familyplanning计划生育.ppt
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1、Highlights Mechanism, indication, contraindication ,side effects and complication of contraception (hormonal contraception, intrauterine device) Indication, contraindication and complication of sterilization Indication, contraindication and complication of induced abortionSection 1 ContraceptionCont
2、raception Hormonal Contraception Intrauterine Device (IUD) Others Hormonal ContraceptionHormonal Contraception Oral contraception, OC Contraceptive injection Contraceptive delivery system Oral contraception Short-acting oral contraceptives Monophasic Biphasic Triphasic: more and more widespread Vaca
3、tion pillsOral contraception Short-acting oral contraceptives Monophasic Biphasic Triphasic: more and more widespread Vacation pillsContraceptive injection Long-acting Single progesterone; combined type One month; three monthsContraceptive delivery system Implantation Vaginal ring Microspheres and m
4、icrocapsules injection Contraceptive patchMechanism of hormonal contraception Mechanism of hormonal contraceptionMechanism of hormonal contraception Preventing ovulation Altering the cervical mucus Altering the endometrium Alter the function of oviductsIndication of hormonal contraception Child-bear
5、ing age No contraindiction Healthy women Contraindication of hormonal contraception Serious cardiovascular diseases Acute and chronic hepatitis, or nephritis Blood disease or thrombotic diseases Endocrine disease Cancer, precancerous lesions, uterine or breast lumps Lactation period Menstrual rare o
6、r older than 45 years old Unexplained vaginal bleeding Mental disease Side effects of hormonal contraception Nausea, dizziness, fatigue, drowsiness, loss of appetite Breakthrough bleeding Missed menstrual periods or amenorrhea Weight gain Pigmentation Headache, breast tenderness, increased appetite,
7、 itching Side effects of hormonal contraception Endometrial cancer, cervical cancer, breast cancer, epithelial ovarian cancer Fertility80% ovulation in 3 months, 95%98% ovulation in a year Offspring health Impaired glucose tolerance; increase of HDL, triglyceride & total cholesterol; total protein d
8、ecreased Thromboembolic disease Intrauterine Device (IUD)Intrauterine Device (IUD) Inert intrauterine devices Activity IUD-with copper with drugs progesterone(Mirena) indomethacin others MirenaT 形塑料支架放置直径4.8mm19mm32mm纵形管内含52mg左炔诺孕酮取出用尾丝Mechanism- IUD Mobilization of leukocytesproduce an environment
9、hostile + influence the movement of the oviducts Interference of endometrial maturation Copper device kill sperm + interruption of cell metabolism Progesterone-releasing device alteration of normal tubal cilial action + disruption of normal oocyte maturationMechanism- MirenaIndication- IUD Women of
10、childbearing age No contraindiction With Voluntary requirements Contraindication-IUD Pregnancy or pregnancy suspected Inflammation of genital tract Tumor of genital tract Menorrhagia, frequent menstruation, irregular vaginal bleeding Uterine injury diseases Genital malformations Contraindication-IUD
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