Definition Of Family PlanningDefinition Of Family Planning Family planning allows people to attain their desired number of children and determine the spacing of pregnancies. It is achieved through use of contraceptive methods and the treatment of infertility (this fact sheet focuses on contraception).
Benefits Of Family PlanningBenefits Of Family Planning Promotion of family planning – and ensuring access to preferred contraceptive methods for women and couples İs essential to securing the well-being and autonomy of women, while supporting the health and development of communities.
Preventing Pregnancy-Related Health Risks in WomenPreventing Pregnancy-Related Health Risks in Women A woman’s ability to choose if and when to become pregnant has a direct impact on her health and well-being. Family planning allows spacing of pregnancies and can delay pregnancies in young women at increased risk of health problems and death from early childbearing.
Slide6It prevents unintended pregnancies, including those of older women who face increased risks related to pregnancy. Family planning enables women who wish to limit the size of their families to do so. Evidence suggests that women who have more than 4 children are at increased risk of maternal mortality. By reducing rates of unintended pregnancies, family planning also reduces the need for unsafe abortion.
Slide81. Hormonal contraceptive methods include oral contraceptives pills, injectables, and implants. They all prevent pregnancy mainly by stopping a woman’s ovaries from releasing eggs. Hormonal methods contain either one or two female sex hormones that are similar to the hormones naturally produced by a woman’s body.
Slide172. Oral contraceptive pills should be taken one pill every day. They are most effective when no pills are missed, the pill is taken at the same time every day, and each new pack of pills is started without a delay.
Slide93. Injectable contraceptives are given by injection into a woman’s arm or buttocks once every 1, 2, or 3 months, depending on the type of injectable. Injectables are most effective when women remember to come back for reinjection on time.
Slide184. Contraceptive implants are inserted under the skin of a woman’s upper arm and provide continuous, highly effective pregnancy protection for 3 to 5 years, depending on the type of implant. When this time is over, new implants can be inserted during the same visit that the old set is removed.
Slide105. Emergency contraceptive pills (ECPs) can help prevent pregnancy if taken within 5 days after unprotected sex. The sooner they are taken, the more effective they are. They are NOT meant to be used for ongoing contraception, in place of a regular method.
Slide196. Intrauterine contraceptive devices (IUDs or IUCDs) are small, flexible plastic devices that are inserted into the woman’s uterus. The most common IUDs contain copper, and they work by preventing sperm from reaching an egg. Depending on the type, IUDcan provide protection for 5 to 12 years.
Slide127. Barrier methods are either devices (male and female condoms) that physically block sperm from reaching an egg, or chemicals (spermicides) that kill or damage the sperm in the vagina. The effectiveness of barrier methods greatly depends on people’s ability to use them correctly every time.
Slide208. Fertility awareness methods require a couple to know the fertile days of the woman’s menstrual cycle — the days when pregnancy is most likely to occur. During these fertile days the couple must avoid sex or use a barrier method to prevent pregnancy.
Slide139. Breastfeeding provides contraceptive protection for the first 6 months after delivery if certain conditions are met. This approach is called the Lactational Amenorrhea Method or LAM.
Slide1410. Female and male sterilization are permanent methods of contraception. Sterilization involves a relatively simple surgical procedure that provides life- long protection against pregnancy. Sterilization is appropriate for men and women who are certain they do not want more children.
Slide22Emergency contraception (EC), or emergency postcoital contraception, are birth control measures that may be used after sexual intercourse to prevent pregnancy. Any woman or girl of reproductive age may need emergency contraception to avoid an unwanted pregnancy.
Stuations which EC is usedStuations which EC is used Following unprotected intercourse Sexual assault When there is concern of possible contraceptive failure
METHODSMETHODS According to World Health Organisation (WHO) there are 3 methods of EC; Emergency contraceptive pills (ECPs) Combined oral contraceptive pills or the Yuzpe method Copper-bearing intrauterine devices (IUDs)
Slide25EMERGENCY CONTRACEPTIVE PILLS ECPs with UPA (Ulipristal) , taken as a single dose of 30 mg; ECPs with LNG (Levonogestrel) taken as a single dose of 1.5 mg, or alternatively, LNG taken in 2 doses of 0.75 mg each, 12 hours apart.
Slide26Effectiveness; A meta-analysis of two studies showed that women who used ECPs with UPA had a pregnancy rate of 1.2%. Studies have shown that ECPs with LNG had a pregnancy rate of 1.2% to 2.1% . Ideally, ECPs should be taken as early as possible after unprotected intercourse, within 120 hours.
Slide27THE YUZPE METHOD The Yuzpe method uses combined oral contraceptive pills The Yuzpe method of emergency contraception involves taking two doses of combined estrogen/progestin pills, with each dose containing 100 μg of ethinyl estradiol and 0.5 mg of levonorgestrel. The first dose is taken within 72 h after unprotected coitus, and the other is taken 12 h later. The total regimen is therefore 200 μg of ethinyl estradiol and 1.0 mg of levonorgestrel.
Slide28COPPER- BEARING INTRAUTERINE DEVICES (IUDs) A copper-bearing IUD is a safe form of emergency contraception. Itis a small, flexible plastic frame with copper sleeves or wire around it. A specifically trained health care provider inserts it into a woman’s uterus through her vagina and cervix. This method is particularly appropriate for women who would like to start using a highly effective, long-acting, and reversible contraceptive method.
Slide29Effectiveness: Studies have found that IUD is effective for 12 years. Less than 1 pregnancy per 100 women using an IUD over the first year (6 to 8 per 1,000 women). This means that 992 to 994 of every 1,000 women using IUDs will not become pregnant.
OTHER METHODSOTHER METHODS MİFEPRİSTON (RU486) It is a medication typically used with misoprostol to bring about an abortion. This combination is more than 95% effective during the first 50 days of pregnancy. 600 mg –one dose- orally or 200 mg orally+ 48 hours after 800 micogram misoprostol (not available in Turkey and Northern Cyprus)
Slide31Is a medication used to start labor, cause an abortion, prevent and treat stomach ulcers, and treat postpartum bleeding due to poor contraction of the uterus. For abortions it is often used with mifepristone. By itself effectiveness for this purpose is between 66% and 90% 2 tablets orally 2 tablets vaginally ( If no bleeding 6 hours after 2 moreablets vaginally) MISOPROSTOL (CYTOTEC)