HEALTH TEACHING PLAN

Topic: Natural Family Planning

Venue: Jose B. Lingad Memorial General Hospital
Participants: OPD patients, mothers, soon to be mothers, families
Goal: After 30 minutes of health teaching, participants will be able to acquire knowledge, skills, and affirmative attitude regarding natural family planning and its methods.

SPECIFIC OBJECTIVES CONTENT ALLOTED METHODOLOGY RESOURCES EVALUATION

TIME
After 30 minutes of
rendering health
teaching, client will be
able to:

1. Define Natural Natural Family Planning 2 minutes Lecture/Discussio Visual aids,

Family - is a method of preventing pregnancy that does not involve introduction of n with use of
Planning chemicals or foreign materials into the body. manila paper,
- The effectiveness of these methods varies greatly on the couple’s ability to black marking
refrain from having sex on fertile days. pen
- The only method accepted by the Catholic Church.

2. Identify the -An individual or a couple’s choice of family planning method should be made 3 minutes
important carefully with complete knowledge about the advantages, disadvantages, and Lecture/Discussio
things to side effects of the various options. Important things to consider are: n
consider in > personal values
choosing a > ability to use a method correctly
family > how the method will affect sexual enjoyment
planning > financial factors
method > status of a couple’s relationship
> prior experiences
> future plans

3. Enumerate the a. ABSTINENCE 15 Calendar,

natural - The most effective way to prevent against conception is to abstain minutes marking pens,
methods of from sexual intercourse Giving of accurate Visual aids,
family - Also the most effective way to prevent STD’s. examples by with use of
planning and - Clients may find it difficult to comply with abstinence or may lecture or manila paper
explain how completely overlook it as an option discussion
each should be - In a moment of passion, many otherwise responsible people may fail
done to consider this as an option.

Suggestions for Promoting Abstinence: (especially for adolescents)

- Discuss with your partner in advance what sexual activities you will
permit and what you will not
- Try to avoid high pressure situations (e.g. party with known drug
use, excessive alcohol consumption)
- If pressured, say “no” and mean it
- Be certain that your partner understands that you consider being
forced into relations against your wishes is the same as rape, and
not simply an irresponsible conduct.
- Don’t accept any drugs to “help you relax” or “be cool” as such as
drug would impair your judgments. The drug could also be the
“date rape” drug, Flunitrazepam (Rohypnol).

b. FERTILITY AWARENESS METHOD

- Rely on determining when the women will be capable of
impregnation (fertile) and using periods of abstinence or
contraceptives during that time.

 Calendar Rhythm Method

- Requires a couple to abstain from coitus on the days of a menstrual
cycle when the woman is most likely to conceive. To plan for this, a
woman should keep a diary of six menstrual cycles, to calculate the
“safe” days. To calculate, she subtracts 18 from the shortest cycle
documented. This number represents her first fertile day. She
subtracts 11 from her longest cycle. This is her last fertile day. To
avoid pregnancy, she would avoid coitus during these days.
 Basal Body Temperature Method (BBT)
- The basis for this method is that just before the day of ovulation, a
woman’s BBT falls about half a degree. At the time of ovulation, her
BBT rises a full degree because of the influence of progesterone.
This higher level is then maintained for the rest of her menstrual
cycle.
- To use this method, the woman takes her temperature each
morning immediately after waking, before she undertake any
activity. This is her BBT as soons 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 (the
life of a discharged ovum). Sperm can survive for at least 4 days in
the female reproductive tract, thus combining this method with a
calendar method is usually recommended.
- DISADVANTAGE: Many factors can affect BBT such as: illness,
changes in woman’s daily schedule like starting on aerobic program.

 Cervical Mucus (BILLINGS) Method

- Uses the changes in cervical mucus that occur naturally with
ovulation.
- BEFORE OVULATION: the cervical mucus is thick and does not
stretch when pulled between thumb and finger (SPINNBARKETT)
- WITH OVULATION: (the peak day) cervical mucus becomes copious,
thin, watery and transparent. It feels slipping and stretches at least
- Breast tenderness
- All the days, the mucus is copious and the 3 days after the peak day
are considered to be fertile days or days that the woman should
abstain to avoid conception.
- DISADVANTAGE: woman using this method must be conscientious
about assessing her vaginal secretions daily or she will miss changing
cervical secretions.
- The feel of vaginal secretions after sexual relations is unreliable
because the seminal fluid ( the fluid containing the sperm from the
male) has a watery and has post ovulatory consistency which can be
 confused with ovulatory mucus.

 Sympto-Thermal Method
- This can be combined with cervical mucus and BBT methods. The
woman takes her temperature daily, watching for the rise in
temperature that marks ovulation. She also analyzed her cervical
mucus daily. The couple must abstain from intercourse until 3 days
after the rise in temperature or the fourth day after the peak of
mucus change because these are the woman’s fertile days.
- ADVANTAGE: this method is more effective than either the BBT or
cervical mucus method alone.

 Lactational Amenorrhea Method

- As long as a woman is breastfeeding an infant, there is some natural
suppression of ovulation. However, the use of lactation as a birth
control method is not dependable because women may ovulate but
not menstruate while breastfeeding, the woman may still be fertile
even if she has not had a period since child birth. After 6 months of
breastfeeding, the woman should be advised to choose another
method of contraception.

 Coitus Interruptus
- One of the oldest known methods of contraception. The couple
proceeds with coitus until the moment of ejaculation. Then, the
man withdraws and spermatozoa are emitted outside the vagina.
- DISADVANTAGE: ejaculation may occur before withdrawal is
complete and despite care used, some spermatozoa may be
deposited in the vagina and fertilization may still occur.

4. Determine the Advantages: 5 minutes Visual aids

advantages - Inexpensive; does not strain financially
and - Accepted by the Catholic Church Lecture/Discussio
disadvantages - Does not require any form of purchase n
of natural - Free of side effects
 family - If pregnancy should occur, the continued use of these methods
planning. poses no risk to the fetus
- Easily done/obtainable
- Safe
- Free of effects on future pregnancies
- More spontaneity in sexual relations is possible once non-fertile
days are determined.
Disadvantages:
- Failure rates usually ranges from 10% to 20%
- Required days of abstinence may make a natural planning method
unsatisfactory and unenjoyable for a couple
- Adolescent girls tend to have occasional anovulatory menstrual
cycles for several years after menarche and do not always
experience definite cervical changes or an elevated body
temperature.
- Saying “no” to sexual intercourse is a difficult task to do for
adolescent especially under peer pressure.

5. Verbalize At this time, our group will have an interaction with the participants in order to 5 minutes
feelings and answer their questions if there is a need for them to clarify every method that
concerns was taught to them. We will encourage them to apply these methods as
about family mentioned above in order for them to yield in natural family planning. Interaction with
planning the participants/
methods question and
answer portion

Source:
Maternal and Child
Health Nursing
Care of
the Childbearing and
Childrearing Family
Adele Pillitteri
fifth edition
 Holy Angel University
Angeles City
Graduate School of Nursing

HEALTH TEACHING PLAN

Submitted by:

Romeo Nikko Q. Pabustan

Submitted to:
Dr. Al. Biag