanao University College of Nursing 20
  • 21. Mevelle L. Asuncion, RN Central Mindanao University College of Nursing 21
  • 22. Mevelle L. Asuncion, RN Central Mindanao University College of Nursing 22
  • 23. Mevelle L. Asuncion, RN Central Mindanao University College of Nursing 23
  • 24. Mevelle L. Asuncion, RN Central Mindanao University College of Nursing 24
  • 25. Application of ethical theories  Natural law ethics had two division  only rhythm method and abstinence  Voluntary sterilization as WRONG  Utilitarianism  Justify contraception and sterilization for the greatest happiness and benefits  Pragmatism  Contraception and sterilization is practical, useful, beneficial Mevelle L. Asuncion, RN Central Mindanao University College of Nursing 25
  • 26. Mevelle L. Asuncion, RN Central Mindanao University College of Nursing 26