Compare and contrast the two (2) LARC form of family planning. For the following scenarios, determine the best family planning option for the patient. Your response should be justified. You may need to elaborate on the efficacy, effects, procedure & follow-up.
A 20-year-old university student who requests contraception, says she has dysmenorrhea and heavy menstrual loss on the first day of her menses. She has a regular monthly cycle and enjoys good general health.
A 23-year-old unmarried, unemployed woman from a squatter settlement has just given birth after an unplanned pregnancy. She plans to breast feed.
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A 30-year-old school teacher who has two (2) children, has just stopped breast feeding and was on a low dose progestogen only preparation. She is in good health and is undecided on a tubal ligation. She thinks she has completed her family.
A 38-year-old G5P5, had a normal delivery 24 hours ago. She is stable but having some trouble breastfeeding. She would like to breastfeed for as long as she can. She is undecided about which family planning method to use.
A 28-year-old woman has a 5-year-old child. She is not keen to have a pregnancy yet. She stopped the implant due to hormonal effects. A couple come to see you, they would like to consider vasectomy for the male partner. His wife is a known cardiac case who was admitted in ICU for pulmonary oedema.