Guest guest Posted February 1, 2006 Report Share Posted February 1, 2006 After the handout is published, it will be available to anyone in the Journal - and it will have permission to copy for pt use as part of it. I would however request that people order a copy of that issue, if at all possible. That way the editors will realize that there is a serious need for this information to be made available. Most CNMs will at least mention NFP methods, but most do not endorse them due to several factors (including the indoctrination that we get in our training programs about how modern contraception is the cornerstone of women's health care). , congratulations on getting that assignment! If you can send me a copy ahead of time, I will ask one of our medical translators to put it into Spanish - and maybe the JNMWH will publish it in two languages! I REALLY need NFP info in espanol, all I currently have is a piece of c**p from Freda' Perinatal Patient Education and the only slightly better info sheet from the AAFP site. alicia Re: NFP resources and general info : Can we have a copy when you are done? I get asked that question quite a bit and we only have a smattering of material on 2 of the methods. Comparisons would be lovely. Rhonda Horner-Bohaty Nebraska Catholic Conference NFP resources and general info Hi All,I have been asked to submit a patient informationsheet about NFP to the Journal of Midwifery & Women'sHealth.I have a sheet that I have used for residents andothers: it has the Primary NFP methods used, thegeneral but brief gist of what parameters are used forthe method, requirements if any (IE cycle beadsrequire regular cycles between 26-32 days), andgeneral contact information in the way of internetsites for each specific Model. Does anyone have any suggestions of what should beincluded other than those things?I do have a general intro, ie benefits/reasons forusing natural methods. I just need to tweak the formata little.Thanks! Sandrock, CNMCreighton Model Fertility Care SystemNurse-Midwife/Practitioner Internmy online bookstore...http://familyfriendlybooksetc.spreadtheword.com__________________________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 1, 2006 Report Share Posted February 1, 2006 Would you consider letting each methodology review what you are writing about the specific method? In our case, so often the Billings Method is misrepresented when the information does not come from us or from the Drs. Billings or their office in Australia. Sue Ek BOMA-USA NFP resources and general info Hi All,I have been asked to submit a patient informationsheet about NFP to the Journal of Midwifery & Women'sHealth.I have a sheet that I have used for residents andothers: it has the Primary NFP methods used, thegeneral but brief gist of what parameters are used forthe method, requirements if any (IE cycle beadsrequire regular cycles between 26-32 days), andgeneral contact information in the way of internetsites for each specific Model. Does anyone have any suggestions of what should beincluded other than those things?I do have a general intro, ie benefits/reasons forusing natural methods. I just need to tweak the formata little.Thanks! Sandrock, CNMCreighton Model Fertility Care SystemNurse-Midwife/Practitioner Internmy online bookstore...http://familyfriendlybooksetc.spreadtheword.com__________________________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 1, 2006 Report Share Posted February 1, 2006 Am I ignorant on this or something, but why is NFP linked to birth control? It’s entirely not the same thing, and I am a bit confused. From: nfpprofessionals [mailto:nfpprofessionals ] On Behalf Of alicia Sent: Wednesday, February 01, 2006 5:23 PM To: nfpprofessionals Subject: Re: NFP resources and general info After the handout is published, it will be available to anyone in the Journal - and it will have permission to copy for pt use as part of it. I would however request that people order a copy of that issue, if at all possible. That way the editors will realize that there is a serious need for this information to be made available. Most CNMs will at least mention NFP methods, but most do not endorse them due to several factors (including the indoctrination that we get in our training programs about how modern contraception is the cornerstone of women's health care). , congratulations on getting that assignment! If you can send me a copy ahead of time, I will ask one of our medical translators to put it into Spanish - and maybe the JNMWH will publish it in two languages! I REALLY need NFP info in espanol, all I currently have is a piece of c**p from Freda' Perinatal Patient Education and the only slightly better info sheet from the AAFP site. alicia Re: NFP resources and general info : Can we have a copy when you are done? I get asked that question quite a bit and we only have a smattering of material on 2 of the methods. Comparisons would be lovely. Rhonda Horner-Bohaty Nebraska Catholic Conference NFP resources and general info Hi All, I have been asked to submit a patient information sheet about NFP to the Journal of Midwifery & Women's Health. I have a sheet that I have used for residents and others: it has the Primary NFP methods used, the general but brief gist of what parameters are used for the method, requirements if any (IE cycle beads require regular cycles between 26-32 days), and general contact information in the way of internet sites for each specific Model. Does anyone have any suggestions of what should be included other than those things? I do have a general intro, ie benefits/reasons for using natural methods. I just need to tweak the format a little. Thanks! Sandrock, CNM Creighton Model Fertility Care System Nurse-Midwife/Practitioner Intern my online bookstore... http://familyfriendlybooksetc.spreadtheword.com __________________________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 1, 2006 Report Share Posted February 1, 2006 My guess is, " birth control " , in the academic medical world, is synonymous with " family planning " . I sympathize with your beef, however. I feel the same way about even orthodox Catholics describing NFP as distinct from " artificial " birth control. The problem with birth control isn't the fact that it's " artificial " ...it's the attempt to take " control " . Mike > > > Date: 2006/02/01 Wed PM 08:17:21 EST > To: <nfpprofessionals > > Subject: RE: NFP resources and general info > > Am I ignorant on this or something, but why is NFP linked to birth control? > It's entirely not the same thing, and I am a bit confused. > > > > _____ > > From: nfpprofessionals > [mailto:nfpprofessionals ] On Behalf Of alicia > Sent: Wednesday, February 01, 2006 5:23 PM > To: nfpprofessionals > Subject: Re: NFP resources and general info > > > > After the handout is published, it will be available to anyone in the > Journal - and it will have permission to copy for pt use as part of it. > > I would however request that people order a copy of that issue, if at all > possible. That way the editors will realize that there is a serious need > for this information to be made available. > > Most CNMs will at least mention NFP methods, but most do not endorse them > due to several factors (including the indoctrination that we get in our > training programs about how modern contraception is the cornerstone of > women's health care). > > , congratulations on getting that assignment! If you can send me a copy > ahead of time, I will ask one of our medical translators to put it into > Spanish - and maybe the JNMWH will publish it in two languages! I REALLY > need NFP info in espanol, all I currently have is a piece of c**p from > Freda' Perinatal Patient Education and the only slightly better info sheet > from the AAFP site. > > alicia > > > Re: NFP resources and general info > > : > > > > Can we have a copy when you are done? I get asked that question quite a bit > and we only have a smattering of material on 2 of the methods. Comparisons > would be lovely. > > > > Rhonda Horner-Bohaty > > Nebraska Catholic Conference > > NFP resources and general info > > > > Hi All, > > I have been asked to submit a patient information > sheet about NFP to the Journal of Midwifery & Women's > Health. > > I have a sheet that I have used for residents and > others: it has the Primary NFP methods used, the > general but brief gist of what parameters are used for > the method, requirements if any (IE cycle beads > require regular cycles between 26-32 days), and > general contact information in the way of internet > sites for each specific Model. > > Does anyone have any suggestions of what should be > included other than those things? > > I do have a general intro, ie benefits/reasons for > using natural methods. I just need to tweak the format > a little. > > Thanks! > > > Sandrock, CNM > > Creighton Model Fertility Care System > > Nurse-Midwife/Practitioner Intern > > my online bookstore... > > http://familyfriendlybooksetc.spreadtheword.com > > > > > > __________________________________________________ > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 1, 2006 Report Share Posted February 1, 2006 You may want to emphasize NFP's use for both achieving and avoiding pregnancy and how fertility specialists use at least a crude form of it as an initial approach to most infertility issues. Mike > > > Date: 2006/02/01 Wed PM 04:02:21 EST > To: nfpprofessionals > Subject: NFP resources and general info > > Hi All, > > I have been asked to submit a patient information > sheet about NFP to the Journal of Midwifery & Women's > Health. > > I have a sheet that I have used for residents and > others: it has the Primary NFP methods used, the > general but brief gist of what parameters are used for > the method, requirements if any (IE cycle beads > require regular cycles between 26-32 days), and > general contact information in the way of internet > sites for each specific Model. > > Does anyone have any suggestions of what should be > included other than those things? > > I do have a general intro, ie benefits/reasons for > using natural methods. I just need to tweak the format > a little. > > Thanks! > > > Sandrock, CNM > > Creighton Model Fertility Care System > > Nurse-Midwife/Practitioner Intern > > my online bookstore... > > http://familyfriendlybooksetc.spreadtheword.com > > > > > > __________________________________________________ > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 2, 2006 Report Share Posted February 2, 2006 If a couple has serious reason to avoid a pregnancy, how can ecological breastfeeding alone asssit them? Don't they deserve "systematic NFP" as well so as to recognize the signs of ovulation prior to the first menses? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 2, 2006 Report Share Posted February 2, 2006 Mike (and list), I agree that “artificial” isn’t the main issue. I’m not sure that “control” is either, though. For instance – the Catechism of the Catholic Church speaks of “regulation of procreation” (no. 2368) and “birth regulation” (2370). Is “regulation” so different from “control”? Re: NFP resources and general info > > : > > > > Can we have a copy when you are done? I get asked that question quite a bit > and we only have a smattering of material on 2 of the methods. Comparisons > would be lovely. > > > > Rhonda Horner-Bohaty > > Nebraska Catholic Conference > > NFP resources and general info > > > > Hi All, > > I have been asked to submit a patient information > sheet about NFP to the Journal of Midwifery & Women's > Health. > > I have a sheet that I have used for residents and > others: it has the Primary NFP methods used, the > general but brief gist of what parameters are used for > the method, requirements if any (IE cycle beads > require regular cycles between 26-32 days), and > general contact information in the way of internet > sites for each specific Model. > > Does anyone have any suggestions of what should be > included other than those things? > > I do have a general intro, ie benefits/reasons for > using natural methods. I just need to tweak the format > a little. > > Thanks! > > > Sandrock, CNM > > Creighton Model Fertility Care System > > Nurse-Midwife/Practitioner Intern > > my online bookstore... > > http://familyfriendlybooksetc.spreadtheword.com > > > > > > __________________________________________________ > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 2, 2006 Report Share Posted February 2, 2006 In the discussion of February 1 and early on Feb 2 about natural family planning, there was a glaring omission. There was no reference to ecological breastfeeding, a form of baby-care that provides many parents with all the spacing they want between babies. Any description of natural family planning that does not take into account God's own plan for naturally spacing babies is seriously incomplete. There are two methods of natural family planning: 1) ecological breastfeeding and 2) systematic NFP. The former is based on mother-baby togetherness and frequent suckling and does not require periodic abstinence. The latter is based upon chaste periodic abstinence during the fertile time. All the debates about the best ways of determining the fertile time are simply about the best system for applying the method of periodic abstinence. As far as the term "birth control" is concerned, in secularized pro-abortion communities, birth control entails abortion as well as contraception and natural forms of conception avoidance. Sometimes it is necessary or helpful to explain that systematic nfp is a form of birth control that involves self-control. Kippley NFP resources and general info Hi All,I have been asked to submit a patient informationsheet about NFP to the Journal of Midwifery & Women'sHealth.I have a sheet that I have used for residents andothers: it has the Primary NFP methods used, thegeneral but brief gist of what parameters are used forthe method, requirements if any (IE cycle beadsrequire regular cycles between 26-32 days), andgeneral contact information in the way of internetsites for each specific Model. Does anyone have any suggestions of what should beincluded other than those things?I do have a general intro, ie benefits/reasons forusing natural methods. I just need to tweak the formata little.Thanks! Sandrock, CNMCreighton Model Fertility Care SystemNurse-Midwife/Practitioner Internmy online bookstore...http://familyfriendlybooksetc.spreadtheword.com__________________________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 2, 2006 Report Share Posted February 2, 2006 I'm all for including effectiveness, but please be aware that CrM rates their unplanned pregnancies differently from the rest of the NFP community. They do not recognize "informed choice" pregnancies, which used to be called user-related. According to their protocol, any pregnancy incurred by someone who has been trained for 3 months and has intercourse on a day of known fertility is categorized under achieving-related behavior. This eliminates all but teaching related (mistaken interpretation) and leaves essentially only method related pregnancies which are minimal in all systems. This is different from evaluating motivation, as do the terms Method-related, Informed choice, teaching related, unable to categorize, which we use. The most recent NSFG categorizes unplanned pregnancies into perfect use (failure) and imperfect use (failure) although they now ask if the pregnancy was mistimed or unwanted.... Hanna Klaus, M.D. Natural Family Planning Center of Wash. D.C. and Teen STAR Program 8514 Bradmoor Drive Bethesda, MD 20817-3810 Tel. , ® hannaklaus@..., hklaus@... http://www.teenstarprogram.org NFP resources and general infoHi All,I have been asked to submit a patient informationsheet about NFP to the Journal of Midwifery & Women'sHealth.I have a sheet that I have used for residents andothers: it has the Primary NFP methods used, thegeneral but brief gist of what parameters are used forthe method, requirements if any (IE cycle beadsrequire regular cycles between 26-32 days), andgeneral contact information in the way of internetsites for each specific Model. Does anyone have any suggestions of what should beincluded other than those things?I do have a general intro, ie benefits/reasons forusing natural methods. I just need to tweak the formata little.Thanks! Sandrock, CNMCreighton Model Fertility Care SystemNurse-Midwife/Practitioner Internmy online bookstore...http://familyfriendlybooksetc.spreadtheword.com__________________________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 2, 2006 Report Share Posted February 2, 2006 I have to disagree with Mike, one can , and is invited, to take control of one's fertility, but the means are different. The technological means, also called artificial, attempt to separate fertility out of the body of one or both partners, while the natural means recognize when fertility is present or not, and respect it. Be aware also that the WHO is including withdrawal under "natural methods" because it uses no "artificial" means. Hanna Klaus, M.D. Natural Family Planning Center of Wash. D.C. and Teen STAR Program 8514 Bradmoor Drive Bethesda, MD 20817-3810 Tel. , ® hannaklaus@..., hklaus@... http://www.teenstarprogram.org NFP resources and general info> > > > Hi All,> > I have been asked to submit a patient information> sheet about NFP to the Journal of Midwifery & Women's> Health.> > I have a sheet that I have used for residents and> others: it has the Primary NFP methods used, the> general but brief gist of what parameters are used for> the method, requirements if any (IE cycle beads> require regular cycles between 26-32 days), and> general contact information in the way of internet> sites for each specific Model. > > Does anyone have any suggestions of what should be> included other than those things?> > I do have a general intro, ie benefits/reasons for> using natural methods. I just need to tweak the format> a little.> > Thanks!> > > Sandrock, CNM> > Creighton Model Fertility Care System> > Nurse-Midwife/Practitioner Intern> > my online bookstore...> > http://familyfriendlybooksetc.spreadtheword.com> > > > > > __________________________________________________> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 2, 2006 Report Share Posted February 2, 2006 I spent time on the phone recently with a gentleman who called our organization to inquire about the effectiveness of a variety of what I will call “unnatural” behaviors he engages in with spouse to avoid pregnancy, withdrawal being one, but only one, of the behaviors. He was anxious not to achieve pregnancy, his wife did not want to go on hormones, and he did not like condoms, and so their marital behavior was a myriad of behaviors that might be classified as “natural” family planning if the absence of barriers, drugs, and devices is the definition of natural, but were anything but “natural”. It was an interesting experience to open his eyes to the fact that ALL he and his wife had to do was learn to understand WHEN they were fertile, and they were freed from resorting to all these extremes to avoid a pregnancy and could partake in the act, NATURALLY, the way it was intended. He was fascinated, had never heard this before, and pursuing instruction in his area. I have always found the term “natural” in need of definition, as it implies so many things, but I think is best when explained as the way things are meant to be! ---“doing what comes naturally!” And sad to see the extremes people will go to, whether it be accepting serious side effects of meds, surgery, or extreme (or frustrating) behaviors, when ALL they have to do is know their bodies and learn the design! Preaching to the choir, I know…….. Sheila St. Executive Director California Association of Natural Family Planning 1217 Tyler St. Salinas, Ca. 93906 1-877-33-CANFP www.canfp.org From: nfpprofessionals [mailto:nfpprofessionals ] On Behalf Of hannaklaus@... Sent: Thursday, February 02, 2006 8:33 AM To: nfpprofessionals Subject: Re: RE: NFP resources and general info I have to disagree with Mike, one can , and is invited, to take control of one's fertility, but the means are different. The technological means, also called artificial, attempt to separate fertility out of the body of one or both partners, while the natural means recognize when fertility is present or not, and respect it. Be aware also that the WHO is including withdrawal under " natural methods " because it uses no " artificial " means. Hanna Klaus, M.D. Natural Family Planning Center of Wash. D.C. and Teen STAR Program 8514 Bradmoor Drive Bethesda, MD 20817-3810 Tel. , ® hannaklaus@..., hklaus@... http://www.teenstarprogram.org NFP resources and general info > > > > Hi All, > > I have been asked to submit a patient information > sheet about NFP to the Journal of Midwifery & Women's > Health. > > I have a sheet that I have used for residents and > others: it has the Primary NFP methods used, the > general but brief gist of what parameters are used for > the method, requirements if any (IE cycle beads > require regular cycles between 26-32 days), and > general contact information in the way of internet > sites for each specific Model. > > Does anyone have any suggestions of what should be > included other than those things? > > I do have a general intro, ie benefits/reasons for > using natura l methods. I just need to tweak the format > a little. > > Thanks! > > > Sandrock, CNM > > Creighton Model Fertility Care System > > Nurse-Midwife/Practitioner Intern > > my online bookstore... > > http://familyfriendlybooksetc.spreadtheword.com > > > > > > __________________________________________________ > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 2, 2006 Report Share Posted February 2, 2006 I do not disagree. What I was questioning is how "ecological breastfeeding'" helps that couple to know when there fertility returns prior to their first menses? I said nothing about the immoral chain of perversions that you listed. I'm sorry you assumed this to be the case. <<It's the responsibility of NFP teachers who want to help couples to live virtuously to clarify that all of these actions are variations of contraceptive behaviors and are immoral.>> Agreed, when this is the case. It would be wrong to presume these behaviors and unjust. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 2, 2006 Report Share Posted February 2, 2006 Of course. My point is that there are two methods of NFP, both EBF and systematic NFP, and they are complementary. The teaching of NFP should be inclusive, not exclusive. My wife has recently heard from women who experienced the return of menses between 17 and 20 months pp. If those couples need more spacing, they can use one of the forms of systematic NFP. Other couples may use systematic NFP at that point simply to identify when their next pregnancy occurs for purposes of accuracy in estimating the expected date of childbirth. And many will use the observations of systematic NFP to detect the return of fertility before they experience their first postpartum menses. -- Kippley Re: NFP resources and general info If a couple has serious reason to avoid a pregnancy, how can ecological breastfeeding alone asssit them? Don't they deserve "systematic NFP" as well so as to recognize the signs of ovulation prior to the first menses? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 2, 2006 Report Share Posted February 2, 2006 Sorry to disagree, but knowing the fertile time is not ALL a couple need to do to avoid pregnancy in a moral way. They ALSO need to abstain from not only normal sexual intercourse but also from withdrawal, mutual and solitary masturbation, oral sodomy, and some other variants designed to achieve orgasmic relief without normally completed sexual union, and that's the difficulty some or most find with systematic NFP. With over 50% of teenagers aged 15-19 reporting that they have experienced oral sodomy, NFP teachers should be well aware that some of their engaged and married couples have engaged in these behaviors. Some may be repentant, some may be confused, and some may think this is a convenient way to avoid abstinence as well as avoiding hormones and barrier methods. It's the responsibility of NFP teachers who want to help couples to live virtuously to clarify that all of these actions are variations of contraceptive behaviors and are immoral. -- Kippley NFP resources and general info> > > > Hi All,> > I have been asked to submit a patient information> sheet about NFP to the Journal of Midwifery & Women's> Health.> > I have a sheet that I have used for residents and> others: it has the Primary NFP methods used, the> general but brief gist of what parameters are used for> the method, requirements if any (IE cycle beads> require regular cycles between 26-32 days), and> general contact information in the way of internet> sites for each specific Model. > > Does anyone have any suggestions of what should be> included other than those things?> > I do have a general intro, ie benefits/reasons for> using natura l methods. I just need to tweak the format> a little.> > Thanks!> > > Sandrock, CNM> > Creighton Model Fertility Care System> > Nurse-Midwife/Practitioner Intern> > my online bookstore...> > http://familyfriendlybooksetc.spreadtheword.com> > > > > > __________________________________________________> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 3, 2006 Report Share Posted February 3, 2006 Thanks for the input. I do have a few resources, and have been able to preview an article on a natural method of family planning that will be in the issue. Do any of you have readily available, a list of references for recent studies of effectiveness ?? I have a couple, but more than one pair of eyes is always better in my opinion. I plan to quote the effectiveness rate next to the Name of the Method, and will be including a web address for the official organization affiliated with it. On that note, should I be including the WOOMB address or another for the Billings Method? As said, when it is done, the sheet will be available to the general public for copying. (My name won't even appear on it). I believe the planned publication date is this fall. Another note, I will include a sentence or two that references culture and faith generally, but it will not be specific, nor will it compare and contrast with hormonal and barrier contraception. (though I could do that in another venue!!) Sandrock, CNM Creighton Model Fertility Care System Nurse-Midwife/Practitioner Intern my online bookstore... http://familyfriendlybooksetc.spreadtheword.com __________________________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 3, 2006 Report Share Posted February 3, 2006 www.familyplanning.net/statistics.htm Family of the Americas stats, many studies, many countries, many journals. Listed in a chart. Hope this helps, Re: NFP resources and general info Thanks for the input. I do have a few resources, and have been able to preview an article on a natural method of family planning that will be in the issue. Do any of you have readily available, a list of references for recent studies of effectiveness ?? I have a couple, but more than one pair of eyes is always better in my opinion. I plan to quote the effectiveness rate next to the Name of the Method, and will be including a web address for the official organization affiliated with it. On that note, should I be including the WOOMB address or another for the Billings Method? As said, when it is done, the sheet will be available to the general public for copying. (My name won't even appear on it). I believe the planned publication date is this fall. Another note, I will include a sentence or two that references culture and faith generally, but it will not be specific, nor will it compare and contrast with hormonal and barrier contraception. (though I could do that in another venue!!) Sandrock, CNM Creighton Model Fertility Care System Nurse-Midwife/Practitioner Intern my online bookstore... http://familyfriendlybooksetc.spreadtheword.com __________________________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 3, 2006 Report Share Posted February 3, 2006 FAM list seems to be a bit dated - i.e., ends in 1990. See following list of studies from 1998 on: Arevalo, M., Jennings, V., and Sinai, I. Efficacy of a new method of family planning: the Standard Day Method. Contraception. 65 (2002): 333-338. Arevalo M, Jennings V, Nikula M, Sinai I. Efficacy of the new TwoDay Method of family planning. Fertility and Sterility. 2004;82:885-892. Bonnar, J., Flynn, A., & Freundl, G., et al. Personal hormone monitoring for contraception. The British Journal of Family Planning. 24 (1999):128-134. Burkhart, M.C., de Mazariegos, L., Salazar, S., & Lamprecht, V.M. Effectiveness of a Standard-Rule method of Calendar Rhythm among Mayan couples in Guatemala. International Family Planning Perspectives. 26 (August, 2000):131-136. European Natural Family Planning Study Groups. European Multicenter Study of Natural Family Planning (1989-1995): Efficacy and Drop-out. Advances in Contraception. 15(1999):69-83. -Hermann P, Gnoth C, Baure S, Strowitski T, Freundl G. Determination of the fertile window: reproductive competence of women - European cycle databases. Gynecology Endocrinology, 2005; 20: 305-312. Fruendl, G., -Hermann, P., & Godehardt, E., et al. Retrospective clinical trial of contraceptive effectiveness of the electronic fertility indicator Ladycomp/Babycomp. Advances in Contraception 14 (1998):97-108. Grimes DA, Gallo MF, Grigorieva V, Nanda K, Schulz KF. Fertility awareness-based methods for contraception: systematic review of randomized controlled trials. Contraception, 2005;72:85-90. Grimes DA, Gallo MF, Grigorieva V, Nanda K, Schulz KF. Fertility awareness-based methods for contraception. Cochrane Database Systematic Review, 2004 Oct 18;(4):CD004860. Review. PMID: 15495128 Hilgers, T., & Stanford, J. Creighton model naproeducation technology for avoiding pregnancy - use effectiveness. The Journal of Reproductive Medicine. 43 (1998) 495-502. , M.P. & Stanford, J.B. Pregnancy probabilities during use of the Creighton Model FertilityCareTM system. Archives of Family Medicine 8 September/October, 1999):391-402. Reviews of most of these studies can be found in issues of CMR. J. Fehring Professor Marquette University Re: NFP resources and general info Thanks for the input. I do have a few resources, and have been able to preview an article on a natural method of family planning that will be in the issue. Do any of you have readily available, a list of references for recent studies of effectiveness ?? I have a couple, but more than one pair of eyes is always better in my opinion. I plan to quote the effectiveness rate next to the Name of the Method, and will be including a web address for the official organization affiliated with it. On that note, should I be including the WOOMB address or another for the Billings Method? As said, when it is done, the sheet will be available to the general public for copying. (My name won't even appear on it). I believe the planned publication date is this fall. Another note, I will include a sentence or two that references culture and faith generally, but it will not be specific, nor will it compare and contrast with hormonal and barrier contraception. (though I could do that in another venue!!) Sandrock, CNM Creighton Model Fertility Care System Nurse-Midwife/Practitioner Intern my online bookstore... http://familyfriendlybooksetc.spreadtheword.com __________________________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 3, 2006 Report Share Posted February 3, 2006 --- BOMA - USA wrote: > Would you consider letting each methodology review > what you > are writing about the specific method? In our case, > so often the > Billings Method is misrepresented when the > information does not > come from us or from the Drs. Billings or their > office in Australia. > > Sue Ek > BOMA-USA I am just writing briefly- a one or two " liner " . There is a March 1st deadline and no real guarantee that what I write will be published (as I was just emailed from the editor of the magazine to re-inforce that fact) For the Billings Ovulation Method: Who may use it: Any female from puberty to menopause. Parameters used: Keeping track of cervical mucus discharge and noting if a sensation of lubrication is present. Again, just the gist of things Sandrock, CNM Creighton Model Fertility Care System Nurse-Midwife/Practitioner Intern my online bookstore... http://familyfriendlybooksetc.spreadtheword.com __________________________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 3, 2006 Report Share Posted February 3, 2006 Dr Fehring, Could not obtain the Cochrane Database review from 2004, on the Cochrane site. The updated 2006 review of FAMs concludes " studies are so poor that conclusions about method effectiveness cannot be made " after looking at only 3 studies. Can I assume the 2004 review was more in depth? , MD Shenandoah Valley FPR Front Royal, VA Re: NFP resources and general info Thanks for the input. I do have a few resources, and have been able to preview an article on a natural method of family planning that will be in the issue. Do any of you have readily available, a list of references for recent studies of effectiveness ?? I have a couple, but more than one pair of eyes is always better in my opinion. I plan to quote the effectiveness rate next to the Name of the Method, and will be including a web address for the official organization affiliated with it. On that note, should I be including the WOOMB address or another for the Billings Method? As said, when it is done, the sheet will be available to the general public for copying. (My name won't even appear on it). I believe the planned publication date is this fall. Another note, I will include a sentence or two that references culture and faith generally, but it will not be specific, nor will it compare and contrast with hormonal and barrier contraception. (though I could do that in another venue!!) Sandrock, CNM Creighton Model Fertility Care System Nurse-Midwife/Practitioner Intern my online bookstore... http://familyfriendlybooksetc.spreadtheword.com __________________________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 3, 2006 Report Share Posted February 3, 2006 Dr. : The 2005 Grimes reveiw in the journal Contraception is essentially the same as the Cochrane Database review. Both reviews are based on " randomized control trials " (RCT) of FAM/NFP effectiveness studies. The reason for the lack of depth is that there has been only 3 RCT of NFP effectiveness published -- and one was comparing the Today sponge with or without FAM. I believe the review essentially says the studies were not conducted very well -- especially with the high drop out rates of participants. I believe that they base the effectiveness of NFP on the 1983 WHO 5 country study of the ovulation method and the Trussell reanalysis of the data. Eventhough the authors of the reviews were looking only for RCT of NFP studies, I do wonder why they ignore all of the other non-RCT efficacy studies. Maybe because there is a lot of bias (intentional or not) in the results? However, I do think that these two reviews have cast a shadow of doubt about the effectiveness of NFP methods, especially in academic medicine. See further comments in the February 2006 issue of Ethics and Medics. J. Fehring Professor of Nursing Marquette University ________________________________ From: nfpprofessionals on behalf of , Sent: Fri 2/3/2006 5:38 PM To: nfpprofessionals Subject: RE: NFP resources and general info Dr Fehring, Could not obtain the Cochrane Database review from 2004, on the Cochrane site. The updated 2006 review of FAMs concludes " studies are so poor that conclusions about method effectiveness cannot be made " after looking at only 3 studies. Can I assume the 2004 review was more in depth? , MD Shenandoah Valley FPR Front Royal, VA Re: NFP resources and general info Thanks for the input. I do have a few resources, and have been able to preview an article on a natural method of family planning that will be in the issue. Do any of you have readily available, a list of references for recent studies of effectiveness ?? I have a couple, but more than one pair of eyes is always better in my opinion. I plan to quote the effectiveness rate next to the Name of the Method, and will be including a web address for the official organization affiliated with it. On that note, should I be including the WOOMB address or another for the Billings Method? As said, when it is done, the sheet will be available to the general public for copying. (My name won't even appear on it). I believe the planned publication date is this fall. Another note, I will include a sentence or two that references culture and faith generally, but it will not be specific, nor will it compare and contrast with hormonal and barrier contraception. (though I could do that in another venue!!) Sandrock, CNM Creighton Model Fertility Care System Nurse-Midwife/Practitioner Intern my online bookstore... http://familyfriendlybooksetc.spreadtheword.com __________________________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 4, 2006 Report Share Posted February 4, 2006 Dear Sheila and other members of the choir, I do not wish to be argumentative or arouse hostilities, but there are differences of conviction and opinion among members of the NFP choir. "Doing what comes naturally" is open to different interpretations. Even when explained as "doing what is meant to be" leaves more questions. To some it may mean following one's inclinations for relieving sexual tension. Unless someone has made a general confession to you, a highly unlikely scenario, none of us know the private sins or virtues of others. "Judge not" applies to judgments that a person is without some sort of sin as well as the judgment that he or she is guilty of some sort of sin. Of one thing we can be sure: everyone is tempted to sexual sin although the temptations of some may be less than those experienced by others. Some of us have found that it is much easier to proclaim what the Church teaches about the natural moral law in a group setting than on a one to one basis. In a group setting, it is clear to all (or should be) that the teacher is simply proclaiming the Church's teaching without pointing any fingers at anyone in particular. In today's culture, even in today's culture within the Church, we cannot take it for granted that everyone or anyone has been properly taught. When and where is sexual morality taught from Catholic pulpits? Or in Catholic high schools and colleges? Or in much that passes for preparation for marriage or even RCIA instructions? Here and there, to be sure. But universality is lacking. Those of us who teach NFP in any sort of diocesan-approved program are privileged to share in the teaching mission of the Church. Each NFP course provides a unique opportunity to proclaim Catholic teaching about marital love and sexuality including what constitutes marital chastity and unchastity. If NFP teachers do not make use of this opportunity, where else are the students going to hear it? What said in Romans 10:14 ff can be paraphrased to apply to this issue. How can people believe if they don't hear the message? And how can they hear if teachers don't teach? Cordially, F. Kippley RE: RE: NFP resources and general info I spent time on the phone recently with a gentleman who called our organization to inquire about the effectiveness of a variety of what I will call “unnatural” behaviors he engages in with spouse to avoid pregnancy, withdrawal being one, but only one, of the behaviors. He was anxious not to achieve pregnancy, his wife did not want to go on hormones, and he did not like condoms, and so their marital behavior was a myriad of behaviors that might be classified as “natural” family planning if the absence of barriers, drugs, and devices is the definition of natural, but were anything but “natural”. It was an interesting experience to open his eyes to the fact that ALL he and his wife had to do was learn to understand WHEN they were fertile, and they were freed from resorting to all these extremes to avoid a pregnancy and could partake in the act, NATURALLY, the way it was intended. He was fascinated, had never heard this before, and pursuing instruction in his area. I have always found the term “natural” in need of definition, as it implies so many things, but I think is best when explained as the way things are meant to be! ---“doing what comes naturally!” And sad to see the extremes people will go to, whether it be accepting serious side effects of meds, surgery, or extreme (or frustrating) behaviors, when ALL they have to do is know their bodies and learn the design! Preaching to the choir, I know…….. Sheila St. Executive Director California Association of Natural Family Planning 1217 Tyler St. Salinas, Ca. 93906 1-877-33-CANFP www.canfp.org Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 4, 2006 Report Share Posted February 4, 2006 , if that is all you can say about Billings, what are you writing about CrM? Hanna Klaus, M.D. Natural Family Planning Center of Wash. D.C. and Teen STAR Program 8514 Bradmoor Drive Bethesda, MD 20817-3810 Tel. , ® hannaklaus@..., hklaus@... http://www.teenstarprogram.org Re: NFP resources and general info --- BOMA - USA wrote:> Would you consider letting each methodology review> what you > are writing about the specific method? In our case,> so often the > Billings Method is misrepresented when the> information does not > come from us or from the Drs. Billings or their> office in Australia.> > Sue Ek> BOMA-USAI am just writing briefly- a one or two "liner". Thereis a March 1st deadline and no real guarantee thatwhat I write will be published (as I was just emailedfrom the editor of the magazine to re-inforce thatfact)For the Billings Ovulation Method:Who may use it: Any female from puberty to menopause. Parameters used:Keeping track of cervical mucus discharge and notingif a sensation of lubrication is present. Again, just the gist of things Sandrock, CNMCreighton Model Fertility Care SystemNurse-Midwife/Practitioner Internmy online bookstore...http://familyfriendlybooksetc.spreadtheword.com__________________________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 4, 2006 Report Share Posted February 4, 2006 --- " hannaklaus@... " wrote: > , if that is all you can say about Billings, > what are you writing about CrM? I'm not done yet guys........... !!!! That was just the basic idea. I am including that the CrM uses charting similar to the BM, but standardized to aid in interpretation, evaluation, and potential treatment for medical issues I am hoping to not get anything edited, and hoping no one decides to call NFP in general " the rhthym method " , and hoping to include as many forms/models/methods of NFP as possible. I do have a question for Mr. Kippley though about ecological breastfeeding- I am including Lactational Ammenorhea. but I am getting the sense that perhaps Ecological Breastfeeding may be thought by some to be different? The basics For Lactational Ammenorhea *up to 98% effective for the 1st 6mo as long as: * totally breastfeeding, no use of pacifiers, bottles, juice, or food * at least 8 feedings in a 24hr period, including night-time feedings * no vaginal bleeding of any kind The studies I have read substansiate the above, though I know some women are comfortable as long as they are not having periods. If they would like to space pregnancies, they tend to start getting more nervous and are more likely to want to chart to keep a closer eye on things the longer they breasfeed. Sandrock, CNM Creighton Model Fertility Care System Nurse-Midwife/Practitioner Intern my online bookstore... http://familyfriendlybooksetc.spreadtheword.com __________________________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 4, 2006 Report Share Posted February 4, 2006 Dear , Please take my comments in my post below in the context in which they were offered. There was a comment on the list that “withdrawal” is listed in some literature as a “natural” method, bringing attention to the fact that in some circles that “natural” just means the absence of drugs or devices. This prompted me to share a 15 minute phone call I had from a man I had just received that day, who had never heard of Natural Family Planning, but found our organization and toll free number over the internet and called to ask about the effectiveness of a variety of behaviors that, according to that definition (no drugs or devices) were natural, when in fact they were anything but. He did not inquire about the morality of the act, but the effectiveness of the act. It was quite apparent from his call that effectiveness was his motivation. It was a brief, introductory discussion on a cold call. It is just not always the best approach, in my experience, to respond to an inquiry over the phone about the effectiveness of withdrawal (and other behaviors too indelicate to mention here) by proclaiming church teaching, or labeling the behavior sinful. Teachers must use good judgment, taking people where they are, and leading them to a new place. Some people respond to truth with sudden conversion and change of heart, but for the majority it is like peeling the layers of an onion, patiently (and I might add, often not without tears…..to carry the onion analogy further). I peeled the first layer, and referred him to a teacher in the area to take it from there. Having confidence in the teachers I referred him too, I know they too will use good judgment in helping this man address his immediate concerns, a method of family planning that does not use drugs or devices but is more satisfying and unifying than withdrawal and the other behaviors, while helping him unpeel the layers over the course of their teaching relationship. In my role in teaching and promoting NFP I teach in both a group setting and individual setting. And I totally agree with you, both present different opportunities to present the information. One is more of a traditional teaching setting, presenting principles and information. In an established relationship consisting of multiple individual meetings spread over time (not the setting of my superficial discussion with this gentleman), I do find couples share their very personal struggles, behaviors, or questions, creating many teachable moments to gently unpeel those layers. Each situation we encounter----from a classroom presentation, to a brief phone call inquiry, or an encounter in the airport (anyone else had those “opportunities”? J) , or a relative, or a social acquaintance, or 3 minute opportunity to present in church, or a question from a colleague at work, or an extended personal teaching relationship----offer different opportunities to peel the onion, and good judgment dictates not all situations will be addressed the same way, if we want to invite people further in, rather than push them away. Sheila St. Executive Director California Association of Natural Family Planning 1217 Tyler St. Salinas, Ca. 93906 1-877-33-CANFP www.canfp.org From: nfpprofessionals [mailto:nfpprofessionals ] On Behalf Of F. Kippley Sent: Saturday, February 04, 2006 8:13 AM To: nfpprofessionals Subject: Re: RE: NFP resources and general info Dear Sheila and other members of the choir, I do not wish to be argumentative or arouse hostilities, but there are differences of conviction and opinion among members of the NFP choir. " Doing what comes naturally " is open to different interpretations. Even when explained as " doing what is meant to be " leaves more questions. To some it may mean following one's inclinations for relieving sexual tension. Unless someone has made a general confession to you, a highly unlikely scenario, none of us know the private sins or virtues of others. " Judge not " applies to judgments that a person is without some sort of sin as well as the judgment that he or she is guilty of some sort of sin. Of one thing we can be sure: everyone is tempted to sexual sin although the temptations of some may be less than those experienced by others. Some of us have found that it is much easier to proclaim what the Church teaches about the natural moral law in a group setting than on a one to one basis. In a group setting, it is clear to all (or should be) that the teacher is simply proclaiming the Church's teaching without pointing any fingers at anyone in particular. In today's culture, even in today's culture within the Church, we cannot take it for granted that everyone or anyone has been properly taught. When and where is sexual morality taught from Catholic pulpits? Or in Catholic high schools and colleges? Or in much that passes for preparation for marriage or even RCIA instructions? Here and there, to be sure. But universality is lacking. Those of us who teach NFP in any sort of diocesan-approved program are privileged to share in the teaching mission of the Church. Each NFP course provides a unique opportunity to proclaim Catholic teaching about marital love and sexuality including what constitutes marital chastity and unchastity. If NFP teachers do not make use of this opportunity, where else are the students going to hear it? What said in Romans 10:14 ff can be paraphrased to apply to this issue. How can people believe if they don't hear the message? And how can they hear if teachers don't teach? Cordially, F. Kippley RE: RE: NFP resources and general info I spent time on the phone recently with a gentleman who called our organization to inquire about the effectiveness of a variety of what I will call “unnatural” behaviors he engages in with spouse to avoid pregnancy, withdrawal being one, but only one, of the behaviors. He was anxious not to achieve pregnancy, his wife did not want to go on hormones, and he did not like condoms, and so their marital behavior was a myriad of behaviors that might be classified as “natural” family planning if the absence of barriers, drugs, and devices is the definition of natural, but were anything but “natural”. It was an interesting experience to open his eyes to the fact that ALL he and his wife had to do was learn to understand WHEN they were fertile, and they were freed from resorting to all these extremes to avoid a pregnancy and could partake in the act, NATURALLY, the way it was intended. He was fascinated, had never heard this before, and pursuing instruction in his area. I have always found the term “natural” in need of definition, as it implies so many things, but I think is best when explained as the way things are meant to be! ---“doing what comes naturally!” And sad to see the extremes people will go to, whether it be accepting serious side effects of meds, surgery, or extreme (or frustrating) behaviors, when ALL they have to do is know their bodies and learn the design! Preaching to the choir, I know…….. Sheila St. Executive Director California Association of Natural Family Planning 1217 Tyler St. Salinas, Ca. 93906 1-877-33-CANFP www.canfp.org Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 4, 2006 Report Share Posted February 4, 2006 Sheila, Thanks for your kind explanation. I agree with you in reference to the spot opportunities. I was referring to the organized setting in which the teacher has the opportunity to initiate the teaching, not just respond to an inquiry. K. RE: RE: NFP resources and general info I spent time on the phone recently with a gentleman who called our organization to inquire about the effectiveness of a variety of what I will call “unnatural” behaviors he engages in with spouse to avoid pregnancy, withdrawal being one, but only one, of the behaviors. He was anxious not to achieve pregnancy, his wife did not want to go on hormones, and he did not like condoms, and so their marital behavior was a myriad of behaviors that might be classified as “natural” family planning if the absence of barriers, drugs, and devices is the definition of natural, but were anything but “natural”. It was an interesting experience to open his eyes to the fact that ALL he and his wife had to do was learn to understand WHEN they were fertile, and they were freed from resorting to all these extremes to avoid a pregnancy and could partake in the act, NATURALLY, the way it was intended. He was fascinated, had never heard this before, and pursuing instruction in his area. I have always found the term “natural” in need of definition, as it implies so many things, but I think is best when explained as the way things are meant to be! ---“doing what comes naturally!” And sad to see the extremes people will go to, whether it be accepting serious side effects of meds, surgery, or extreme (or frustrating) behaviors, when ALL they have to do is know their bodies and learn the design! Preaching to the choir, I know…….. Sheila St. Executive Director California Association of Natural Family Planning 1217 Tyler St. Salinas, Ca. 93906 1-877-33-CANFP www.canfp.org Quote Link to comment Share on other sites More sharing options...
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