familyplanning計劃生育只是課件

familyplanning計劃生育familyplanning計劃生育Section1

ContraceptionSection1Contraception

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HormonalContraception

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IntrauterineDevice(IUD)

●OthersContraception●HormonalContrHormonalContraceptionHormonalContraceptionHormonalContraceptionOralcontraception,OCContraceptiveinjectionContraceptivedeliverysystem

HormonalContraceptionOralconOralcontraceptionShort-actingoralcontraceptivesMonophasicBiphasicTriphasic:moreandmorewidespread

●VacationpillsOralcontraceptionShort-actingfamilyplanning計劃生育只是課件OralcontraceptionShort-actingoralcontraceptivesMonophasicBiphasicTriphasic:moreandmorewidespread

●VacationpillsOralcontraceptionShort-actingContraceptiveinjectionLong-actingSingleprogesterone;combinedtypeOnemonth;threemonthsContraceptiveinjectionLong-acContraceptivedeliverysystemImplantationVaginalringMicrospheresandmicrocapsulesinjectionContraceptivepatchContraceptivedeliverysystemIMechanismofhormonalcontraception

MechanismofhormonalcontraceMechanismofhormonalcontraceptionMechanismofhormonalcontraceMechanismofhormonalcontraceptionPreventingovulationAlteringthecervicalmucusAlteringtheendometriumAlterthefunctionofoviductsMechanismofhormonalcontraceIndicationofhormonalcontraceptionChild-bearingageNocontraindictionHealthywomen

IndicationofhormonalcontracContraindicationofhormonalcontraceptionSeriouscardiovasculardiseasesAcuteandchronichepatitis,ornephritisBlooddiseaseorthromboticdiseasesEndocrinediseaseCancer,precancerouslesions,uterineorbreastlumpsLactationperiodMenstrualrareorolderthan45yearsoldUnexplainedvaginalbleedingMentaldiseaseContraindicationofhormonalcSideeffectsofhormonalcontraceptionNausea,dizziness,fatigue,drowsiness,lossofappetiteBreakthroughbleedingMissedmenstrualperiodsoramenorrheaWeightgainPigmentationHeadache,breasttenderness,increasedappetite,itchingSideeffectsofhormonalcontrSideeffectsofhormonalcontraceptionEndometrialcancer,cervicalcancer,breastcancer,epithelialovariancancerFertility—80%ovulationin3months,95%~98%ovulationinayearOffspringhealthImpairedglucosetolerance;increaseofHDL,triglyceride&totalcholesterol;totalproteindecreasedThromboembolicdisease

Sideeffectsofhormonalcontr

IntrauterineDevice(IUD)

IntrauterineDevice(IUD)

IntrauterineDevice(IUD)InertintrauterinedevicesActivityIUD---withcopperwithdrugsprogesterone(Mirena)indomethacinothers

IntrauterineDevice(IUD)InertMirenaT形塑料支架放置直徑4.8mm19mm32mm縱形管內(nèi)含52mg左炔諾孕酮取出用尾絲MirenaT形塑料支架放置直徑4.8mm19mm32mmMechanism---IUDMobilizationofleukocytes→produceanenvironmenthostile+influencethemovementoftheoviductsInterferenceofendometrialmaturationCopperdevice→killsperm+interruptionofcellmetabolismProgesterone-releasingdevice→alterationofnormaltubalcilialaction+disruptionofnormaloocytematurationMechanism---IUDMobilizationoMechanism---MirenaMechanism---MirenaIndication---IUDWomenofchildbearingageNocontraindictionWithVoluntaryrequirements

Indication---IUDWomenofchilContraindication---IUDPregnancyorpregnancysuspectedInflammationofgenitaltractTumorofgenitaltractMenorrhagia,frequentmenstruation,irregularvaginalbleedingUterineinjurydiseasesGenitalmalformations

Contraindication---IUDPregnancContraindication---IUDAbnormaluterinecavitySeveresystemicdiseasevenerealdiseasePelvictuberculosisPooruterinecontraction,residual,inflammationafterabortion,deliveryorcesareansectionCopperallergyContraindication---IUDAbnormalInsertiontime---IUD3~7daysaftermenstruationDelayedmenstruation,lactationamenorrhea---ruleoutpregnancy42dayspostpartumDuringabortionorcesareansection▼Insertiontime---IUD3~7daysaInsertionsteps---

MirenaInsertionsteps---MirenaSideeffects&complication---IUDDuringinsertion---bleeding,uterineperforationAfterinsertion---infection;ectopic,crack,deformationofIUD;menstrualabnormalities;vaginaldischargeincreased;pelvicinfection;ectopicpregnancy

Sideeffects&complication---OthercontraceptionTopicalcontraceptives---condom;femalcondom;contraceptivediaphragm;vaginalspermicidesNaturalfamilyplanning---20%failurerateBiotechnologycontraception---LHRHa;immunocontraception;anti-fertilityvaccineOthercontraceptionTopicalconSection2

SterilizationSection2TubalsterilizationoperationSafe,permanentHighreversibilitySurgicalapproach---laparotomy(tuballigation);laparoscopy;transvaginal

TubalsterilizationoperationSIndication---tuballigationVoluntaryNocontraindictionTherapeuticsterilization

Indication---tuballigationVolContraindication---

tuballigationPelvicinflammatorydisesesAbdominalskininflammation2timesofT>37.5℃in24hrsCannottoleratesurgeryduetosystematicdiseasesSeverneurosisContraindication---tuballigaPreparation---tuballigationTimechoice---3~7daysaftermenstruation;duringabortion,deliveryorcesareansectionGoodexplanationHistory,physicalexamination,bloodandurinelaboratoryexaminationGynecologicalabdominalsurgerypreparationPreparation---tuballigationAnesthesia---

tuballigation

localinfiltrationanesthesiaIntravenousanesthesiaEpiduralanesthesiaEndotrachealintubationanesthesia

Anesthesia---tuballigationSteps---

tuballigation

Emptyingthebladder→disinfectionofSurgicalfieldIncitionExtracttubeExtinguishtubeLigatetube---UchidamethodCheck,closeabdomenSteps---tuballigationEmptyComplication---tuballigation

BleedingorhematomaInfectionOrgandamageSterilizationfailureComplication---tuballigatioSection3

RemedialmeasuresforcontraceptionfailureSection3InducedabortionInducedabortionearlymid-pregnancymedicalabortionartificialabortionVacuumsuctionCurettageInducedabortionInducedabortiVacuumsuctionIndication---pregnanciesof10weeks,durationorless

---WithVoluntaryrequirementswithoutcontraindiction

---CannotcontinuethepregnancyduotodiseaseContraindiction---emergencystageofalldiseases

---Inflammationofgenitaltract

---2timesofT>37.5℃beforeoperation

---PoorhealthysituationVacuumsuctionIndication---preSteps---

VacuumsuctionPreparationDetectuterinecavityDilatecervixVacuumsuctionCheck

Steps---VacuumsuctionPreparaSteps---

VacuumsuctionSteps---VacuumsuctionCurettage10~14pregnancygestationSufficientlydilatecervixGraduallydisplacedbymedicalabortionCurettage10~14pregnancygestaComplication---artificialabortionUterineperforationIntegratedresponsetoabortionIncomplete