Tutorial Roda KLOP KB

Summary

This guide explains the use of a circle diagram for assessing the medical suitability of contraceptive methods based on WHO 2015 guidelines. It outlines the process of matching specific medical conditions and characteristics with appropriate contraceptive options. The diagram helps healthcare providers recommend safe methods, considering various conditions such as hypertension, diabetes, and postpartum status. It also provides a step-by-step procedure for screening, evaluating medical history, and selecting suitable methods based on effectiveness, safety, and the client’s unique needs.

Takeaways

• 😀 The circle diagram is a tool for determining contraceptive eligibility based on medical conditions and specific client characteristics.
• 😀 The diagram has two main parts: the inner circle for contraceptive methods and the outer circle for medical conditions or characteristics.
• 😀 Medical screening for contraceptive use involves answering six questions to rule out pregnancy or confirm non-pregnancy status.
• 😀 If a client answers 'no' to all pregnancy-related questions, they may need to wait for their next menstrual cycle or take a pregnancy test.
• 😀 If at least one pregnancy-related question is answered 'yes' with no symptoms of pregnancy, contraceptive methods may still be used.
• 😀 Three categories of contraceptive effectiveness are considered: consistent use, typical use, and various factors affecting efficacy.
• 😀 Methods of contraception are categorized into 1, 2, 3, and 4, with categories 1 and 2 being the most recommended for use.
• 😀 Emergency contraceptive methods are highlighted, especially for clients with specific medical conditions or characteristics.
• 😀 The outer circle of the diagram contains information about specific medical conditions and characteristics that affect contraceptive choices.
• 😀 The diagram's inner circle provides recommendations on which contraceptive methods can be used based on these medical conditions.
• 😀 Specific conditions like hypertension, diabetes, or postpartum periods influence the choice of contraceptive methods, with options like progestin-only pills or implants being recommended.
• 😀 If a client agrees with the screening results, further counseling and provision of contraceptive services are provided, while additional counseling is available if the client disagrees.

Q & A

What is the main purpose of the circle diagram in contraception screening?

The circle diagram is used to match specific medical conditions or characteristics with the recommended contraception methods, helping to determine the most suitable options for clients based on WHO guidelines.

How does the circle diagram differentiate between different contraception methods?

The diagram divides contraception methods into categories based on effectiveness and medical suitability. It includes different levels of recommendations (1-4), with Categories 1 and 2 being most recommended, and Categories 3 and 4 being unsuitable.

What conditions are considered during the medical screening for contraception use?

Conditions such as hypertension, diabetes, postpartum status, and pregnancy history are considered. Specific conditions like hypertension over 160/100 mmHg may influence the recommended contraception method.

What steps should be taken if a client shows signs of pregnancy during the screening?

If any pregnancy symptoms are identified, the client should be asked to wait for their next menstruation or take a pregnancy test. Contraceptive methods should not be prescribed until pregnancy is ruled out.

How should a healthcare provider proceed if a client does not agree with the recommended contraception method?

If the client disagrees with the recommendation, further counseling should be provided, and the client should be given the opportunity to discuss the matter with their partner. A follow-up visit or discussion may be scheduled.

What is the recommended contraception method for a client with hypertension, diabetes, and postpartum status within 48 hours?

For a client with hypertension, diabetes, and postpartum status, the recommended contraception methods are progestin pills or an LNG implant, with a preference for long-term methods like the implant.

What role do the outer and inner circles of the diagram serve?

The outer circle provides information on specific medical conditions or client characteristics, while the inner circle shows the recommended contraception methods. The two circles help match client conditions with suitable methods.

What does the '3cb' code represent in the circle diagram?

The '3cb' code refers to specific recommendations or additional information related to a contraception method. Each code corresponds to detailed instructions or conditions that need to be considered when using the method.

How should a healthcare provider use the diagram to select a contraception method?

The provider should match the client's medical conditions with those listed in the outer circle and then select the corresponding contraception method from the inner circle. The recommendations should be followed based on the client's health status.

Why is it important to consider postpartum status when selecting a contraception method?

Postpartum status affects the safety and effectiveness of contraception methods. The provider needs to ensure that the selected method is safe for the client during the post-delivery period and consider breastfeeding status if applicable.