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Family Planning
Dr. Kiran
Mehndiratta’s Clinic offers a cafeteria approach to the patients
for avoiding unwanted pregnancies. Patients may choose
non-permanent measures like Oral Contraceptive pills, barrier
methods, I.U.C.D., injectable contraceptives (Depo-provera) or
permanent methods, that is, voluntary sterilization.
Voluntary surgical
procedure for permanently terminating fertility in women
Methods
Mechanism of
Action
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By blocking the
fallopian tubes (tying and cutting, rings, clips or electro-cautery),
sperm are prevented from reaching ova and causing fertilization.
When to Perform
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Anytime during
the menstrual cycle you can be reasonably sure the client is not
pregnant.
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Days 6–13 of the
menstrual cycle (proliferative phase preferred)
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Postpartum:
within 2 days or after 6 weeks
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Postabortion:
immediately or within 7 days, provided no evidence of pelvic
infection
Appropriate for
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Women of any
reproductive age (usually < 45) or parity who want highly
effective, permanent protection against pregnancy
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Women for whom
pregnancy would pose a serious health risk
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Postpartum women
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Postabortion
clients
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Women/couples
who are certain they have achieved their desired family size
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Women who
understand and voluntarily consent to the procedure
Method Characteristics:
Benefits
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Highly effective
(0.2–4 pregnancies per 100 women during the first year of use)
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Effective
immediately
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Permanent
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Does not affect
breastfeeding
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Does not
interfere with intercourse
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Good for client
if pregnancy would pose a serious health risk
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Simple surgery
which usually is done under local anesthesia
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No long-term
side effects
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No change in
sexual function (no effect on hormone production by ovaries)
Noncontraceptive Benefits
Method Characteristics:
Limitations
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Must be
considered permanent (not reversible)
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Client may
regret later
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Small risk of
complications (increased if general anesthesia used)
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Short-term
discomfort/pain following procedure
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Requires trained
physician (gynecologist or surgeon required for laparoscopy)
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Laparoscope
expensive
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Does not
protect against STDs (e.g., HBV, HIV/AIDS)
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