Reproductive health
1.Family planning-1951
2.RCH-awarness about aspects and facilities and building healthy societies.
3.Aminocentesis- Down syndrome,haemophilia,sickle cell anaemia.
4.Saheli-CDRI Lucknow
World population India
1900-2 billion 1947-350 million
2000-6 billion 2000-close to billion
2011-7.2billion 2011-1.2 billion
5.2011 census population growth rate-less than 2% but population rapidly
increased.
6.Natural methods have least side effects and high chances of failure.These
include:
a.Periodic abstinence
b.Withdrawl/coitus interreptus
c.lactational ammenorrhea
7.Barrier methods include condoms which are disposable and can prevent STDs
and AIDS.Diaphragms,vaults,cervical caps are reusable and block entry into cervix.
8.Intra uterine devices are ideal and well accepted by females.These are;
a.Non medicated-Lippes loop
b.Copper relesinggiUD-cuT,cu7, multiloadd375
3
c.Hormone releasing lUD-LNG 20,progestaser
They increase phagocytosis of sperms within uterus.
copper releasing IUD supress sperm motility and fertilising capacity of sperms.
hormone releasing IUD make uterus unsuitable for implantation and cervix hostile
to sperms
9.PILLS are combination of progestogen or progestogen estrogen combination.
They inhibit ovulation and implantation and and alter quality of cervical mucous
to prevent entry of sperms and effective has less side effects and well accepted by
females.
Within 72 hours of coitus administartion of progestogen estrogen pills avoid
pregnancy.
10.MTP-Medical termination of pregnancy
45 to 50 million in a year
they constitute 1/5th of total concieved pregnancies
-india legalised MTP in 1971 and made an ammendment in 2017
-they are considered safe during 1st trimester 12 weeks and riskier during 2nd
trimester
11.HEPATITIS B,AIDS,GENITAL HERPS are not cured
symtoms of reproductive tract problems include itching.fluid discharge,slight pain
and swelling.
Complications include PID,abortions, stillbirths,ectopic pregnancles,infertility and
cancer of reproductive tract.
12.Infertility is a big problem these days where a couple doesn't get pregnant
inspite of unprotected sex.
13.Totackle this problem fertilisation is done using modern techniques.
14.VFinvitro fertilisation which includes ZIFT,ICSI,and IUT.
15.INVIVO fertilisation includes Al,IUl and GIFT.
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