Skip to main content

Fertility Awareness Method/Natural Family Planning

  • Chapter
  • First Online:
Primary Care Procedures in Women's Health
  • 590 Accesses

Abstract

Fertility awareness-based methods, or natural family planning (NFP), is one of the oldest practiced methods of birth control. Also known by the names periodic abstinence, rhythm method, standard days method, and the two-day method, it can be used for either pregnancy prevention or planning and is acceptable to all major religious groups. Fertility awareness-based methods are based on the observation of fertile and infertile periods of the menstrual cycle. Each of the various methods relies on the identification of cervical mucus changes, change in basal body temperature that increases around the time of ovulation, and/or a change in the position and feel of the cervix. There are also commercially available fertility monitoring devices and numerous Internet apps that can be used to assist the couple. If used correctly, reported efficacy rates are between 95% and 98% (Jennings et al. Contraceptive technology, 18th revised edition. New York: Ardent Media 317–329, 2004; Grimes et al. Contraception 72:85–90, 2005).

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Jennings VH, Arevalo M, Kowal D. Fertility awareness-based methods. In: Hatcher RA, editor. Contraceptive technology, 18th revised edition. New York: Ardent Media; 2004. p. 317–29.

    Google Scholar 

  2. Grimes DA, Gallo MF, Grigorieva V, Nanda K, Schulz K. Fertility awareness-based methods for contraception: systematic review of randomized controlled trials. Contraception. 2005;72:85–90.

    Article  Google Scholar 

  3. Tommaselli GA, Guida M, Palomba S, Barbato M, Nappi C. Using complete breastfeeding and lactational amenorrhoea as birth spacing methods. Contraception. 2000;61(4):253–7.

    Article  CAS  Google Scholar 

  4. Frank-Herrmann P, Gnoth C, Baur S, Strowitzki T, Freundl G. Determination of the fertile window: reproductive competence of women – European cycle databases. Gynecol Endocrinol. 2005;20(6):305–12.

    Article  Google Scholar 

  5. Ryder RE. Natural family planning: effective birth control supported by the Catholic Church. BMJ. 1993;307:723–76.

    Article  CAS  Google Scholar 

  6. Stanford JB, Smith KR, Dunson DB. Vulvar mucus observations and the probability of pregnancy. Obstet Gynecol. 2003;101(6):1285–93.

    PubMed  Google Scholar 

  7. Hilgers TW, Stanford JB. Creighton model NaProEducation technology for avoiding pregnancy. Use effectiveness. J Reprod Med. 1998;43:495–501.

    CAS  PubMed  Google Scholar 

  8. Germano E, Jennings V. New approaches to fertility awareness based-methods: incorporating the standard days and 2Day methods into practice. J Midwifery Womens Health. 2006;51:471–7.

    Article  Google Scholar 

  9. Smoley BA, Robinson CM. Natural family planning. Am Fam Physician. 2012;86(10):924–8.

    PubMed  Google Scholar 

  10. Sinai I, Lundgren RI, Gribble JN. Continued use of the standard days method. J Fam Plann Reprod Health Care. 2012 Jul.;38(3):150–6.

    Article  Google Scholar 

  11. Urrutia RP, Polis CB, Jensen ET, et al. Effectivenss for fertility awareness-based methods for pregnancy prevention: a systematic review. Obstet Gynecol. 2018;132(3):591–604. https://doi.org/10.1097/AOG.0000000000002784.

    Article  Google Scholar 

Web Sites

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Dawn Brink-Cymerman .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2020 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Brink-Cymerman, D. (2020). Fertility Awareness Method/Natural Family Planning. In: Heath, C., Sulik, S. (eds) Primary Care Procedures in Women's Health. Springer, Cham. https://doi.org/10.1007/978-3-030-28884-6_15

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-28884-6_15

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-28883-9

  • Online ISBN: 978-3-030-28884-6

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics