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A prospective multicentre trial of the ovulation method of natural family planning. I. The teaching phase.

The percentage of 869 women in five countries capable of being taught to recognize the periovulatory cervical mucus symptom of the fertile period was determined in a prospective multicentre trial of the ovulation method of natural family planning. The women were ovulating, of proven fertility, represented a spectrum of cultures and socioeconomic levels, and ranged from illiteracy to having postgraduate education. In the first of three standard teaching cycles, 93% recorded on interpretable ovulatory mucus pattern. Eighty-eight per cent of subjects successfully completed the teaching phase; 7% discontinued for reasons other than pregnancy, including 1.3% who failed to learn the method. Forty-five subjects (5%) became pregnant during the average 3.1-cycle teaching phase. The average number of days of abstinence required by the rules of the method was 17 in the third teaching cycle (58.2% of the average cycle length). To what extent the findings of this study can be extended to other couples remains to be demonstrated.

Adult↗

Natural family planning. I. The peak symptom and estimated time of ovulation.

The observation of the "Peak" mucus symptom in women using the ovulation method of natural family planning has been correlated with the estimated time of ovulation, as evaluated by indirect hormonal parameters. In 65 cycles of the 73 studied in 24 patients, there was hormonal confirmation of ovulation; in eight cycles, anovulation or luteal dysfunction was suspected. In the 65 normal cycles, 64 exhibited a Peak symptom. In those cycles, ovulation was estimated to occur from 3 days before to 3 days after the Peak symptom with a mean of 0.31 days before the Peak symptom. In 95.4% of these cycles, ovulation was estimated to occur from 2 days before to 2 days after the Peak symptom. The variation between cycles of the same patient ranged from 0 to 4 days with a mean of 1.8 days. The beginning of the mucus symptom preceded the estimated time of ovulation by an average of 5.9 days.

Adult↗

An objective method for detecting the shift in basal body temperature in women.

The upward shift in basal body temperature (BBT) observed in women of child-bearing age is often used as an indicator that ovulation has occurred and that a period of infertility has begun. In natural family planning programmes it is important to detect the BBT shift reliably and with a minimum of user uncertainty, against a background of physiologically induced temperature variations. The cumulative sum (CUSUM) test is adapted to the problem of detecting BBT shift and applied to 137 BBT charts obtained from 21 women using natural family planning. Results show successful detection of the shift in all cases. Shifts occurred at gynaecologically appropriate times in the menstrual cycle.

Analysis of Variance↗

Contraception.

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Contraception↗

Fertility awareness in the 1990s--the Billings Ovulation Method of natural family planning, its scientific basis, practical application and effectiveness.

Early methods of natural family planning (calendar rhythm, basal body temperature, and symptothermal) are briefly mentioned and dismissed as unsatisfactory for fertility regulation at our present state of knowledge of female reproductive physiology. Cervical mucus patterns, which reflect ovarian hormone levels, are shown to be accurate markers of the fertile and infertile phases of a woman's menstrual cycle. Interpretation of these patterns forms the basis of the Billings Ovulation Method of natural family planning. Extensive laboratory and clinical studies have shown this method to be on a sound scientific footing, that it is applicable to all phases of a woman's reproductive life, and that women readily understand and are able to teach other women the meaning of these patterns as experienced by changing sensations at the vulva and changing characteristics of any visible mucus. The simple rules which have been formulated for postponing and achieving pregnancy are given. Field trials of this non-invasive method for fertility regulation in both developing and developed countries show that the rules are readily understood by participants. In the most recent trials, it has been shown that the method-related pregnancy rate is less than 1 per 100 woman years, which compares more than favorably with other contraceptive techniques.

Australia↗

Contraceptive prevalence and continuation: a longitudinal analysis of traditional and other method users in the Philippines.

Contraceptive prevalence rates and estimates of continuation rates are derived from unique longitudinal data on post-partum behaviour collected in the Cebu region of the Philippines. Continuation rates vary by base-line and time-varying socioeconomic characteristics for certain contraceptive methods and for using no contraception. Calendar rhythm users have a much lower relative continuation rate than has been found in cross-sectional samples. For women who use a contraceptive method, breast-feeding does not appear to influence contraceptive continuation, but for those who use no methods, breast-feeding appears to substitute for other forms of contraception. Profiles by socioeconomic characteristics of those who continue to use each type of contraceptive method and who use no method could be used to direct family planning programmes towards population sub-groups. The results suggest that for women wishing to postpone a pregnancy, a family planning programme aimed at the young and less educated could effectively increase contraceptive use and continuation.

Adolescent↗