A newly married couple (Mr. A and Mrs. B) visited the hospital for counselling about family planning. The doctor counselled them up to their satisfaction.
Mrs. B was having history of irregular menstrual cycle which varied from 25 to 30 days. The bleeding was reported to be usually excessive, lasting for 7 to 9 days and was accompanied by abdominal pain occasionally.
As Mr. A was reluctant to use any contraceptive, Mrs. B was explained about all possible options. Finally, she selected combined pills (oral hormonal contraceptives). She was explained in depth about "how to use" combined pills and when to return, if required.
All contraindications of combined pills were also ruled out. After 15 days of starting MalaN (combined pills), Mrs. B visited 2nd time the hospital in morning hours, as she had forgotten to take the pill previous night.
Till that day, she had taken it regularly. She was given appropriate advice. Again, after when she had started next cycle of oral pills, the wife paid 3rd visit to hospital with an anxiety, as she had not menstruated yet.
Which of the following approach was provided to the couple for family planning?
