ARRIOLA, Hearty BSN III-E3

DESCRIPTION OF THE LEARNER: The learner is a first-time mother who needs health teaching about family planning. LEARNING NEEDS: Family Planning LEARNING DIAGNOSIS: Knowledge Deficit: Family planning related to lack of information GOAL: The client will be able to have an adequate knowledge about family planning. LEARNING OBJECTIVES After 15-30 minutes of health teaching, the client will be able to: 1. Define family planning LEARNING CONTENTS LEARNING STRATEGIES/ACTIVITIES TIME ALLOTMENT AND RESOURCES NEEDED EVALUATION

2. Define natural family planning

3. Enumerate the natural methods of family planning and explain how should be done

Family planning is a program to regulate the number and spacing of children in a family through the practice of contraception or other methods of birth control. Also known as birth control Natural family planning is a method of preventing pregnancy that does not involve introduction of chemicals or foreign materials into the body A. Abstinence - The most effective way to prevent against conception is to abstain from sexual intercourse - The most effective way to prevent STDs B. Fertility Awareness Method - Rely on determining when the women will be capable of impregnation (fertile) and using periods of abstinence or contraceptives.

One-on-one Discussion

2 minutes Pamphlet

Instant Feedbacking: What is family planning?

One-on-one Discussion

2 minutes Pamphlet

Instant Feedbacking: What is natural family planning? Instant Feedbacking: Enumerate the natural family planning method

Provide pictures One-on-one Discussion

10-15 minutes Pamphlet

ARRIOLA, Hearty BSN III-E3

Calendar Rhythm Method - To plan for this, a woman should keep a diary of six menstrual cycles, to calculate the safe days. To calculate, subtract 18 from the shortest cycle documented. This number represents her first fertile day. Subtract 11 from the longest cycle. This is the last fertile day. To avoid pregnancy, she would avoid sex during these days. Basal Body Temperature Method - The basis is that just before the day of ovulation, a womans BBT falls about half a degree. At the time of ovulation, BBT rises a full degree. - To use this method, the woman takes her temperature each morning immediately after waking, before she undertakes any activity. This is her BBT, as soon as she notices a slight difference in temperature followed by an increase, she knows that she has ovulated. She must refrain from having sex for the next 3 days. Cervical Mucus Method - Uses the changes in cervical mucus that occur naturally with ovulation.

ARRIOLA, Hearty BSN III-E3

4. Determine the advantages and disadvantages.

BEFORE OVULATION: the cervical mucus is thick and does not stretch when pulled between thumb and finger. - WITH OVULATION: cervical mucus becomes copious, thin, watery and transparent. - All the days the mucus is copious and the 3 days after the peak day are considered fertile days. Sympto-Thermal Method - Combination of cervical mucus and BBT methods. - The couple must abstain until 3 days after the rise in temperature or the 4th day after the peak of mucus change. Lactational Amenorrhea Method - As long as a woman is breastfeeding an infant, there is some natural suppression of ovulation. Coitus Interruptus - The couple proceeds with sex until the moment of ejaculation. Then, the man withdraws. Advantages: - Inexpensive; does not strain financially - Does not require any form of purchase - Free of side effects - Easily done/obtainable

One-on-one Discussion

4-5 minutes

Instant Feedbacking: Enumerate advantages and disadvantages.

ARRIOLA, Hearty BSN III-E3

- Safe Disadvantages: - Failure rates ranges from 10% to 20% - Unsatisfactory and unenjoyable for a couple