1 / 20

Family Planning: Choices Faced By Chiropractic Patients

Family Planning: Choices Faced By Chiropractic Patients. Lisa Z. Killinger, DC Gender-Related Health. Wide range of choices Some advances More options. The “Pill” (Estrogen/Progesterone). Failure Rates: .5-5% Advantages: Spontaneity, effectiveness

Download Presentation

Family Planning: Choices Faced By Chiropractic Patients

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Family Planning:Choices Faced By Chiropractic Patients Lisa Z. Killinger, DC Gender-Related Health

  2. Wide range of choicesSome advancesMore options

  3. The “Pill” (Estrogen/Progesterone) • Failure Rates: .5-5% • Advantages: Spontaneity, effectiveness • Disadvantages/Probs: Increased Risk of blood clots, stroke, uterine and ovarian cancers, etc., no protection against STDs • Not recommended for smokers

  4. Depo-Provera • Failures: 1-7% • Adv: Convenience!! (One shot of progesterone every 3 months) • No period or shortened period ( anemia) • Dis: Systemic side effects/risks of hormones, no protection against STDs

  5. Condoms • Failure overall: 5-20% • Adv: Inexpensive, available w/o prescription or doctor’s visit, protection from STDs (IMPORTANT!) • Recent advances: Durability, sizes, shapes, colors, flavors, ribs, and…. • The ultimate condom designed by a female (undoubtedly); ….???? • Dis: Interferes w/spontaneity, failure rate

  6. Withdrawl • Failure: >20% • Watch out! Risky business! (Not recommended for reliable birth control) • Adv: No monetary cost, can be used by most people • Dis: Failure rate too high, not protective against STDs

  7. Spermicides • Failure: 6-20% • Adv: Comfortable, some protection from STDs, no systemic effects • Disadvantages: May interfere with spontaneity, may have some local effects on cervix, other tissues

  8. IUD • Device inserted by doctor into uterus • Failure: 1-3% • Adv: Effective, reliable, does not interfere with spontaneity, no systemic effects? • Disadvantages: May cause spotting, cramping, may be rejected by body, may have some scarring effect locally in uterus

  9. Diaphragm/Cervical Cap • Failures: 6-20%/10-40% • Adv: No neg. systemic effects on health • Disadvantages: Failure rate high, interferes with spontaneity, • Should be used in conjunction w/ spermides

  10. ECP: Emergency Contraceptive Pill • Best taken w/in 12 hours of contraceptive failure • Up to 72 hours • Failure : 1%

  11. NFP: Natural Family Planning • Failure Rates: 10-20% • Adv: No deleterious effects on health (Least invasive, most natural FP method) • Dis: Requires a high level of cooperation btw partners, requires high level of discipline (no sex on some days) • Failure rate very high if either partner is not committed to following the rules

  12. NFP: How does it go? • Counting the days (requires regular cycles btw. 26 and 32 days long) • Temperature taking (identify ovul. dates) • Monitoring discharge-to identify ovul. dates • May require backup contraceptive plan (have it on hand!!!) • Agreement to not have sex during any potentially risky days/nights (cooperation)

  13. Cycle Beads: NFP • Days 1-7 of cycle: Safe days (unlikely to become pregnant) • Days 8-19 of cycle: NO SEX (Likely to become pregnant) • Days 20-Period: Safe days • If cycle lasts fewer than 26 or more than 32 days, Cycle Beads will not work. NFP still may work.

  14. NFP • You can still use NFP with longer or shorter cycles: Rely more heavily on temperature readings and discharge • Body Temperature should be the same every day first thing in the morning (except during ovulation, temp goes up 2-3 degrees) • Discharge changes from white and thick to clear (like egg white) during ovulation

  15. Issues Surrounding Family Planning Choices: • Faith issues • Health issues • Cost & Access or Availability • Convenience • Commitment • Sexual practices/marital status • Reasons for needing to use birth control

  16. Safe Recommendations: • Stick to education of known risks, benefits • Avoid judging/disrespecting patient’s choice • Consider patient’s reasons for including you in this decision making process • Trust • Respect • Privacy/confidentiality • Others

  17. Team Decision-Making • Both partners need to weigh in • In a marriage, both potential parents need input • The woman, for whom pregnancy will have the greatest impact, should have the final say about family planning choices • Doctor: Be a resource….

  18. Resources • Www.nfprha.org (Family Planning Council of America) • www.obgyn.net (The Obstetrics and Gyn. Network) • www.jhipp.jhsph.edu (Bill and Melinda Gates Inst. For Pop. & Reprod. Health) • www.cdc.gov: Reprod. Health Info Source

  19. For Free STD Testing and Treatment • Scott Co Health Dept: 428 Western Ave. Davenport; 326-8618 Wait for operator; Walk in Tues & Thurs 1-4 PM & Friday 8:30 -11. • Rock Island Co. Health Dept: 2112 25th Ave. Rock Island (309)-794-7080

  20. For Free Family Planning Community Health Care: 500 W. River Drive; Davenport 336-3000 Edgerton Women’s Clinic. 1510 E. Rusholme St. Davenport 359-6633

More Related