扬州大学：《妇产科学》课程教学课件（PPT讲稿）41 计划生育family planning

Family planningDepartment of Obstetrics andGynecology of the Second AffiliatedHospital of Chongqing MedicalUniversityOu Wenjun欧文君

Family planning Department of Obstetrics and Gynecology of the Second Affiliated Hospital of Chongqing Medical University Ou Wenjun 欧文君

Summary.Family planningenables sexually activecouples to prepare for their pregnancies, inorder to optimize both fetal and maternaloutcomes Fertility control? Avoid unwilling pregnancy Unplanned pregnancies constitute major publichealth problems

Summary ⚫ Family planning enables sexually active couples to prepare for their pregnancies, in order to optimize both fetal and maternal outcomes. ⚫ Fertility control? Avoid unwilling pregnancy ⚫ Unplanned pregnancies constitute major public health problems

受精一Contraception←-Interception卵泡发育排卵着床AbortionThree categories of family planning

Three categories of family planning 排 卵 受 精 着 床 卵泡发育 ←Interception ←Contraception ↑ Abortion

Chapter 1 Contraception

Chapter 1 Contraception

Methods of contraceptionIntrauterinedevice,IUDHormonalcontraceptionOther contraceptive methods

Methods of contraception ⚫ Intrauterine device, IUD ⚫ Hormonal contraception ⚫ Other contraceptive methods

IUD Convenience, cost effectiveness andreversibility For women who are in stable, mutuallymonogamous relationships at low risk forsexually transmitted infections (STls)Most commonly used in China-→>80%

IUD ⚫ Convenience, cost effectiveness and reversibility ⚫ For women who are in stable, mutually monogamous relationships at low risk for sexually transmitted infections (STIs) ⚫ Most commonly used in China→80%

History of IUDUsed in animals at first 1909, the first human IUD, designed by aGerman doctor named Richard Richter, wasmade of silk. Aseptic technique→modern IUD

History of IUD ⚫ Used in animals at first ⚫ 1909, the first human IUD, designed by a German doctor named Richard Richter, was made of silk ⚫ Aseptic technique→modern IUD

Ancient IUDs

Ancient IUDs

Categories of modern IUDsIuDswoundwithcopperwireDifferent shapes Different surface areas of copperThe levonorgestrel-releasing intrauterinesystem (LNG-IUS, Mirena)Release levonorgestrel 20ug/dSuitable for women with heawy menses ordysmenorrheal

Categories of modern IUDs ⚫ IUDs wound with copper wire ⚫ Different shapes ⚫ Different surface areas of copper ⚫ The levonorgestrel-releasing intrauterine system (LNG-IUS, Mirena) ⚫ Release levonorgestrel 20ug/d ⚫ Suitable for women with heavy menses or dysmenorrheal

Modern IUDsTCu-220TCu-200金属圆环coacac在宫腔内能释放TCu-380V型节育器孕酮的避孕器

Modern IUDs