Natural Family Planning (NFP)

Tutor :
Dr. dr. Samrichard Rambulangi,SpOG
Introduction
 Natural Family Planning (NFP) refers to a
variety of methods used to prevent or
plan pregnancy, based on identifying a
woman’s fertile days
Natural Family Planning
Once learned
it is under
control of the
couple

No physical
Inexpensive
side effects

advantages

Increases May be used

couple’s to promote
knowledge pregnancy
Disadvantages

Requires Motivation

Need to be taught by a specialist in NFP

Requires the observation and recording of

changes in the body

May take time to learn so may require a

period of abstinence
Natural Family Planning
The Temperature Method
The Temperature Method

- Increase the couple’s - Requires motivation

knowledge and - Need to be taught by
awarenes of fertile a specialist
period
- Affect by illness,
- Under the woman’s disturbed sleep, stress,
control alcohol, and drugs
- May be used to - Must be taken in
prevent or promote same time
pregnancy
- doesn’t detect the
- Can help to pinpoint beginning of the fertile
other body changes period
such as cervical mucus
Cervical Mucus Method
Also called “the Ovulation Method”, “the
Billings Method”, “the Creighton Model Fertility
Care System”, or “the TwoDay Method”

Requires sensing or observing the

cervical mucus changes over time
The Cervical Mucus Method

Slight amount Increasing Profuse

Thick amount
Thin
White Thinner
Transparant
Sticky Cloudy
stretchy
Hold its shape Slightly stretchy
The Cervical Mucus Method
The Cervical Mucus Method
Advantages Disadvantages

Under the control Requires

of woman commitment

Give the couple

Need to be taught
permission to touch
by a specialist
their bodies

Can take two or

Increase awareness
three cycles to learn
of body changes
methods

Involves touching the

Predict the fertile
body which some
mucus
woman may dislike
Calendar Method
 The general rule is to record the length
of six cycles,
 Estimate the beginning of the fertile
period by subtracting 18 days from the
length of the shortest cycle, and estimate
the end of fertile period by subtracting 11
days from the length of the longest cycle.
Calendar Method

Useful only for women who

have relatively regular and
consistent menstrual cycles.

Pregnancy rate 40 per 100

woman-years
Calendar Method
Calendar Method
Advantages Disadvantages
Under the control of woman Unreliable

Stress, illness, and travelling can affect the

Increase knowledge about fertility
menstrual cycle

May be used in conjunction with another

Requires motivation
method

Requires menstrual cycle to be recorded

for 6 to 12 months prior to use
The Symptothermal Method
 Utilize at least two indicator to identify
the fertile period
 Usually combining the cervical mucus
method with BBT
 BBT recorded in the morning before
getting out of bed
 2 to 3 pregnancy per 100 woman-year
Standard Day Metdhod
Standard Day Method
 Identifies days 8 to19 of the cycle as fertile.
 Is appropriate for women with menstrual
cycles between 26 and 32 days long (women
who have their periods about once a month fit
within this range)
 Helps a couple avoid pregnancy by
knowing which days they should not have
sex
 Helps a couple plan a pregnancy by
knowing which days they should have sex
 Does not protect against STIs/HIV
 Standard Day Method
If you have not started your 1 On the day you start your
period by the day after you period, move the
put the ring on the last brown ring to the RED bead.
bread, contact your NFP
Also, mark this date
teacher.
on your calendar

Every morning
If you start your Keep moving the ring one 2 move the ring to
bead every day. When you the next bead.
period before
you put the ring start your next period, move Move the ring
on the darker the ring directly to the red even on days
brown bead, bead and begin again. when you’re
contact your having your
NFP teacher. monthly bleeding

On WHITE bead days you

On BROWN bead can get pregnant.
days you can have
Do not have intercourse
intercourse.
to prevent a pregnancy.
Lactational Amenorrhea Method
(LAM)
 Use of breast-feeding to inhibit ovulation
and act as a contraception
 2 % chance of pregnancy ocurring
Lactational Amenorrhea Method
(LAM)
Thank You