prevent unwanted pregnancy

Health aspects of small family

1. A small family with considerable spacing is a blessing to her.
2. The pregnancy and post partum period makes her very weak and anemic too.
3. To make up for the lost energy and health she should adopt the modern contraceptive method to prevent unwanted pregnancy.
4. Too close pregnancies not only weaken the mother but also result in the birth of malnourished babies.
5. It is necessary for every woman to maintain good health.
6. small family helps nation in controlling the population growth thereby brining down all the problems created by population explosion.
7. India stands as the largest populous country in the world.
8. Many women does not known about the contraception of spacing methods that lead to population increased one of the reason in india.
9. Unwanted pregnancy is of the reason for increased population rate in India.
10. It is necessary all woman known about the contraception method.

Hormonal method

                                combined oral contraceptive pill

what is combined oral contraceptive pill?

The combine oral contraceptive pill contains synthetic steroid hormones estrogen and progetogen in varying amounts depending on which preparation is prescribed.

Introduction

1.compained oral contraceptive pill is an oral contraceptive for women.
2.It is a hormonal which can prevent pregnancy by inhibiting ovulation.
3.It is used correctly and strictly as per instructions, they are about 100 per cent effective.
4.It is most effective and reversible method of contraception currently avilable.
5.It is suitable for spacing method  for young couples below the age of 30years.


Mode of action

1.To prevent the release of the ovum from the ovary.
2.It is suppress FSH and LH  production causing the ovaries to go into a resting sate, ovarian follicles do no mature and ovulation does not normally take place.

Type of pill and dosage

1.MalaN
2.MalaD


Both are containgin  Norgestrel 0.3mg
Ethinyl oestradiol 0.03mg
A packet of pill containing 28 pills,of which 21 are contraceptive pills and remaining 7 are iron tablets.

How to take?

                          

1. First pill is taken strictly on the 5th day of the menstrutaion.

     2.Any deviation in this respect may not prevent pregnancy.

    3.Daily one tablet should be taken from the packet as indicated by the arrows on the pack till all the pills   are consumed.

    4.After the pack is finished a new packet should be started from the very  next  day.

    5.Instruction issued with each packet should be closed followed.
   6.The pill should be taken every day at fixed the preperably before going to bed at night.
   7.The pill given orallyl for 21 consecutive days begining on the 5th day of the menstrual cycle followed by a break of 7 days during which period memstruation occurs.
  8.If bleeding does not occur the woman is instructed to start the second cycle one week after the preceding one.
 9.The woman menstruates after the second course of pill intake.
10.If forgotten to take the pill she should take the missed pill as soon as possible or a pills the next days one in the morning and one in the evening.

failure rate

If the pill is not taken daily it increases the chances of conception.

Advantages.

1. Good spacing method.
2. It is used correctly and strictly almost 100% prevent the conception.
3. No interference with sexual intercourse.
4. Reversible method.

Other advantages

1. Protection aganist ovarian and endometrial canceres.
2. prevention of ovarian cyst and fibroids.
3. some other disease Iron deficiency anemia pelvic inflammatory disease ectopic pregnancy.
4. Removing anxiety about the risk of unplanned pregnancy.

 Disadvantages

1.  Medical examination is necessary before starting the pill.
2. Side effects.
3. Strictly and correctly taken the pill at every day.
4. All women are not fit for  pill intake because of certain contraindication.
5. STI non use of barrier methods.
6. Number of sexual partners.

Using age

1. The pill is recommended below the 35 years age of women.
2. It is used birth spacing in younger mother.
3. It is not recommended beyond 40 years of age.

Contraindication  to pill use

1. Pregnancy.
2. Lactating mother during first 12 months.
3. History of arterial or venous thrombosis or predisposing factors such as immobility.
4. Hypertension, diabetes.
5. focal or crescendo migraines.
6. current liver disease.
7. Undiagnosed abnormal vaginal bleeding.
8. Hydatitiform mold.
9. Smoking of the women is over 35 years old.
10. BMI over 30.
11. cancer of the breast orgenitals

side effects


First few weeks of use some women may experience.

1. Mild nausea, depression.
2. dizziness
3. Headache.
4. Intermenstrual bleeding.
5. spotting.
6. weight gain or tender breast.

Those symptoms are similar those of early pregnancy and well settle down after the regular use of the pill 2 to 3 months.

Wanted to stop the pill following symptoms occur

1. Sudden severe chest pain.
2. Sudden breathlessness.
3. Severe unilateral calf pain..
4. severe abdominal pain.
5. Unusal severe prolonger headache.

Posted in: womens care