Training of Roma Health Mediators in Reproductive Health

Please determine:
• What is her cycle length? About 27 to 28 days.
• Can the SDM work for her today? Yes, ask questions and use the calendar to
check to see if the last three menstrual cycles have been 26 to 32 in length.
Case 5
Christina gave birth to her baby two months ago and she is interested in the SDM. She
plans to breastfeed for at least a year. She has not gotten her period yet.
Please determine:
• What is her cycle length? Unknown
• Can the SDM work for her today? No, not today. Offer other method or refer
her to Family planning services. She can be reassessed once she has had three
complete menstrual cycles postpartum.
•
Case 6
Jane stopped using birth control pills two months ago. Her period returned right away and
seems to be normal, just like it was before she took the pill. The first day of her last
menstrual period was October 25. She expects her next period to start on November 22.
She knows that her period before that started on September 25, because that was her
wedding anniversary. The period before that was regular too- it came at the same time it
always does.
Please determine:
• What is her cycle length? 28 days
• Can the SDM work for her today? Yes, her menstrual cycles were between 26
and 32 days before using the pill.
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RFHI Training of RHMs in Reproductive Health Session 5: SDM