Schedule of Follows- up for NFP Users

( OM , SDM)

MODEL

Initial Instruction ( FOS)

Follow Instructions

1st Cycle ( Weekly ) – 1st, 2nd, 3rd , 4th follow

up or HES I

2nd Cycle ( Bi- Monthly) – 5th & 6th + HES II

3rd Cycle – ( Bi- Monthly) – 7th + CES I

The Key Contents 0f Each

Scheduled Follows-up

1st Week Follow-up

a) Ask how the client made the observations.

b) Correct mistakes accordingly.

c) Determine the accuracy of recordings.

d) Ask the husband’s feelings on the wife’s learning method.

e) Encourage the client to continue her observations and recordings.

f) Schedule the 2nd follow -up

g) Continue abstinence.

2nd Week Follow-up

a) Check if the proper way of observing

and recording has been done.

b) Check if the corrections from the

previous week has been done.

c) Identification of dry days occurrence

after menstruation.

d) The “x “ mark.

…

e) Changes in the type of mucus being

observed.

f) Define “peak day”.

g) Progression of the couple’s

acceptance

h) continuation of abstinence.

i) 3rd follow-up.

3rd Week Follow-up

a) Identification of pre- and ovulatoryphases.

b) Identification of the peak day and the three (3) post peak days.

c) Correctly identify the peak and post peak days.

d) Identify the post-ovulatory phase.

e) The availability of sexual intercourse during

…

the post-ovulatory phase.

f) The probability of long cycle ( if no peak day and post peak days identified)

g) if that’s the case, no post-ovulatoryphase has been identified

h) Continue requiring abstinence.

i) Schedule the 4th follow-up after a week.

j) Review the definition of short,long and average

cycle.

4th Week Follow-up

a) Checking if there’s any sexual intercourse.

b) Progress of charting

c) Review the patient’s chart.

d) Identification of post-ovulatory period.

e) Explain the possibility of sexual intercourse during the post- ovulatory period.

f) Schedule the next visit two (2) weeks after menstruation.

g) Register as NEW ACCEPTOR ( Learning User)

HUSBAND’S EDUCATION

SESSION

Scope:

a) Utilization of his partner’s chart in

understanding the:

- joint fertility

- fertile & infertile phases

b) Explain the anatomy of selfhood.

c) Some gains and pains in learning the

NFP.

5th & 6th Follow-up

a) Identification of pre- ovulatory phase.

b) Identification of the peak day.

c) Identification of ovulatory phase.

d) The Early Day Rule ( EDR).

- EDR- alternate evenings of lovemaking on dry days following menstruation.

e) Explain why it is “ alternate” why on evening only. (EDR).

f) Ask the client to state or how they identified the ff:

The peak day

Post- ovulatory phase

Peak day rule

Problems encountered

g) Invite the husband on HES.

6th & 7th Follow-up

Identify:

1. The phases.

2. Timing of lovemaking based on the chart.

3. EDR on average & long cycle.

4. Lovemaking beside those marked with

5. ..& identify in what phase.

6. Ask the client to state the method rules for

the post ovulatory period determined by

identifying:

peak day

Three-day post peak ( on the 4th day, lovemaking is available anytime, day and night).

Comparison between the present observation and the 1st two cycles, determine the cycle length.

Schedule the CES

Couple’s Education Session

a) Recognize their NFP practice.

b) The responsibility of the couple on NFP

practice. ( based on the implication of

the fertile & infertile phase)

c) … & the assumption of responsibility

thereof.