Question

Compare and contrast the two (2) LARC form of family planning. For the following scenarios, determine the best family planning option for the patient. Your response should be justified. You may need to elaborate on the efficacy, effects, procedure & follow-up.

A 20-year-old university student who requests contraception, says she has dysmenorrhea and heavy menstrual loss on the first day of her menses. She has a regular monthly cycle and enjoys good general health.

A 23-year-old unmarried, unemployed woman from a squatter settlement has just given birth after an unplanned pregnancy. She plans to breast feed.

A 30-year-old school teacher who has two (2) children, has just stopped breast feeding and was on a low dose progestogen only preparation. She is in good health and is undecided on a tubal ligation. She thinks she has completed her family.

A 38-year-old G5P5, had a normal delivery 24 hours ago. She is stable but having some trouble breastfeeding. She would like to breastfeed for as long as she can. She is undecided about which family planning method to use.

A 28-year-old woman has a 5-year-old child. She is not keen to have a pregnancy yet. She stopped the implant due to hormonal effects. A couple come to see you, they would like to consider vasectomy for the male partner. His wife is a known cardiac case who was admitted in ICU for pulmonary oedema.

Answer 1

Long acting reversible contracepton(LARC) is a typr of contrsception which last longer.

The twotypes of LARC are as follows

• Intra uterine device(IUD) This is an implants that last for 3 years, 5 years or 10 years.
• Implants: this are the devices which lasts for 5 years.

LARC are the most effective types of contraception methods.

1) The contraceptive method used by the 20 years

Usually adolescents and university students prefer condoms as their first choice of contraception or contractive pills which is a secong option usually.

2) In the second case, breastfeeding is a form of contraception but it is not an effective one. While breastfeeding choosing of the type of contraception should be done carefully as it should be a safe metod for the baby. Combined oral contraceptive pills are the good choice as it pose no threat to the baby. Condoms are the second option in ths case.

3) In the third case The mpther wants to doa tubal ligation.

Tubal ligation is a surgical procedure in which the fallopian tubes are tied up or blocked permanently. This is a permanent female sterilazation. It is 99% effective in preventing regencies and if becomes pregnant it will be likely ectopic pregnancy. NO other complicatons seen. It si mostky done if couples wants to prevent spontaneous pregnancy. In this case if she wants to stop the pregnancy permanently tubal ligation is the good choice.

4) In this case , the mother wants to breasteed the baby hence the best wat to prevent further pregnancy at this time is using of combined contraceptive pills which is not harmful while breastfeeding the baby. During breastfeeding estrogen pills should be avoided in the initial months as it affects the milk production.