Fertility Awareness · Methods

Chapter 9: Basic CrMS Instructions

Hilgers TW

The Medical and Surgical Practice of NaProTECHNOLOGY, 175-184, 2004

RRM Academy Synopsis

CrMS instructions teach couples to read fertile and infertile days

The Creighton Model System (CrMS) teaches couples to achieve or avoid pregnancy from daily mucus checks. This textbook chapter lists the basic steps for observing, charting, and genital contact, and gives example charts.

Key Findings

  • The chapter names the Peak Day as the final day of clear, stretchy, or lubricative mucus. A woman can identify it only after it has passed.
  • Observing every day and charting the most fertile sign of each day are universal instructions. They cover couples achieving pregnancy, avoiding pregnancy, or monitoring cycles for health.
  • The days of fertility include the menstrual flow, the mucus buildup through the Peak Day plus a further count of days, and any unusual bleeding.
  • For couples avoiding pregnancy, pre-Peak dry days outside a count of days are infertile at day's end. Dry days after the fourth post-Peak day are infertile, at day's end while learning.
  • The seminal fluid instruction aims to let a woman read the day-after discharge as cervical mucus. Couples avoiding pregnancy who are in doubt count themselves as at Peak fertility.

RRM Context

The CrMS is one of the fertility awareness-based methods that RRM clinicians draw on. The chapter calls the chart an excellent health record and links it to spotting gynecologic problems, which fits the cycle-charting-informed principle of restorative care. Either spouse can chart, so the method involves both partners.

Abstract

This chapter presents the basic instructions of the CREIGHTON MODEL System (CrMS), which it describes as a system of both achieving and avoiding pregnancy, together with definitions such as the Peak Day, the last day of any mucus discharge that is clear, stretchy, or lubricative. The instructions define the days of fertility, which include the menstrual flow and the days from the beginning of the mucus until three full days past the Peak Day, and the dry days that are used to avoid pregnancy. Hilgers also describes the seminal fluid instruction, which the chapter states should not be viewed as contraceptive, and the instruction to treat any time of doubt as Peak fertility followed by a count of three days. The chapter reports that in its studies of 65 hormonally normal menstrual cycles ovulation occurred on average on the Peak Day, and it cites a preliminary survey of 50 pregnancies in which over 75 percent of couples of normal fertility conceived in the first cycle in which they used the days of fertility.

Topics

By this author

Related research

Fertility Awareness › Methods › Creighton Model · Clinician Education and Training › Clinician Training › Curriculum and Competencies · Restorative Reproductive Medicine › NaProTechnology › Protocols and Framework
Thomas W Hilgers
Tom Hilgers, T Hilgers
Hilgers et al. 2004, Hilgers 2004