The next choice is condom or Chemical contraceptive like today.
Newly married couples should also be explained about ovulation cycle, safe period and fertile period.
For couple with children:
The best choice would be between CuT and pills.
Copper-T has the advantage that the couple does not have to worry every about contraception.
So there is less tension of failure. Of course any method if followed regularly will be equally effective.
Condoms, diaphragms, chemical contraceptives, all need to be used every time and require proper planning and privacy, which is why failure rates are higher with them.
If a couple does not desire any more children:
Advise permanent contraception by tubectomy or vasectomy.
But if the couple has only one child or two advise to wait till the child is 2 years old before permanent contraception is done. Till then Cu T or any other method should be followed.
If a lady forgets to take a pill?
Ask her to take one extra pill next day. But off 2 or more oils are missed, advise to continue the pills as usual (to revent irregular bleeding), but the couple should use another method like condom or today, during tha month as a precaution.
What is safe period?
Provided cycles are regular, 10th day to 20th day is considered as fertile period. The remaining days is sage period, when pregnancy will not occur. However this is not a reliable method for contraception as the date of ovulation can be variable.
Emergency Contracpetion (Morning after Pill)
Tab. Norlero 1 bd z 2 days. To be taken with 72 hours after sexual contact.
Tab. PErinorm 10mg SOS if nausea.
Medically suggestible Pre-marriage tests:
Blood group and Rh – For awareness of Rh incompatibility. Anti-D injections to be given to Rh negative mothers immediately after delivery or absorption.
HbsAg for hepatitis B infection – Partner must be immunized before marriage.
HIV test – If positive, risk to partnet is too high to accept.
VDRL – If positive must ve treated with pencilin.
Thalessemia screening – a must if Talessemia patient is known in relation.
