Presentation on theme: "Family Planning 101: Key Concepts in Adolescent Health Care April 2010 Meera Beharry, MD Division of Adolescent Medicine University of Rochester Medical."— Presentation transcript:
Family Planning 101: Key Concepts in Adolescent Health Care April 2010 Meera Beharry, MD Division of Adolescent Medicine University of Rochester Medical Center ACT for Youth Center of Excellence Cornell University Family Life Development Center Cornell University Cooperative Extension of New York City New York State Center for School Safety University of Rochester Medical Center Div. of Adolescent Medicine
Objectives Define family planning Describe methods of contraception Identify resources for adolescents
Family Planning The use of education and birth control to limit the number of offspring and the population of a country. American Heritage® New Dictionary of Cultural Literacy, 3rdEd, 2005 by Houghton Mifflin Company
Legal Issues Distributing information and counseling patients about contraception was illegal under federal and state laws. AP Margaret Sanger, 1914
US fertility rates: 1917-1997 and Key Family Planning Events MMWR, Dec 03, 1999 48(47);1073-1080 Birth Control Pills, IUD approved by FDA Timing of ovulation established Title X established
Myriad of Methods Ring Implant Diaphragm Injection (“shot”) Patch IUD Pills Condoms Abstinence Cap Spermicides
Non-Hormonal/Barrier Advantages No hormones Fewer or no medical contraindications* Can prevent STD Disadvantages Event based use Some need a doctor’s visit
Hormonal Advantages Not event dependent Additional health benefits –Menstrual symptoms –Acne –Lower cancer risk –Less blood loss Disadvantages Require use as prescribed Some medical contraindications
Quick Quiz Does a young woman need to have a pelvic exam before starting birth control?
Decision 2: if hormonal method Any contraindications?
W.H.O. Absolute Contraindications to Estrogen Containing Products Blood clotting problems Stroke Very high blood pressure Some cancers Some liver diseases Major surgery with prolonger immobilization Migraine headaches with aura http://whqlibdoc.who.int/hq/2008/WHO_RHR_08.19_eng.pdf
Decision 3: if hormonal method, How often do you take it?
How Often Do You Take It? MethodFrequency PillsEvery day
How Often Do You Take It? MethodFrequency PillsEvery day PatchOnce a week
How Often Do You Take It? MethodFrequency PillsEvery day PatchOnce a week RingOnce a month
How Often Do You Take It? MethodFrequency PillsEvery day PatchOnce a week RingOnce a month InjectionEvery 3 months*
How Often Do You Take It? MethodFrequency PillsEvery day PatchOnce a week RingOnce a month InjectionEvery 3 months* Implant (Implanon®)Every 3 years*
How Often Do You Take It? MethodFrequency PillsEvery day PatchOnce a week RingOnce a month InjectionEvery 3 months* ImplantEvery 3 years* IUDEvery 5 years*
Match the Frequency & the Method FrequencyMatch ColumnsMethod a) Once a month 1-Implant b) Once a week 2-Injection c) Daily 3-IUD d) Every 3 months 4-Patch e) Every 5 years 5-Pills f) Every 3 years 6-Ring
Match the Frequency & the Method FrequencyCorrect AnswerMethod a) Once a month a-61-Implant b) Once a week b-42-Injection c) Daily c-53-IUD d) Every 3 months d-24-Patch e) Every 5 years e-35-Pills f) Every 3 years f-16-Ring
What if…. …the condom broke or slipped off... …you forgot your regular birth control... …you were forced to have sex... Association of Reproductive Health Professionals
Emergency Contraception What is it? –A method for preventing implantation –A method for preventing fertilization There are three types available in the U.S.
Association of Reproductive Health Professionals
Emergency Contraception Pills What they are not: –They are not the “abortion pill” –They are not a form of family planning
Resources Internet: –http://youngwomenshealth.org/http://youngwomenshealth.org/ –www.plannedparenthood.orgwww.plannedparenthood.org –http://ec.princeton.edu/http://ec.princeton.edu/ Current health care provider –www.adolescenthealth.org Family Planning Benefit Program –www.nyhealth.gov/community/pregnancy/family _planning/program_sites.htm
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