FAMILY PLANNING PROGRAM
Refers to a program which enables couples and individuals to decide freely and responsibly the number and
spacing of their children and to have the information and means to do so, and to have access to a full range of
safe, affordable, effective, non-abortifacient modern natural and artificial methods of planning pregnancy.
FOUR PILLARS OF FP
1. Responsible Parenthood
2. Child Spacing
3. Respect for Life. Abortion is considered illegal based on Philippine Law and culture. It is mandated that
preservation of life of the fetus be observed regardless of his/her condition.
4. Informed Choice. The couple has the right to determine the kind of FP method/s based on their
religious beliefs, culture, ethical values subject to conformity with the universally recognized
international human rights. It is the responsibility of the nurse to discuss full information regarding
options, advantages and disadvantages of each method.
BENEFITS OF FP
Appropriate FP has several benefits not only to the mother, but also to the children and spouse. These benefits
include the following:
1. Benefits to the mother
Enables to regain her health after delivery
Prevents pregnancy-related health risks
Gives enough time and opportunity to love and provide attention to her husband and children.
Gives more time for her family and own personal advancement
When suffering from illness, gives enough time for treatment and recovery.
2. Benefits to the children
Reduces infant mortality
Healthy mothers produce healthy children
Will get the attention, security, love and care they deserve
3. Benefits to the father
Lightens the burden and responsibility in supporting his family
Enables him to give his children their basic needs
BILLINGS OVULATION METHOD
• Based on the daily observation of what a woman sees and feels at the vaginal area throughout the day.
• Cervical mucus changes indicate whether days are fertile or infertile and can be used to avoid or
achieve pregnancy.
• The woman is instructed to observe and record her feeling of dryness or wetness in her vaginal area
during the day. She abstains from sexual intercourse during the fertile, “wet” days
• With perfect (correct) use, this method is 97% effective. However, with typical use, it is 80% effective.
STANDARD DAYS METHOD
• Calculation of fertile and infertile days for menstrual cycles of 26 to 32 days
• Works for women with menstrual cycles of 26-32 days
• Identifies cycle days 8-19 as the woman’s fertile period
• Colored beads are used to help the woman keep track of her fertile & infertile days.
BASAL BODY TEMPERATURE
• Based on the changes in a woman’s resting body temperature which is lower before ovulation until it
rises to a higher level after ovulation.
• Infertile days begin from the fourth day of the high temperature reading to the last day of the cycle.
• All days from the start of the menstrual cycle up to the third high temperature reading are considered
fertile days.
• Effectiveness: 99% (perfect use) and 80% (typical use)
SYMPTHO-THERMAL METHOD
• Based on the combination of the Basal Body Temperature & Billings Ovulation Method together with
other signs (breast engorgement, unilateral lower abdominal pain) which indicate that the woman is
fertile or infertile.
• Effectiveness as correctly used: 98%
LACTATIONAL AMENNORHEA METHOD
• Contraceptive method that relies on the condition of infertility that results from specific breastfeeding
patterns.
• Use of breastfeeding as temporary family planning method.
CRITERIA FOR LAM
A woman is practicing LAM when the following conditions are met:
1. Fully or nearly fully breastfeeding
2. Amenorrhea
3. Infant is less than 6 months old
Fully or nearly fully breastfeeding
• Breastfeeds on demand
• No more than 4 hours interval between breastfeedings during the day and 6 hours at
nighttime
• Uses both breasts for feeding
Amenorrhea
• Menses have not yet returned
• Bleeding within the 8 weeks postpartum period is not considered as menstrual bleeding for
breastfeeding women
Infant is less than 6 months old
• Effectiveness of breastfeeding in inhibiting ovulation diminishes over time.
• Ovulation resumes in 20-50% of women near the end of the 6-month postpartum period
even when fully breastfeeding and amenorrheic.
CONDOM
Mechanism of Action
Acts as barrier that prevents the sperm from getting into the vagina
Helps prevent both pregnancy and STIs
Stops disease organisms in the vagina from entering the penis
VASECTOMY
• Known as male sterilization, as it provides permanent contraception for men who decide they will not
want any more children.
• Safe, simple, and quick surgical procedure
• Procedure involves tying and cutting a segment of the vas which carries sperm
• No scalpel vasectomy (NSV) is the DOH-approved procedure
• NSV is a small puncture on the scrotum to get the vas
BTL
• A safe and simple surgical procedure which provides permanent contraception for women who do
not want any more children
• Involves cutting or blocking the 2 fallopian tubes
