Management of Missed Combined Oral Contraceptive Pills: A Case Study
Objective.
At the end of this case study student will able
to manage missed combined oral
contraceptive pills.
1
Case1:(Client name) is a 25 years of age
,recently married women and she was using
combined oral contraceptive for three
consecutive months. She come to family
planning unit for the reason of missing
combined Oral contraceptives pills.
Q1. what additional information do you want
to ask her?
2
She told you that, she missed three COC pills
consecutively in the third week and she did
not used any backup methods during that
time. She had no history of sexual contact
recently.
Q2. What will be the possible management
options for this case?
3
In addition, she told you that, she has a plan to
delay a pregnancy for 2 years until she
finished college education.
Q3. What important things do you counsel her
future contraceptive plan?
4
Take the pills as soon as possible
Finished all hormonal pills and throw away the 7
non hormonal pills.
Start a new pack the next day
Use backup methods for the next 7days
In addition if , she had sex in the past 5 days , can
consider ECPs.
Consider method switch.
5
At the end of the case study student will able
to identify& manage side effects of COP.
6
Case2. A 23yrs age woman comes to family
planning clinic with a complain of nausea for
five days.
Q1. What information do you want to ask your
client ?
7
She has no history any medical and surgical
problems associated with nausea. She has a
regular menstrual cycle.
Q2. What will be your management ?
8
Explain to the woman that the side effect is
not sign of illness and will disappear after few
months
Tell the woman to come to clinic if nausea
persists
Consider the time she take the pills
9
At the end of this case study: Students will be
able to identify and manage side effects of
IUCD.
10
A 30yrs old woman who has an IUCD inserted
5wks back came to F/P clinic with a compliant
of irregular bleeding.
Q1. What additional information do you ask
this client?
11
The bleeding is heavy and has also lower
abdominal cramp. She has no fever, offensive
vaginal discharge and cervical motion
tenderness. Her V/s are stable. She is not
anemic.
Q2. How do you manage this client?
12
Reassure that the cramping will diminish
/stop after few months and provide
analgesics
Reassure the heavy bleeding expected side
effect of IUCD in the first 6months of
insertion
Provide iron sulfate 1 tab daily for 3 months
if she is anemic
Follow up after 3 months
13
Objective
At the end of this role play the students will
be able to counsel for family planning using
REDI approach.
14
A 25 years old woman who had delivered a
live infant before 6 weeks came to post natal
clinic for follow up. to She is currently breast
feeding and she want to delay pregnancy for
next 3 years. She had never used any modern
family planning methods before. She was
linked to the family planning unit.
15
In this case study, a 25-year-old woman is seeking advice for missing three consecutive combined oral contraceptive pills. The management options for this scenario, including taking necessary steps and possibly using emergency contraceptive pills if needed, are discussed. Additionally, counseling on future contraceptive plans is provided. Another case involves a 23-year-old woman with nausea, where history and management are explored. The overall objective is to equip students with skills to identify, manage side effects, and handle missed doses of combined oral contraceptives effectively.
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Presentation Transcript
Objective. At the end of this case study student will able to manage missed combined oral contraceptive pills. Objective. 1
Case1:(Client name) is a 25 years of age ,recently married women and she was using combined consecutive months. She come to family planning unit for the reason of missing combined Oral contraceptives pills. Q1. what additional information do you want to ask her? oral contraceptive for three 2
She told you that, she missed three COC pills consecutively in the third week and she did not used any backup methods during that time. She had no history of sexual contact recently. Q2. What will be the possible management options for this case? 3
In addition, she told you that, she has a plan to delay a pregnancy for 2 years until she finished college education. Q3. What important things do you counsel her future contraceptive plan? 4
Take the pills as soon as possible Finished all hormonal pills and throw away the 7 non hormonal pills. Start a new pack the next day Use backup methods for the next 7days In addition if , she had sex in the past 5 days , can consider ECPs. Consider method switch. 5
At the end of the case study student will able to identify& manage side effects of COP. 6
Case2. A 23yrs age woman comes to family planning clinic with a complain of nausea for five days. Q1. What information do you want to ask your client ? 7
She has no history any medical and surgical problems associated with nausea. She has a regular menstrual cycle. Q2. What will be your management ? 8
Explain to the woman that the side effect is not sign of illness and will disappear after few months Tell the woman to come to clinic if nausea persists Consider the time she take the pills 9
At the end of this case study: Students will be able to identify and manage side effects of IUCD. 10
A 30yrs old woman who has an IUCD inserted 5wks back came to F/P clinic with a compliant of irregular bleeding. Q1. What additional information do you ask this client? 11
The bleeding is heavy and has also lower abdominal cramp. She has no fever, offensive vaginal tenderness. Her V/s are stable. She is not anemic. Q2. How do you manage this client? discharge and cervical motion 12
Reassure that the cramping will diminish /stop after few months and provide analgesics Reassure the heavy bleeding expected side effect of IUCD in the first 6months of insertion Provide iron sulfate 1 tab daily for 3 months if she is anemic Follow up after 3 months 13
Objective At the end of this role play the students will be able to counsel for family planning using REDI approach. Objective 14
A 25 years old woman who had delivered a live infant before 6 weeks came to post natal clinic for follow up. to She is currently breast feeding and she want to delay pregnancy for next 3 years. She had never used any modern family planning methods before. She was linked to the family planning unit. 15
