Elaine Germano, CNM, DrPH, FACNM, is the former Nurse-Midwifery Program Director at Georgetown University, and practices at Providence Hospital, Washington, DC.
New Approaches to Fertility Awareness-Based Methods: Incorporating the Standard Days and TwoDay Methods into Practice
Article first published online: 31 DEC 2010
2006 American College of Nurse Midwives
Journal of Midwifery & Womens Health
Volume 51, Issue 6, pages 471–477, November-December 2006
How to Cite
Germano, E. and Jennings, V. (2006), New Approaches to Fertility Awareness-Based Methods: Incorporating the Standard Days and TwoDay Methods into Practice. Journal of Midwifery & Womens Health, 51: 471–477. doi: 10.1016/j.jmwh.2006.05.002
- Issue published online: 31 DEC 2010
- Article first published online: 31 DEC 2010
- family planning;
- fertility awareness;
- Standard Days Method;
- TwoDay Method
Helping clients select and use appropriate family planning methods is a basic component of midwifery care. Many women prefer nonhormonal, nondevice methods, and may be interested in methods that involve understanding their natural fertility. Two new fertility awareness– based methods, the Standard Days Method and the TwoDay Method, meet the need for effective, easy-to-provide, easy-to-use approaches. The Standard Days Method is appropriate for women with most menstrual cycles between 26 and 32 days long. Women using this method are taught to avoid unprotected intercourse on potentially fertile days 8 through 19 of their cycles to prevent pregnancy. They use CycleBeads, a color-coded string of beads representing the menstrual cycle, to monitor their cycle days and cycle lengths. The Standard Days Method is more than 95% effective with correct use. The TwoDay Method is based on the presence or absence of cervical secretions to identify fertile days. To use this method, women are taught to note everyday whether they have secretions. If they had secretions on the current day or the previous day, they consider themselves fertile. The TwoDay Method is 96% effective with correct use. Both methods fit well into midwifery practice.