Practical class taken for Batch A of II MBBS

1. Family welfare
Dr. Rizwan S A
Velammal Medical College & Research
Institute, Madurai
3.12.2014

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. 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. Barrier
Male condom Female condom Vaginal cap, diaphragm
Spermicidal jelly Combined – cap + spermicide4

5. Intra uterine contraceptive devices
Non medicated
Copper, silver
Hormone 5

6. Hormonal
Combined OCP – Mala N, D Centchroman
Implants Vaginal ring Depot injections 6

7. Natural
Abstinence Coitus interruptus
Symptothermic
BBT Cervical mucus Rhythm/safe period
7
LAM

8. Post-coital or Emergency
LVG pills Cu T
Combined OCP Mifepristone
8

9. Post-conception
MTP by surgery
MTP by drugs
Menstrual regulation
9

10. Terminal
Conv. Vasectomy NSV
Minilap Laparoscopy 10

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
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12. Failure rates hierarchy
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13. Condom - NIRODH
• Variants
• Distinct advantage over others
• Disposal
• How to increase effectiveness?
• Allergy
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14. OCP – Mala N
• Low dose
• Withdrawal bleeding
• N vs. D
• What is not taken?
• 7 black tablets
• Other uses
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15. EC pill
• Dose
• Indications
• Side effects
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16. Cu T 380A
• Removal indications
• Place, person
• Variants
• National program
• Follow up
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17. Sterilization
• Pre operative instructions
• Post operative instructions
• Follow up
• Comparison between male and female
• Failure
• Recanalization
• Incentives and Insurance scheme
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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
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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

19. Find this presentation at www.vmchcm2.blogspot.in
THANK YOU
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