3. MENSTRUAL REGULATION
Aspiration of uterine contents 6-14 days
of a missed period.
Cervical dilatation is indicated only in
nullipara or in apprehensive subjects.
8. ABSTINENCE
• Complete Sexual
Abstinence
• May causes
Temperamental
changes
and even Nervous
breakdown.
9. COITUS INTERRUPTUS
• Male withdraws before
ejaculation.
• Precoital secretion of the
male mey contain sperms.
• Even one drop of semen
is sufficient to cause
pregnancy.
SIDE EFFECTS:
• Pelvic Congestion.
• Vaginismus.
10. SAFE PERIOD
Women’s menstrual
cycles are not always
regular.
Programmed sex.
Failure rate: 9 per 100
women.
Method not applicable
during the post natal
period.
11. NATURAL FAMILY PLANNING METHODS
Basal Body Temperature (BBT)
method.
Cervical mucus method.
Symptothermic method.
12. BBT Method
The rise BBT at the time of ovulation,
as a result of increased production in
the progesterone.
Temperature measured preferably
before getting out of bed in the
morning.
Abstinence is necessary for the entire
13. Cervical mucus method
Also known as “Billings method”.
Observation of changes in the
characteristics of cervical mucus.
Ovulation period
Cervical mucus is
watery clear
( Raw egg white, smooth,
slippery, & profuse)
15. BREAST FEEDING
Lactation prolong postpartum
amenorrhea.
BIRTH CONTROL VACCINE
Vaccine prepared from ß- sub unit of
Human chorionic gonadotropin (hcG).
Antibodies appear 4-6 wks and lasts
upto 5 months.
16. ABORTION
Defined as termination of pregnancy
before the foetus becomes viable
(capable of living independently.)
Types: Spontaneous.
Induced.
6 million abortions/ year in India.
4 million are Induced &
2 million are Spontaneous.
18. THE MEDICAL TERMINATION
OF PREGNANCY ACT 1971
Conditions under which a pregnacy
can be terminated.
Person or persons who can perform
such terminations.
Place where such terminations can be
performed.
19. Conditions under which pregnancy
can be terminated.
MEDICAL
EUGENIC
HUMANITARIAN
SOCIO ECONOMIC
FAILURE OF
CONTRACEPTIVE DEVICES
20. MEDICAL: where continuation of
pregnancy might endanger the mother’s
life or cause grave injury to her physical or
mental health.
EUGENIC: where there is substantial risk
of the child being born with serious
handicaps due to physical or mental
21. HUMANITARIAN : where pregnancy is
due to rape.
SOCIO-ECONOMIC : where actual or
reasonably forseeable environments
(whether social or economic) could lead
to risk of injury to health of the mother.
22. FAILURE OF CONTRACEPTIVE
DEVICES The anguish caused by an
unwanted pregnancy resulting from a
failure of any contraceptive device or
method can be presumed to constitute
a grave mental injury to the health of
23. PERSON WHO CAN PERFORM
ABORTION
RMP having experience in gynecology
and obstetrics ( pregnancy doesn’t
exceed 12 weeks).
12-20 weeks – Two RMP’s are
necessary to terminate a pregnancy.
24. WHERE ABORTION CAN BE
DONE
Hospital established or maintained by
government or a place approved for
the purpose of this Act by government.
Name of the abortion seeker is kept
confidential.
25. MTP rules
Approval by Board :
The Chief Medical Officer of the
district is empowered to certify that
a doctor has the necessary training
in gynaecology & obstetrics to do
abortions.
26. Qualification required to do abortion :
“If he has assisted a RMP in the
performance of 25 cases of medical
termination of pregnancy in an approved
institution.”
The doctor may also qualify to do MTP’s :
a. 6 months house manship in OBG.
b. A post graduate qualification in OBG.
c. 3 years of practice in OBG for those doctors
registered before the 1971 MTP Act was
passed.
d. 1 year of practice in OBG for those doctors
registered on or after the date of
27. The place where abortion is performed :
Non-governmental institutions may
also take up abortions provided they
obtain license from the Chief Medical
Officer of the district.
