Natural Family Planning Program of St. Michael’s Hospital Living in harmony with your fertility (from puberty through menopause) Presented by Annette Firkus NFPPI and Dr. Louise Smyth NFPMC 8/14/01 Love & Life Sponsored by St. Michael’s Hospital and Employee Health of SMH

History of Natural Family Planning BBT: first correlated with menstrual cycle 1868, –first used in NFP 1935, –first published 1939 Calendar Rhythm: 1929 with first recognition of relationship of ovulation to end of cycle. (Oginos and Knaus) (natural contraceptive) Sympto-Thermal work began 1951 (Roetzer) Ovulation method: –Billings began 1953 (natural family planning) –Odeblad started research 1959 –Hilgers began standardization 1977 –Creighton Model (CrM) developed 1980 –NaPro Technology first described 1991 (health maintenance)

Male Anatomy Taken from The Picture Dictionary of the Creighton Model FertilityCare System Pope Paul VI Institute Press 1999.

Female Anatomy Taken from The Picture Dictionary of the Creighton Model FertilityCare System Pope Paul VI Institute Press 1999.

Female Anatomy - Ovary Taken from The Picture Dictionary of the Creighton Model FertilityCare System Pope Paul VI Institute Press 1999.

Female Anatomy – Uterine Lining Taken from The Picture Dictionary of the Creighton Model FertilityCare System Pope Paul VI Institute Press 1999.

Female Anatomy - Cervix Taken from The Picture Dictionary of the Creighton Model FertilityCare System Pope Paul VI Institute Press 1999.

Observation of Symptoms How to check for the mucus When to check for the mucus

Blank Chart Taken from The Ovulation Method of Natural Family Planning Creighton University NFP and Research Center 1982.

Basic Stamps Used in Charting Taken from The Ovulation Method of Natural Family Planning Creighton University NFP and Research Center 1982.

Charting a Cycle Taken from The Ovulation Method of Natural Family Planning Creighton University NFP and Research Center 1982.

Charting a Cycle Taken from The Ovulation Method of Natural Family Planning Creighton University NFP and Research Center 1982.

Charting a Cycle Taken from The Ovulation Method of Natural Family Planning Creighton University NFP and Research Center 1982.

Charting a Cycle Taken from The Ovulation Method of Natural Family Planning Creighton University NFP and Research Center 1982.

Charting a Cycle Taken from The Ovulation Method of Natural Family Planning Creighton University NFP and Research Center 1982.

Charting for Family Planning Achieving Avoiding Taken from The Ovulation Method of Natural Family Planning Creighton University NFP and Research Center 1982.

Effectiveness of the Creighton Model to Avoid Pregnancy A study of 1800 couples, from 5 centers, taken from the Journal of Reproductive Medicine METHOD EFFECTIVENESS……99.5% USE EFFECTIVENESS…………..96.8%

Effectiveness of Creighton Model to Achieve Pregnancy In couples of normal fertility: 1 ST CYCLE………………………...76% 3 rd CYCLE…………………………90% 6 th CYCLE…………………………98%

Effectiveness of Creighton Model to Achieve Pregnancy In couples with infertility With use of CrMS only……………..20 to 40% With CrMS and medical treatment…20 to 80%

Components of Natural Family Planning FERTILITY AWARENESS Knowledge of Cycles SELECTIVE USE Application of Knowledge

Benefits of Natural Family Planning HEALTH PERSONAL

Benefits of Natural Family Planning HEALTH Effectiveness for family planning No harmful side effects Can be used throughout the reproductive life Provides an excellent health record

Benefits of Natural Family Planning PERSONAL Increase in self knowledge Marriage enrichment Appreciation for the value of every child Low cost Morally acceptable

Charting for Health Monitoring, identifying, and treating conditions associated with reproductive health Limited mucus cycles Dry cycles Premenstrual spotting Tail-end brown bleeding Length of the Cycle Length of the Post Peak Phase And many others… For a lifetime of procreative and gynecological health

Charting for Health Taken from The Picture Dictionary of the Creighton Model FertilityCare System Pope Paul VI Institute Press 1999.

Charting for Health Taken from The Picture Dictionary of the Creighton Model FertilityCare System Pope Paul VI Institute Press 1999.

Temperature Chart Taken from A Couple’s Guide to Fertility R.J. Huneger 1997

NFP Program at St. Michael’s 24 hour message line: Call for an appointment or inquiries

The Learning Schedule The Introductory Session –Group slide presentation Individualized follow-up sessions SessionTime 1 st 2 weeks 2 nd 4 weeks 3 rd 6 weeks 4 th 8 weeks 5 th 3 months 6 th 6 months 7 th 9 months 8th12 months *Subsequent follow-ups recommended every 6 to 12 months as needed