Contraception

CONTRACEPTION DR. C. E. ENYINDAH OBGYN UPTH 10/14/08

Dr C E Enyinda

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Introduction  Definition  Ideal         10/14/08

contraceptives Safe Simple and easy to use 100% effective Promptly reversible Devoid of side effects Cheap Independent of coitus Acceptable to both couples Dr C E Enyinda

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Reasons for family planning       10/14/08

Health – maternal, paternal Socio-economic Family welfare Marital adjustment Individual welfare Community and national Dr C E Enyinda

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Assessment of effectiveness       10/14/08

Raymond Pearl Index (1932) Use effectiveness Extended use effectiveness Life table analysis Method failure Patient failure Dr C E Enyinda

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TRADITIONAL METHODS OF FAMILY PLANNING          

NON-APPLIANCE METHOD Abstinence Cultural enforcement: virginity Abstinence by prolonged lactation Polygamy Menstruation Blood relationship Celibacy Physical exercise Douching

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Dr C E Enyinda

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APPLIANCE METHOD  Oral

method  Scarification  Traditional barrier method  Red

feather (Teso)  Magun

 Charms

 Leopard

skin (armlets/rings/pendants)  Snake skin (armlets/pendants/wrist bands)

 Spiritual

 Abortion

Power

 Infanticide 10/14/08

and child dumping Dr C E Enyinda

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MODERN METHODS OF FAMILY PLANNING 

REVERSIBLE METHODS

•

NATURAL METHODS 

Rhythm method



Coitus interruptus



Abstinence



Breastfeeding

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Dr C E Enyinda

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•

•

BARRIER METHODS 

Condoms



Diaphragm



Cervical caps



Vault cap



Vimule

SPERMICIDAL AGENTS    

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Jellies Foams Vaginal sponge Vaginal rings Dr C E Enyinda

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HORMONAL AGENTS  Oral  Injectables  Sub-dermal implants B.

•

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IUCD(INTRAUTERINE CONTRACEPTIVE DEVICE)

Dr C E Enyinda

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

IRREVERSIBLE METHODS 

Female



Male



EMERGENCY CONTRACEPTION



Yuzpe regimen



Levonorgestrel



IUCD



Mifepristone (RU486)

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Dr C E Enyinda

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NEW METHODS UNDER INVESTIGATION  Male

pill  Synthetic anologues of GnRH  Contraceptive vaccines  Anti-HCG  LHRH

 Antisperm agents  Hyaluronidase  Proacrosin  Acrosin

 Male

birth control pil

 Gossypol

 Intrauterine

instillation of chloroquine HCL or loaded into IUCD

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Dr C E Enyinda

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10/14/08

Dr C E Enyinda

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