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Region 2 University of La Salette, Inc. Santiago City, Isabela
Region 2 University of La Salette, Inc. Santiago City, Isabela
Region 2 University of La Salette, Inc. Santiago City, Isabela
Region 2
UNIVERSITY OF LA SALETTE, INC.
Santiago City, Isabela
Submitted to:
Submitted by:
KHEROVINE C. TAYABAN
TYPES OF FAMILY PLANNING
COMBINED INJECTABLE
-The combined injectable is a contraceptive containing estrogen and progestin in an
injectable form.
-The current available combined injectable in the country contains
Norethisterone 50 mg and Estradiol Valerate 5 mg in oily solution.
MECHANISM OF ACTION
The contraceptive effect is primarily on ovulation inhibition and
thickening of the cervical mucus.
The contraceptive effect is similar to that achieved by daily intake
of the COC.
ADVANTAGES
Does not required daily action. No need to take a pill daily.
Private. No one else can tell that the woman is using a contraceptive.
More regular monthly bleeding as compared to DMPA.
DISADVANTAGES
Requires injection every month.
Delay return to fertility after the woman stops the method. It takes an
average about one month longer than with the COC.
Does not protect against sexually transmitted infections (STIs),
including HIV.
EFFECTIVENESS
Correct use (no missed or late injection):99%
Typical use (some missed or late injections): 97%
POSSIBLE SIDE EFFECTS
change in monthly bleeding, which lessen within three months of
starting injections include:
Lighter and fewer days of bleeding
Irregular
Infrequent or prolonged bleeding
No monthly bleeding
Headaches
Dizziness
Breast tenderness
WHO CANNOT USE
Pregnancy
Breastfeeding an infant that is less than six months old
Smoke cigarettes and are 35 years old or over
Hypertension
Migraine headaches
Serious diseases of the liver, heart, or blood vessels
Breast cancer
Undiagnosed abnormal vaginal bleeding
HOW TO USE
First injection is given on the first day of the menstrual cycle.
Succeeding injections are given every 30 +/- 3 days.
The injectable must be stored at controlled room temperature (15-30
C). Do not freeze.
Administration:
Follow infection prevention measures for administering
injections.
Slow deep intramuscular injection preferably intragluteal,
alternatively into the upper arm.
Place a plaster over the injection site after injection to prevent
any reflux of the solution.
Client Instructions
What to expect:
-Vaginal bleeding episode will occur wit in one or two weeks after the
first injection. This is normal and if use is continued, bleeding episodes
will occur at a 30 day interval. Pregnancy should be ruled out if no
withdrawal bleeding occurs within 30 days after an injection.
Follow-up:
- Return to the clinic every 30 days for your next injection. Try to come on time.
- If, for some reason, the next injection was not given after 30 days, abstain from
sexual intercourse or use a condom until you get the next injection.
- come back to the clinic no matter how late you are. You may still be able to use the
injectable.
- Return to the clinic at any time if:
You develop any of the warning signs.
You have any questions or problems.
You think you are pregnant.
PROGESTIN-ONLY PILLS( POPs)
-also known as "the minipill"
-Contains only progestin hormone, does not contain estrogen.
- can be very effective during breastfeeding, less effective for women not breastfeeding.
KINDS OF POPs AVAILABLE:
0.5 mg lynestrenol
75 ug desogestrel
o BOTH ARE AVAILABLE IN A 28-TABLET
PACKAGE
PROGESTIN-ONLY INJECTABLES (POIs)
Warning Signs
The combined injectable contraceptive has the following warning signs similar to COCs. The
client is advised to immediately return to the clinic or consult a physician when any of the
following occurs:
J - Jaundice
C - Chest pain
H - Headaches (severe)
E - Eye problems such as brief loss of vision, seeing flashes of light or zigzag lines
TYPES OF IUD
Copper-bearing, which includes the TCu380A, (TCu380A with safe load; and TCu 200, the
multiload ( MLCu 250 and Cu375), and the Nova T.
The main IUD featured in this learning package is the TCu380A (or Copper T), which is:
Widely used
Well known for its effectiveness, ease of insertion and removal, wide margin safely,
acceptability to clients, and low cost