Method of Contraception that is used within 72 Hrs of unprotected intercourse to prevent pregnancy also called "Morning after" or post-coital contraception.
A Woman who had an unprotected sex, and she wants to prevent pregnancy. For example:
The Government of India guidelines for Emergency Contraception recommend use of Levonorgestrel (progestogen only) NG 0.75 mg as a "dedicated product" for effective emergency contraception. The Drug Controller of India has approved only Levonorgestrel for use as ECP.
Prevents pregnancy by inhibiting or delaying ovulation, altering the survival mucosa, altering the endometrial leading to impair endometrial receptivity to implantation of fertilizing egg. Alternating the transportation of embryo, sperms & egg.
Any Woman can use emergency oral contraception if she is not already pregnant.
The ECPs should be taken as soon as possible after unprotected intercourse. Only one tab of 1.5 mg or two tabs of 0.75 mg stat should be taken within 72 hours after intercourse.
Mechanism of action
Prevent sperms and egg from meeting.
Perhaps makes movement of sperm difficult, reduces the ability of sperm to fertilize egg.
Possibly prevents egg from being emplaned in wall of uterus.
Many Women can use Copper-bearing IUDs can be safely used by Women who:
At routine follow-up visit (3 –weeks)
Conduct pelvic examination as appropriate.
Definitely conduct pelvic examination if you suspect:
Pelvic inflammatory disease
Sexually transmitted infection
IUD is out of place.
One of the safest and most effective family planning methods.
One of the few contraceptive options available to men
A small opening made in the man's scrotum and the Vas deferens on either side are closed off.
This keeps sperms out of his semen. The man can still have erections and ejaculate semen.
His semen, however, no longer makes a woman pregnant because it has no sperms in it.
Probably slightly more effective
Slightly safer
Easier to perform
If there is a charge, often less expensive
Can be tested for effectiveness at any time.
If pregnant occurs in the man's partner, less likely to be ectopic than a pregnancy in a woman who has been sterilized.
Advantages
Most Women can have Sterilization
Including those Who:
Have just given birth (24 hrs to 7 days)
Are breastfeeding
A small incision (2-5 cm) is made
Uterus raised and turned to bring the 2 fallopian tubes under the incision.
Each tube is tied and cut, or else with clip or ring.
Incision is closed with stitches and covered with adhesive bandages.
The Woman receives instructions on what to do after she leaves the clinic or hospital. She usually can leave in few hours (observed for 4 hours postop.)
Local aesthetics injected under woman's navel.
Abdomen is inflamed with gas or air.
Small incision (about 2 cm) made and laparoscope inserted.
Each tube is closed with
A clip
A ring
By electrocoaulation
The gas or air islet out of woman's abdomen
Incision is closed and covered with adhesive bandages
The Woman receives instructions on what to do after she leaves the clinic or hospital. She usually can leave in few hours (observed for 4 hours post-op.)
Schedule procedure should bedone within 7 days following the menstrual period.
Fallopian tubes should be identifying properly by tracing them right up to the finbrial end prior to occlusion.
| Title | Size | Detail |
|---|---|---|
| Standards and Quality Assurance | 2.22 MB |  |
| Post Abortion Family Planning | 936.68 KB | |
| FPIS 2nd Edition 2016 | 3.37 MB | |
| FAQ | 1.81 MB | |
| Application for Sterilisation Operation and Informed Consent Form | 987.75 KB | |
