Page 362 - كتاب تمريض نسا الاكتروني

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Position of using the Diaphragm

1. Squatting: is the most commonly used position and most women find is

satisfactory.

2. Leg up method: another position is to raise the left foot.

3. Chair method: another practical method for diaphragm insertion to sit

forward on the edge of chair.

4. Recailing: You may prefer insertion while lying down in bed.

Nursing Instructions

1. Instruct the women about how to use the diaphragm.

• Hand washing with water and soap.

• Insert diaphragm as long as 30 mins before intercourse.

• Diaphragm must be left in place for at least 6hrs after last intercourse.

• The women who engage in intercourse infrequently may choose this barrier

method. The spermicide adds additional lubricant it may be interfere with

normal flow of cervical mucus.

2. The fit size of diaphragm should be assed every year.

3. Instruct her that device should be refitted after weight loss or gain.

4. Inspect diaphragm for holes or tears by holding it up to a light source or fill it

with water and check for a leak.

5. Select the most comfortable position for insertion.

6. Wash the diaphragm with soap and water after use.

6) Hormonal Family Planning Methods

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