S.

TIME SPECIFIC CONTENT TEACHING LEARNING ADIO EVALUATION

N. OBJECTI ACTIVITY ACTIVITY VISUAL
VE AIDS
METHODS OF FAMILY PLANNING
1. 1 To Lecture cum Listening chart What do you
INTRODUCTION –
Minutes introduced family planning is a term given for pre pregnancy planning discussion meant by family
Methods of and action to delay prevention and actualize a pregnancy and planning.
Family the process or procedure used for precaution of pregnancy is
planning called family panning methods .

2. 1/2 To define DEFINITION OF FAMILY PLANNING - Lecture cum Listening chart Define family
Minute the family Acc. To B.T. Basavanthappa – discussion planning
planning Family planning is a way of thinking and living that is
method adopted voluntarily , upon the base of knowledge , attitude
and responsible decision by individual and couple in order to
promote the health and welfare of family group and thus
contribute effectively to the social development of country.
1/2
3. minute
To list out OBJECTIVES OF FAMILY PLANNING Lecture cum Listening Flash card List out the
the  Avoid unwanted birth . discussion objectives and
objectives  Bring about wanted birth . elements of
and  Produce a change in the no. of children born. family planning.
elements of  Regulate the intervals between pregnancy.
family Control time at which birth occurs .
planning
method ELEMENTS OF FAMILY PLANNING
 Proper spacing
 Proper timing
 No of pregnancies
4. 8 To describe METHODS OF FAMILY PLANNING Lecture cum Listening Flip book Explaine the
Minute the all A. SPACING METHOD – discussion barrier method
methods of 1. Natural method – it include
family  Withdrawal method .
planning  Safe period
 Abstinence.
2. Barrier method - it include
 Physical method
 Chemical method
 Combined method
 Intra uterine device
 Hormonal method
 Post connectional method
 Miscellaneous

B. TERMINAL METHOD - 1. Vasectomy

2. Tubectomy

SPACING METHOD –
help in prevention of pregnancy as long as they
are used .
these method can help in timing and spacing of
pregnancies ,preventing unwanted birth of children. these
method are temporary methods.

Natural method –
do not involve the use of any of the man med devices. This
method are useful for timing and spacing of pregnancies and
this method including -
a.) withdrawal method / coitus interrupts method -
in this method the penis is withdrawn from the vagina before
ejaculation . in this way semen is prevented from entering the
uterine cavity and pregnancy does not take place .
since the penis is withdrawn and ejaculation takes place coitus
interrupts or withdrawal method .
Merits –
 Involve no cost .
 It does not require any other device .
 With self control and discipline it can be fairly
effective.
Demerits -
 Require a great deal of self control.
 Thus failure rate is very high .
 Slightest delay in withdrawal can lead pregnancy .

b) Safe period method –

Based upon the process of ovulation and menstrual cycle
which help in determination of the safe period when coitus
can be done and unsafe period when coitus can be avoided to
prevent pregnancy .
Merits –
 Does not require any man made devices .
Demerits –
 Require self control by the partner during the highly
unsafe period .
 Not suitable for a women who does not have regular
period .
 Failure rate is high .
 Require great deal of will power and motivation
c) abstinence –
This involve the complete avoid of sexual co habits .
BARRIER METHODS –
Barrier method are those method which prevent meeting of a
sperms with the ovum .there are many major type of barrier
method.
a) physical barrier methods –
1) Nirodh (Condom) :-
It is a thin rubber sheath which is use by men, it is rolled over
the erect penish before having sex the rubber sheath prevent
the entry of semen into the vagina .
The condom must be held carefully when taking out the penis
from the vagina to prevent spilling of semen into the vagina
It involve free of cost from urban or rural family welfare
centers.
Type of Nirodh – dry Nirodh ,deluxe Nirodh ,super deluxe
Nirodh .
Merits –
 It is most simple method and effective method .
 Easy to use .
 Disposable .
 No medical super vision is required .
 Protect from sexually transmitted disease .
Demerits –
 If not use correctly it may slip or get tear of and the
semen gets spilled into vagina .
 In some cases the person may have allergy to rubber.
 Some people may not enjoy sex because of
interference with the sensation .
2) Diaphragm –
the diaphragm is used by the women in her vagina to from a
barrier in front of the cervix . the diaphragm is a dome shaped
and is like a shallow cap .
it is made of soft synthetic rubber or plastic with a stiff but
flexible rim around the edge . it is also known as DUCH CAP
Merits –
 A diaphragm along with spermicidal is very effective .
 Failure rate is low .
 There is no risk of any kind of contraindication.
Demerits –
 It requires the assistance of doctors and any other
health professionals.
 It require privacy and time to place it in the vagina.
 It require periodic check up .
 It requires facilities for its proper care and storage .
3) vaginal sponge –
it is a small polyurethane foam sponge , diffuse with
spermicid . the sponge is a shaped in a way that it can be filled
on to the cervix and has loops on its outer surface which can
be to pull out the sponge after use it should be insert before
the coitus .
provide protection for 24 hrs , it should remain be their
for at least 6haour after coitus .sperm are trapped on in the
sponge and are destroyed .
it is better then not use any methods .
b) Chemical Barrier Methods –
these method usually kills the sperm and this way chemical
contraception help in preventing the pregnancy .
the chemical contraceptives which are in use are :-
 Form of tablets aerosols.
 Cream jelly
 Suppositories
Merits –
 They are easy to administer .
 Available free in health center
  Not very expensive
Demerits –
 Most be inserted deep down and in all such points
where sperms are likely to reach .
 Must be applied each time before sex may cause
irritation and burning.
C) Intra Uterine Devices -
These are the device which are placed under the uterine cavity
earlier these device were made up of silk worm gut , silk and
gold , three different type of IUD’S generation are

 First generation IUD’S - these device were made of

poly ethylene and are non – medicated , these are
available in different size and shape such as coils,
spiral ,loops .the lippes loop is the most popular and
commonly used devices.
It is made of polyethylene and contains barium sulphate
which make it possible to be located in when required by
x- ray . the loop is double ‘S’ shaped and has an attached
made of fine Nylon Threads .
 Second generation IUD’S - these are also made of
polyethylene but copper is added into these . the
copper enhance the contraceptive effect .
Variety of copper devices are –
 Copper – 7 and copper T 200
 Variants of device ; TCU : 220, ML :375
 Nova T :TCU – 380
All CU devices are more effective and less chances of side
effect e.g. pain and bleeding .

 Third generation IU D’S – these contain hormone

which is released slowly in the uterus and cervical
 mucus . it may affects the sperm ,
These are two type of hormonal IUD ‘S –
1. Progestaserl.
[Link] device .
Merits –
 Can be used for longer period
 Can be easily removed when couple wants to have
child .
 Inexpensive and do not require hospitalization .
Demerits –
 Bleeding, pain , perforation of uterus ,expulsion .

D) Combined method
1) Oral pills
There are a variety of oral contraceptive pills .
Combined pills - the pills is composed of two
 Hormones that is synthetic oestrogen and progesterone
in very small doses .
 Its action is to inhibit ovulation of ovum by blocking
the secretion of gonadotropin hormone from pituitary
gland .
 E.g. MALA –D : D -norgestron – 1.0 mg.
Ethynilestradiol – 0.03 mg
MALA –N : Noresthisterion – 0.50 mg
Ethynil estadiol -0.04 mg
Merits –
 100% effectively if taken regularly
 Easy to use and dose not interfere with coitus.
 Reduce the risk of anemia , pelvic inflammatory
disease ,cyst and uterine cancer .
Demerits –
  Failure rate is increase if not taken regularly .
 Minor side effect like dizziness , nausea , vomiting ,
headache , wait gain etc.
 Increase risk of gall bladder disease and cervical
cancer
e) Hormonal Methods
1. Deport Formulations – these are long acting hormonal
contraceptive contains only synthetic progesterone . these are
available in 3 forms:
 Injectable
 Sub dermal implant
 Veginal ring.
Injectable Contraceptives –
It is again in two parts :-
 Progestagen only Injectable – there are two preparation
which are available
i) DMPA ( Depot medroxy progesterone acetate )
ii) NET – EN ( Norethiseterone anante )
both are these contain synthetic progestogen , progestogen
prevent ovulation .
Merits -
 Easy to administer
 Highly effective and irreversible . do not interfere with
lactation and does not cause any effect on infant .
CONTRA INDICATION –
 Abnormal uterine bleeding any malignancy of genital tract
suspected malignant growth and cancer breast .
Sub dermal implants –
There are two varieties – Norplant and latest one is Norplant
R -2
 The Norplant has six small silicon rubber tubes .each of
 these tube contain 30 mg of progesterone .
 The Norplant –r -2 has two small rods .both of these
device are placed under the skin of the arm . the tube and
the rod allow steady diffusion of steroids into the blood
steam for apriod of five years to give effective
contraceptive effects .
Vaginal rings –
This method is not much in use . it consist of ring which
contains small amount of progestogen . the ring is fitted into
vagina for three week of menstruation cycle , after which is
removed for a week and then reworn after menstruation
cycle . the steroid is directly absorbed by the mucus lining
of the vagina .
f) post conceptional methods –
these are the method which are the used after the missed
period or pregnancy may or may not occurs these method used
in regulating and inducing the menstruation and terminating
pregnancy or aborting the fetus .
these method are :- menstrual regulation and abortion.
i) Menstrual regulation – it is done within a 14 day of missed
period when pregnancy is doubted but it is not conform in
this the uterine contains are evacuated . the procedure is very
safe there is no legal restriction .
complication : local injury, perforation of uterus , infection .
infertility , menstruation disorder ,ectopic pregnancy .
ii) Abortion – abortion refers to the termination of pregnancy
before the fetus become viable this period is fixed at 28 week
when the fetus weight 1000 grms , abortion are a spontaneous
or induced .
B . TERMINATION METHODES –
Sterilization is a only method which give permanent
protection from conception . it include :-
 i) vasectomy ii) Tubectomy
i) Vasectomy –
it is a sterilization of male , it is very simple and minor
operation which take hardly 15 -20 minute .
the operation involve a small cut of both side of scrotum then
a small portion of vasdeferens (about 1cm ) on either side of
the scrotum is cut and legated , fold back and sutured ,
the operation is done and not affect the sexual characteristic
and sex life in any forms . the sperm are produced but not
ejaculated along with semen.
ii) Tubectomy –
it is a sterilization of female . these is done by resecting a
small part of fallopian tubes and closing of tube can also done
by using others method like –
the operation can be done through abdominal or
vaginal approach .the most comman abdominal procedure are
laparoscopy and minilaprotomy .
To the Tubectomy can be done after delivery and after Lecture cum Listening Hand out What are the
enlist the abortion . discussion benefits of
benefits of BENEFITS OF FAMILY PLANNING – family planning.
family A ) Benefits to mother
planning  Reduce the health risk
 Physical strain of child bearing
 Reduce number of maternal death
 Reduce the risk of ovarian cyst .
5 2  Below 20 year and above 35 year . at risk of
Minutes developing complications during pregnancy .
B) Benefits to father –
 Allow father to keep a constant balance between their
physical , mental ,social well being .
 Increase father sense of respect because he is able to
 provide type of education and home environment .
C) Benefits to children -
 Ensure better chances of survival at birth .
 Promote better childhood nutrition .
 Promote physical growth and development
 Prevent birth defect
D ) Benefits to family –
To  Benefits to whole family health and help to family to Lecture cum Listening Chart How many year
give health enjoy the better kind of life . discussion gap between two
6. 1minut education children is
HEALTH EDUCATION - appropriate

 Advice couple to adopt family planning methods and

fallow the small family norm .
 Advice the couple to choose effective methods of
contraception according to there need .
 Advice the people to avoid unsafe sex .
 Advice the couple to take 3 year at list gape between two
child .
 Advice the family member to avoid gender discrimination
between male and female .
 Advice the couple to take a guidance of health
professional for family planning methods .
 Advice to couple to inform the health professional if any
complication or unusual changes occur due to
contraceptive pills or others.
 Advice family member to avoid smoking , alcohol or
tobacco conception if they taking
To  Advice family member to take high nutrient rich food and Lecture cum Listening chart summarized the
summarized avoid fatty or oily food . discussion methods of
7. 2minute the methods SUMMARY - family planning .
of family
 planning family planning is a term given for pre pregnancy planning
and action to delay prevention and actualize a pregnancy and
the process or procedure used for precaution of pregnancy is
called family panning methods .

spacing method – 1. natural method – it include

Withdrawal method . ,Safe period ,Abstinence.
2. Barrier method - it include Physical method Chemical
method Combined method Intra uterine device Hormonal
method Post connectional method Miscellaneous
B. terminal method - 1. Vasectomy 2. Tubectomy
And having many benefits such as - Reduce the
health risk ,Physical strain of child bearing ,Reduce number
of maternal death
Ensure better chances of survival at birth . ,Promote better
childhood nutrition . ,Promote physical growth and
development ,Prevent birth defect .

BIBLIOGRAPHY
1) ``K PARK (2004) ; A TEXT BOOK OF COMMUNITY HEALTH NURSING 4TH EDITION PUBLISHED BY MS BANARSID
BHANOT JABALPUR .840
2) ``I CLEMENT ” ``MANNUAL OF COMMUNITY HEALTH NURSING ; PUBLISHED BY JYPEE BROTHER MEDICAL
PUBLISHER Pvt. Ltd.375
3) “ SWARNKARS’’ “ COMMUNITY HEALTH NURSING PRINCIPAL AND PRACTICE’’ PUBLISHED BY N.R. BROTHER Pvt .
Ltd .PAGE NO. 546 – 845.
4) “ BT BASAVANTHAPPA ’’ “ A TEXT BOOK OF COMMUNITY HEALTH NURSING ” 1ST EDITION ; PUBLISHED BY JAYPEE
BROTHER MEDICAL PUBLISHER Pvt . Ltd . (P) 375
 5) “ K. K . GULANI ” “ COMMUNITY HEALTH NURSING PRINCIPLE AND PRACTICE” 2ND EDITION ; PUBLISHED BY
KUMAR PUBLISHING HOUSE Pvt . Ltd . PAGE NO .651 - 652

NET REFERENCE

 http: // w.w.w. slide share .com

 http:// w.w.w. Wikipedia .com
 [Link]
 [Link] .gov. In >about-cswb-o
 [Link] [Link]>family planning

NAME OF STUDENT TEACHER - MISS SUNITA

NAME OF GUIDE - [Link] KAUR KAPOOR

SUBJECT - COMMUNITY HEALTH NURSING

TOPIC METHODES OF FAMILY PLANNING .

DATE -
TIME-

PLACE - VILLAGE LOING RAIGARH (C.G. )

METHOD OF TEACHING - LECTURE CUM DISCUSSION

ADIO VISUAL AIDS - CHART, FLASH CARD. FLIP BOOK , HANDOUT, LEAF
LET.

PRIVIOUS KNOWLEDGE - PEOPLE HAVING INSUFFICIENT KNOWLEDGE ABAOUT

THE METHODES OF FAMILY PLANNING

GENERAL OBJECTIVES - At the end of presentation people will able to gain knowledge
about the topic methods of family planning .
SPECIFIC OBJECTIVE - At the end of presentation people will able

 To introduce methods of family planning .

 To define methods of family planning .
 To list out the objectives or elements of family planning .
 To describe the different methods of family planning .
 To explaine the benefits of family planning .
  To give the health education regarding methods of family planning .
 To summarized the methods of family planning .

GOVERNMENT COLLEGE OF NURSING

RAIGAR(C.G.)
SUBJECT
COMMUNITY HEALTH NURSING

HEALTH TALK ON
METHODES OF FAMILY PLANNING
SUBMITTED TO,
MRS MAMTA KAUR KAPOOR
ASSISTANT PROFESSIOR SUBMITTED BY,
GOVT. COLLEGE OF NURSING RAIGARH (C.G.) MISS SUNITA
M SC. NURSING 1ST YEAR
GOVT. COLLEGE OF NURSING RAIGARH (C.G.)