Session Two Review Cervical signs Secondary signs Achieving

Session Two Review Cervical signs Secondary signs Achieving and identifying pregnancy Sympto-Thermal Rule 6 -5 -0 Day Rule Effectiveness

Possibly Fertile Time

Let Your Cervix SHOW You When You Are Fertile

Charting the Cervix F = firm S = soft L = low H = high C = closed O = open Ø = dry M or EW-M = wet

Charting the Cervical Mucus at the Cervix

Do Activities #5 a and #5 b • After reviewing the tissue examination and the sensation observation, turn to pages 10 -12 and complete the activities.

Secondary Signs IP BT BT BT IP = Intermenstrual Pain BT = Breast Tenderness

Achieving Pregnancy

Identifying Pregnancy

Implantation Process

Unborn Child Unborn child at 14 weeks

Let’s Say Peak Day Is Here… PK

The Temperature Pattern May Look Like This:

Watch for 3 Temperatures in a Row…

All higher than immediately preceding 6… 2 5 6 4 3 1

To separate the “initial” highs from the “final” lows 2 6 5 4 3 1

Draw a Pre-Rise Baseline through the highest of the final 6 lows PRB 2 5 6 4 3 1

Full Thermal Shift Level is 0. 4°F above the PRB FTSL. 4°F PRB *FTSL = 0. 36° F/0. 2° C

CIT starts the evening of the 3 rd post -peak high in a row, if it is on or above the FTSL. PK FTSL. 4° F PRB 2 5 6 3 4 1

If the 3 rd post-peak high is not on or above the FTSL, wait until the evening of the 4 th post-peak high to assume the CIT.

Completely Infertile Time

6 -5 -0 Day Rule

6 -5 -0 Day Rule

6 -5 -0 Day Rule Application Shortest Past Cycle • 26 days or longer • 23 -25 days • 22 days or less now) Assume Infertile 6 days 5 days 0 days (for

What Do You Think?

Do Activity #6 • With this activity you will be applying both the 6 -5 -0 Day Rule and the Sympto-Thermal Rule. Pay attention to the cycle length as well as the charting data. • Indicate the beginning and end of the fertile time with the use of “wavy” lines. • Mark the Peak Day, 6 low temperatures, the PRB, Full Thermal Shift Line (. 4 o. F), and the necessary encircled high temperatures.

Range of Ovulation

Surprise Pregnancy?

Reasons for Using NFP Philosophical/Religious Moral/Ethical Psychology Biological

Definitions • Method Effectiveness – Rules are correctly understood and followed • Use Effectiveness – Actual use including misunderstanding and carelessness

NFP Effectiveness • Method Effectiveness – 97 -99+ percent • Use Effectiveness – 90 -99+ percent

Factors that Affect Use of Family Planning Methods • Family planning intention – limiting, spacing, achieving • Marital status • Age • Education

Use Effectiveness of NFP Depends Upon… • Course of instruction with follow-up • Consistent and correct charting • Knowing and following the rules especially complete abstinence from all genital contact

Family Decision