OUR ARCHIVES : April 2009

AFTER THE POSTNATAL EXAMINATION – PREVENTING PREGNANCY

Just as contraceptive advice at six weeks may be too late to prevent pregnancy in some women, for others it will be too early to find a method of contraception that will suit. Particularly when intercourse has not been resumed, the woman’s change in feelings about her sexuality may not be apparent. As always, unless [...]

THE STEREOTYPES – ‘MEN NEED TO BE IN CONTROL’ (CONDOM USE)

Condom use is traditionally the man’s decision. It is seen as good manners, caring and safe. It protects both parties, but particularly the woman from something noxious. The guidelines seem clear for the promiscuous and those in stable partnerships, but these are artificial distinctions. A man may not want to use a condom for what [...]

AFTER AN ABORTION

It is wise to offer a post-abortion appointment to check physical and emotional wellbeing and confirm the contraceptive method. Most women will have adjusted well, but about 3% may have emotional problems sufficient to interfere with their lives (Dagg, 1991). These may manifest themselves as depression, anxiety, lack of sleep or psychosexual difficulties: they can [...]

PSYCHOSEXUAL PROBLEMS IN YOUNG PEOPLE (INSTANCE)

Miss R. was 17 when she first attended the clinic and 21 months later had a thick file, having attended 18 times. In retrospect, the professionals should not have been surprised that she wore them down. The counsellor was the first contact and noted that she had been brought/referred by her boyfriend who stayed in [...]

CARING FOR THE POORLY MOTIVATED – MRS H. (FIFTH BABY)

After the birth of this fifth baby her chaotic lifestyle continued. She decided to have the fourth child adopted, and the new baby was in and out of care. During a number of visits the domiciliary doctor learnt that the boyfriend was often violent but Mrs H. felt that she deserved it and that her [...]