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Family Planning means deciding when is the right time to have children, spacing the pregnancy and what is the appropriate number of children for a couple to have. The right time to have children is when a woman:

• Age between 20 and 35 years old
• Last child birth at least 2 years ago or if the medical problems are well controlled & optimised
• Has no illness which can affect the woman’s and the baby’s wellbeing
• Couple wants to have a child

Both the woman and baby will be at risk when not well prepared.

What are the methods of contraception available?

1. Natural method
   1. Fertility awareness based method
   2. Basal body temperature
   3. Cervical mucus method
   4. Combination method
   5. Lactation Amenorrhoea method
2. Barrier method
   1. Condom
   2. Cervical cap
   3. Diaphragm
3. Hormonal
   1. Tablet
   2. Implant
   3. Injection
4. Intrauterine contraceptive device (IUCD)
5. Permanent method
   1. Permanent method

Benefit of contraception?

1. Improves quality of life for the women, spouse and children
2. Helps women to plan their pregnancy and spacing in order to give better health for themselves and their children
3. Avoid unwanted pregnancy
4. Save live and improve wellbeing of family

We are here to help you, to choose the suitable method that suit you according to your needs, lifestyle and health condition. The method your friend choose may not suits you. Tell us what is your needs and we will help you decide which is BEST FOR YOU.

Some common factors that need to consider when choosing types of contraception are:

• Woman’s age
• Woman’s health conditions
• Method’s efficacy
• Personnel preference

Before you start any contraception by yourself, you need to make sure you are not pregnant. A women is not pregnant if she has no symptoms and sign of pregnancy and meet the criteria as below:

• Within the first 7 days after normal menses
• Within the first 7 days post abortion or miscarriage
• Within 4 weeks postpartum for non-lactating mother
• Given birth within the last 4 months for breast feeding mother and not yet had a menstrual period.
• Has not had sexual intercourse since her last menses or last childbirth.

If you are unsure, please do not hesitate to contact us and we are ready to help you.

When to start contraception?

1. Hormonal (Tablet)
   • Non pregnant women- Anytime, preferably within the first 7 days
   • After abortion- start immediately
   • After delivery-
     • If non lactating- start three weeks after delivery
     • If lactating- start 6 weeks after delivery or earlier if stopped lactating or if milk substitute is given.
2. Injection Hormonal
   • Start within 7 days of menses
   • Start immediately after abortion
   • After delivery
     • If non lactating- immediately after delivery
     • If lactating- 6 weeks after delivery
3. Intrauterine device
   • During menses
   • Immediately after abortion
   • 6-8 weeks after delivery before starting on sexual activity
4. Sterilisation
   • Female sterilization (Tubal ligation)
     • Immediately after delivery or
     • 6 weeks after delivery or
     • During caesarean section or
     • Anytime
   • Male sterilization (Vasectomy)
     • Anytime

Is emergency contraception effective in preventing pregnancy?
Emergency contraception pill gives about 75% efficacy whereas IUD is 99.9% effective to keep a woman from getting pregnant.