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Nội dung text 04. REPRODUCTIVE HEALTH.pdf

REPRODUCTIVE HEALTH IMPORTANCE •To avoid unwanted pregnancies. •Cases where continuation of pregnancy could harm both mother and boby MEDICAL TERMINATION Problem OF PREGNANCY •Illegal Practice •Misuse of Amniocentesis SEXUALLY TRANSMITTED DISEASES (STD ) Examples •Gonorrhea, Syphilis, Herpes, HIV, AIDS, etc Symptoms •Itching fluid discharge, swelling and pain in genital regions. •Pelvic in inflammatory diseases (PID), abortions, infertility, cancer, etc. Preventions •Avoid sex with multiple and unknown partners •Use condoms, etc. ASSISTED REPRODUCTIVE TECHNOLOGIES (ART) In vivo fertilisation (IVF) (Test tube Baby) Embryo Transfer i) Gamete Intra Fallopian Transfer (GIFT). ii) Intra Uterine Transfer (IUT). Intra Cytoplasmic Sperm Injection (ICSI) In lab single sperm injected into an egg. Embryo Implanted in uterus. Artificial Insemination Semen from donor introduced into uterus. Surrogacy Surrogate mother bears child for a couple who cannot bear child. REPRODUCTION AND CHILD HEALTH CARE (RCH) PROGRAMMES .Providing awareness about reproduction related aspects for reproductively healthy society. .Sex Education (School). .Awareness about population explosion and social evils. POPULATION EXPLOSION Reason •Increased health facilities and better living conditions. •Decline in death rate. •Increase in number of people in reproductive age. Solution .Creating awareness about “Hum DO Hamre Do”. •Legal marriage age - Male (21) and female (18). •Use of contraceptives. AMNIOCENTESIS Negative Applications • Increased female foeticides and abortion. Positive Application • Useful to detect abnormalities in genus of foetus. TEMPORARY BIRTH CONTROL Natural PERMANENT BIRTH CONTROL Oral Intra Uterine Devices (IUDS) Barrier Injectables • Periodic Abstinence . Condoms . Cervical caps . spermicidal creams • Coitus Interruptus • Lactational Amenorrhea During fertile period avoid coitus. withdrawal of penis before ejaculation. Ovulation and menstusal cycle did not occur during the location period. Contraceptives (i) Rubber sheath, (ii) Males and females (i) Rubber, (ii) Reusable Used along with other barriers. • Prevents implantation of blastula. • Used by females. • Effcetiveness – short period. • Effectiveness – Long period. Non – Medicated IUDs Sterilization (Surgical Methods) Copper Releasing IUDs Hormone Releasing IUDs Lippes loop Cut, Cu7, etc LNG – 20, Progestasert Progestogen- Saheli Estrogen Pills Progestogens Progestogen- Estrogen combined Vasectomy Tubectomy • Male. • Vas deferens cut and tied. • Female. • Fallopian tube cut and tied. s (MTP )s

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