ACTIVITY: Lecture and Demonstration on Natural Family Planning Methods

TOPIC: Family Planning (Natural) / Some Alternatives

GOAL: After (30) minutes of lecture and demonstration on natural family planning, the participants will be able to gain more knowledge on the different types of

natural family planning methods, explore their family planning options that best fit their lifestyle, practice and values, exhibit understanding on the importance of

family planning, and show a positive attitude towards family planning.

SETTING: Classroom/Multi-Purpose Hall/Auditorium

PARTICIPANTS: Students, Men and women of reproductive age (15-49 years old)

(In Video: Man and Women of reproductive age (18-21)

RESOURCES: Pictures, Adhesives, White board, w. board marker, PA System, Video Screen, LCD Projector, Poster Boards, Anatomical (genitalia) dummies,

Sample condoms, diaphragm, spermicide and vaginal rings, Manila paper, IECs
Learning Objective Content Outline Method of Time Instructional Method of Evaluation
Instruction Frame Resources

After 30 minutes of rendering After 30 Minutes of the teaching

health teaching, client will be the participant/s will show
able to: understanding about the
presentation by:
1. Define Natural Family Natural Family Planning
Lecture/Discussion 2 minutes Visual aids, with use of laptop Explaining back what
Planning - is a method of preventing pregnancy that does not involve and PowerPoint presentation he/she has learned
introduction of chemicals or foreign materials into the body.
- The effectiveness of these methods vary greatly on the Asks any questions to clear
Materials: up things
couples ability to refrain from having sex on fertile days. - Pictures
- The only method accepted by the Catholic Church. Start to apply what they
- Adhesives
- White board have learned to their sex life
2. Identify the important -An individual or a couples choice of family planning 3 minutes - w. board marker Take home pamphlets for
Lecture/Discussion
things to consider in method should be made carefully with complete knowledge - Manila paper continued learning
choosing a family about the advantages, disadvantages, and side effects of -poster boards
planning method the various options. Important things to consider are: Equipment: After 1-2 months of the teaching
> personal values - PA System the participant/s will show
> ability to use a method correctly - Video Screen understanding about the
> how the method will affect sexual enjoyment - LCD Projector presentation by:
> financial factors
Continue to apply the
> status of a couples relationship
teachings to their sex life.
> prior experiences
> future plans Confirm any questions
Correctly follow and execute the
methods
3. Enumerate the a. ABSTINENCE 15 Visual aids, with use of laptop
Giving of accurate
natural methods of - The most effective way to prevent against minutes and PowerPoint presentation
examples by
family planning and conception is to abstain from sexual
lecture or
explain how each intercourse
discussion
should be done - Also the most effective way to prevent STDs. - Anatomical (genitalia)
- Clients may find it difficult to comply with dummies
abstinence or may completely overlook it as an
option
- In a moment of passion, many otherwise - Manila paper
responsible people may fail to consider this as - Adhesives
an option. - Pens and papers
- White board
Suggestions for Promoting Abstinence: (especially for - W. board marker
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.
- Dont 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 womans 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 womans 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 womans 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: Lecture/Discussion 5 minutes Visual aids, with use of laptop
advantages and - Inexpensive; does not strain financially and PowerPoint presentation
disadvantages of - Accepted by the Catholic Church
natural family - Does not require any form of purchase
planning. - Free of side effects - Anatomical (genitalia)
- If pregnancy should occur, the continued use dummies
of these methods poses no risk to the fetus - Sample condoms,
- Easily done/obtainable diaphragm, spermicide and
- Safe vaginal rings
- Free of effects on future pregnancies
- More spontaneity in sexual relations is possible - Manila paper
once non-fertile days are determined. - Adhesives
- Pens and papers
- White board
 - W. board marker

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 feelings Talk about some alternative methods (artificial methods) ie. Interaction with the 5 minutes
and concerns about Condoms, diaphragms, virginal rings, spermicidal, etc. participants/
family planning question and
methods answer portion

At this time, interaction with the participants in order to

answer their questions if there is a need for them to clarify
every method that was taught to them. Encourage them to
apply these methods as mentioned above in order for them
to yield in natural family planning.

Prepared by: Analiza E.Alcasabas, RM