Block : Endocrine and Metabolism System

MODULE # 4

FAMILY PLANNING
Resource Person
Tita Husnitawaty, dr., SpOGK
R Tina Dewi Judistiani, dr., SpOG

Expected competency :
performing patient selection (HT & PD)
providing patient education-counselling
developing good patient-physician
relationship
providing family planning service
documenting and reporting

Todays Sessions

Short introduction
Demonstration
Questions and answer
Coaching, student Practice and discussion
Assessment (peer assessment and
instructors assessment of your
performance)

STEP DIVISION
1. Preliminary Counselling
2. Pre-service counselling and client
selection
3. Gynecological examination and IUD
Insertion (further division )
4. Data recording

Gynecological examination and

IUD Insertion
a)
b)
c)
d)
e)

Preparation and Getting Ready

The examination
Pre insertion
The insertion
Post insertion evaluation

I. Preliminary counselling
For potential client who needs
contraception
Includes thorough history taking, health
problems, obstetric and gynecologic history
Explanation of available methods in market
General information about each method
Clients needs : interval or terminate
fertility period

Preliminary counselling continued

Clients perspective based on believes and

religion
Help to choose a method
Show simpathy
Explain the general steps (gyn ex and or the
chosen method)

2. Pre-service counselling

A return visit for application of a method

May need further explanation, details
Re check the data gathered
Explain the steps in details.
Complete the data from history taking and
counselling

3.a. Preparation and getting ready

Equipment (see on the demo tray)
Patient
Physician
3b. The examination
Use the standard learning guide step 2951

Take off rings,

bracelets, watches

Done if any indication/suspicion

3c. Pre insertion

Preparing the intra uterine device

Insertion of IUD arm into inserter

3d. The insertion

End of Demo
IUD insertion