Drug use in midwifery and obstetrics

Drug use in midwifery and obstetrical
1. Defination of Mala-n
2.Mode of intake of mala-n
3.Mode of action of mala-n.
4. Advantages of mala-n
5. Disadvantages of mala-n
6. contraindication of mala-n
7. Side of mala-n

1. Drug use in Midwifery and Obstetrical Presented by- Atul Yadav (RN,RM)

2. Definition of Mala-N:-  It is an oral contraceptive and one of the major spacing method of contraception. Mala-N is a low dose oral pill supplied under the programme under the brand name of Mala N. It contains Levonorgestrol .....0.15 mg Ethinyl estradiol ............. 0.03 mg. Mala-N is supplied free of cost through all PHCS, urban family welfare centres, etc.

3. Mode of intake of Mala-N:-  A packet of oral pills contains 28 pills of which 22 are contraceptive pills and the remaining 7 are iron-tablets. The first course of the pills should be started strictly on the 5th day of the menstruation continuing it as day No. 1. Then daily one tablet should be taken from the packet as indicated by arrows on the pack till all the pills are consumed. The pill is given orally for 21 consecutive days followed by a break of 7 days/iron tablet during which menstruation occurs. New packet should be started from the 5th day of menstruation. The instructions issued with the packet should be closely followed.

4. Mo de of Action of Mala-N: The mechanism of action is to prevent the release of the ovum from the ovary. This is achieved by blocking the pituitary secretion of gonadotropin that is necessary for ovulation to occur. Advantages of Mala-N: a. Almost 100% effective. b. No interference with sexual habits or relationships . c. Reversible method.

5. Cont… Disadvantages of Mala-N: a. Prior medical examinations in necessary before starting the pills. b. Requires strong motivation and self discipline to be able to take the pill daily. c. All women are not fit for pill intake because of certain contraindications.

6. Contraindications of Mala-N: a. Pregnancy. b. Women over 35 years of age. c. Medical conditions such as high blood pressure, diabetes, chronic liner disease or cancer of breasts or genitals. d. Nursing/lactating mothers during the first 12 months.

7. Side effects of Mala-N: a. Nausea b . Vomiting c . Weight gain d . Dizziness e . Headache f . Inter-menstrual bleeding g . Spotting h . Tender breasts i .  Pill may induce high blood pressure or cause cardiovascular    complications.