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JubileeSkyBradley's Pregnancy

My Due Date: September 30, 2015
I have given birth!
Age: 36 years old
Location: Azusa, United States

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Pre-conception
By JubileeSkyBradley » Posted Sep. 24, 2015 1:10am - 334 views - 0 comments

Preconception (09/17/15):
G1P0

28 y.o. female desiring entry to Peace Corps with her husband of 2 years. They do not wish to conceive at this time. Pt does not take OC’s as they, “have too many risks”. She is reading a book called, “Taking Charge of your Fertility” and asks about fertility awareness methods for birth control. Her husband is very supportive and involved with family planning. Pt had onset of menses at age 13, and currently has cycles every 28-30 days.

1. What are some advantages involved with NFP? (pg. 682t)

There are many advantages associated with NFP. NFP is inexpensive since there are no medical procedures or products being used. There are no drugs or hormones being introduced into the body when using the NFP method and is also acceptable in most faith practices. Furthermore, NFP helps one to familiarize herself with, and learn about, her own body. This method can be used not only as a method of contraceptive, but as a method to achieve conception as well by monitoring and determining the most fertile times in one’s cycle. Furthermore, this method can be combined with barrier contraceptives to increase the effectiveness of contraception (Murray, 2014).

2. What are some disadvantages involved with NFP? (pg. 682t)

Similar to the advantages, there are many disadvantages with NFP. First and foremost, NFP will not protect oneself from contracting sexually transmitted infections or diseases, like other forms of contraception may. Furthermore, to effectively utilize NFP, one must be very well educated on the method and have high motivation to follow through with NFP for long periods of time. NFP involves strategic abstinence to avoid conception from occurring during times of increased fertility in the women’s cycle. Lastly, NFP is not always 100% effective. There are many factors contributing to a woman’s ovulation time, and at any point, this time may change, and reduce the effectiveness of contraception (Murray, 2014).

3. Pt Last Menstrual Period was 8/20/14. Based on her regular 28-30 day menstrual cycle, when would she want to avoid intercourse? (pg. 696t)

There are two NFP methods that account for the number of days past or before the start of menses to determine the most fertile time period.
-The calendar method operates on the understanding that the ovulation occurs roughly 14 days before the onset of menses. According to the calendar method, Mrs. Bradley should avoid intercourse from August 29th to September 7th, 2014 (days 10-19).
-The other method that takes into account the number of days is the standard days method. The standard days method is suitable for women who have a cycle lasting between 26 to 32 days and operates under the condition that intercourse is only acceptable during days 1 through 7 and days 20 through the final day.
According to the standard days method, Mrs. Bradley should avoid intercourse from August 27th to September 7th, 2014 (days 8-19).
The other NFP methods require monitoring of basal body temperature, assessment of cervical mucus, and a combination of the above methods (Murray, 2014).

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