Archive

Listed are the posts for April 7, 2009.

AT THE POSTNATAL EXAMINATION – SUPPORTING POSTNATAL FAMILY PLANNING

It is sad that few hospitals now support postnatal family planning clinics and the opportunity to return to the place where the baby was born is seldom available. At such a visit the woman could show off the baby, have her new status as mother recognized and discuss her delivery, even though it might be [...]


THE STEREOTYPES – ‘CONTRACEPTION IS LEFT TO THE WOMAN’ (GENERAL INFORMATION)

Men are unlikely to admit that they consider contraception to be the woman’s business but again the shadow is there. ‘A lot of other men do,’ they say. Perhaps it is because many men are nervous about their sexuality. They stir quickly and not always when expected, and they are not used to the idea [...]


THE PATIENT WHO PRESENTS LATE – GENERAL INFORMATION

Some women present late because they genuinely did not believe themselves to be pregnant, often at the extremes of the reproductive age range, or because they have irregular cycles. Some deny the problem until the bulge begins to appear, or hope that they will miscarry. Others sadly may be the victim of a laborious system [...]


CARE OF THE YOUNGER PATIENT – THE METHOD CHOSEN (INTRODUCTION)

The COC is the most common form of contraception chosen by the younger patient. In view of this, it merits most attention in this chapter. The doctor looking after this age group has a unique opportunity to get it right at the first consultation as regards absolute and relative contraindications and risk factors. At the [...]


CARING FOR THE POORLY MOTIVATED – NEGATIVE FEELINGS

How have the negative feelings towards contraception come about in these families? Often both the women and men have grown up feeling that the world is against them. Unloved and rejected by their own parents, lacking self-esteem, feeling powerless to influence their destiny, they live from day to day, unable to plan for the future [...]