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contraceptie PXL Healtcare
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ContraceptieAnticonceptieve nood
• demografische nood
• individuele nood
Redenen
• Biologische redenen: vroegere menarche door betere leefomstandigheden, dus meer ovulatoire
cycli > 420 menstruele cycli
vgl. vrouwen in de Kalahari woestijn: 4 jaar zwangerschap, 15 j borstvoedingsamenoree > 48
menstruele cycli
• Socio-economische redenen: seksualiteit=persoonlijkheidsontwikkeling en relatiekwaliteit
kleinere gezinnen, minder tijd en meer investeringskost per kind
langere educatietijd van vrouwen
Overzicht
• natuurlijke familieplanning
• Coïtus interruptus
• Barrière methodes: condoom, spermicides, damescondoom, vaginaal diafragma
• IUCD’s: cu en progestageen bevattend
• Hormonale contraceptie: O en P
• Definitieve anticonceptie of sterilisatie
• Postcoïtale contraceptie: ‘de noodpil’
• Abortus arte provocatus of AAP
Werkzaamheid van contraceptie
• Pearl index: het aantal
concepties dat
optreedt per 100
vrouwen- of
blootstellingsjaar
• =1 jaar gebruik van
deze methode
• PERFECT USE vs
TYPICAL USE
Natuurlijke familieplanning
• Kalender methode (Ogino-Knaus)
• Temperatuur methode: gebaseerd op cycliciteit van lichaamstemperatuur - preovulatoir kleine
daling - stijging over 2-3 d na ovulatie
• Mucus-Ovulatiemethode (Billings): gebaseerd op mucorroe vaginaal door secretie van de
endocervix
• Voordeel: zeer onschadelijk
• Nadeel: matige resultaten
Borstvoeding
• ideale vorm van NFP
1
, • anticonceptief effect afhankelijk van spreiding van de voedingen, nutritietoestand moeder
2
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