50th Anniversary of the Billings Method
International Jubilee Conference
28/29/30 March 2003 |
Drs John and Lyn Billings - Papal Knight and Papal
Dame, March 28, 2003

The Nuptial Significance of the Body and Natural Family Planning
Mr Christopher West BA, MST, Denver, Colorado
John Paul II’s “theology of the body” is not
only an extraordinary gift for those who teach and promote natural
family planning. It is a revolution for the Church and the world—a
“theological time bomb”, as papal biographer George
Weigel says, “set to go off with dramatic consequences”.
The Holy Father states therein that the nuptial meaning of the
body “is the fundamental element of human existence in the
world”. It refers to the body’s “capacity of expressing
love: that love precisely in which the person becomes a gift and
– by means of this gift – fulfils the very meaning of
his being and existence”. The call to love as God loves, the
meaning of the Gospel and the meaning of life, is stamped right
in our bodies.
As John Paul II wrote in Familiaris Consortio, “the innate
language that expresses the total reciprocal self-giving of husband
and wife is overlaid, through contraception, by an objectively contradictory
language, namely, that of not giving oneself totally to the other.
This leads not only to a positive refusal to be open to life, but
also to a falsification of the inner truth of conjugal love”.
In short, as a violation of the nuptial meaning of our bodies, contraception
contradicts “the very meaning of our being and existence”.
Contraception and the mentality behind it mark the “antithesis”,
in some sense, of an authentic marital spirituality.
Natural family planning is founded upon respect for the nuptial
meaning of the body and the integral truth of conjugal love as self-giving.
The virtues necessary for the faithful practice of natural family
planning are precisely those virtues that foster true love and an
authentic marital spirituality. This is why an integral understanding
of natural family planning and its global promotion are essential
for the “new evangelization”.

Ovarian Hormones and the Billings Method
Professor James Brown MSc(NZ), PhD(Edin), DSc(Edin), FRACOG
Professor Emeritus, Department of Obstetrics & Gynaecology,
University of Melbourne
The Billings Ovulation Method (BOM) identifies the phases of fertility
and infertility during a woman’s menstrual cycle by the changing
patterns of the cervical and vaginal secretions felt by the woman.
These secretions are the product of the changing patterns of the
two hormones secreted by the ovaries, oestradiol and progesterone,
that are part of the ovulatory mechanism and the preparation of
the uterus for pregnancy.
Therefore, direct measurement of these two hormones provides important
information on the interpretation of the secretions. If a woman’s
cycles were completely regular and she ovulated at the same time
every month, control of fertility by the use of natural fertility
regulation would be simple. However, nature has developed a system
which impairs fertility during times that are unfavourable for mother
and foetus so that reproduction is delayed until more favourable
times.
Operation of this system accounts for practically all the problems
encountered in natural fertility regulation; it is the cause of
irregular lengths of the cycle and therefore varying times of ovulation
and also for variations in ovarian activity which may be subfertile
or infertile.
The BOM was developed so that a woman could recognise all these
forms of ovarian activity as they happened so that she was in control
of her fertility at all times during her reproductive life. Analyses
of the ovarian hormones by measuring their daily output in urine
has played an important part in this development.
The presentation will describe the relationship between the hormone
values and the symptoms during the fertile ovulatory cycle and during
all the other types of ovarian activity; it will also relate the
times of fertility and infertility to the symptoms and hormone values.

Cervical Function and the Billings Method
Professor Erik Odeblad MD(Gynae), PhD, Professor Emeritus,
University of Umea, Sweden
In the middle of the 1970s we found strong indications suggesting
that the cervix produced three distinctly different types of cervical
mucus, denoted G, L and S, each during well-defined periods of the
menstrual cycle.
Members of the OM group in Australia were the first to recognize
the practical applications of these findings, pointing out the congruence
between the L and S mucus and a woman’s fertile period, indicated
by the mucus symptom. We presently know that additional mucus types
exist, notably P2 and P6. Also, there are two varieties of the G
mucus denoted G- and G+.
Various steroid hormones and probably also some neuro-transmitters
seem to regulate the cyclic occurrence of the mucus types.
The mucus types P2, L, S and P6 are fertility promoting, and they
also build up and maintain the mucus symptom, ending with the peak
which corresponds to maximum of P6. The types of G- and G+ reduce
or inhibit sperm propagation and have, in addition, immunological
activities against several micro-organisms and probably against
defective cervical mucus and mucus-producing cells, which seem to
be attacked and eliminated. This last phenomenon is an important
process in maintaining a high-quality of cervical mucus.
In recent years the intracellular signalling pathway from hormones
to mucus production has come into focus, making it possible to understand
other quality and quantity controlling mechanisms. Explanation can
also be given to other observations often encountered by OM teachers,
such as the non-responsive cervix and mucus hyper-production. The
bio-molecular approach also helps to understand effects by various
infections, environmental factors, drugs and remedies leading to
alterations of the mucus symptom and fertility.

Fertility Disorders
and the Billings Method
Prof. Dr. Pilar Vigil MD PhD, Department of Physiology, Faculty
of Science, Catholic University of Chile
Advantages of the
Billings Method in China
Professor QIAN Shao Zhen, MD, Shanghai Institute of Materia
Medica, Chinese Academy of Sciences
Teaching the Billings Method: Cross-Cultural Experiences
Mrs Marie Marshell ASA, Senior Billings Method Educator
The personal witness of a young Chinese woman tells us how the
BOM can transform lives.
The success of the Billings Ovulation Method depends on the quality
of the teachers. The experience of teaching the Method in different
countries and cultures reveals the success of training programs
where authentic literature forms the basis of the programs. The
use of the Curriculum, developed by the Education Committee of the
Billings Ovulation Method, ensures not only that correct information
is taught but also that teaching standards are consistent.
Teachers have a gift for married couples, a gift of knowledge which
not only provides an effective method of fertility regulation, which
is acceptable in all cultures, but a Method which enhances communication
and love between the couple and brings harmony to the family.
It is imperative that teachers have an understanding of the science
behind the Method, and are fully trained in the correct application
of all the Rules of the Method.

The Billings Method in America
Ms Sue Ek, Executive Officer, BOMA-USA
This presentation will begin with a brief history of the Billings
Ovulation Method in the United States as well as a quick description
of the six modern methods of Natural Family Planning that are currently
available in America [Billings, Couple-to-Couple League, Creighton
Model / Napro Technology, Family of the Americas, Marquette Model
and Northwest Family Services].
A comparison of the unique differences of the various methods,
as well as the difficulties this has created will be presented.
The Basic Teacher Training Program as well as method updates [Extension
Course] provided to experienced teachers will be discussed. Included
will be the process of certification, renewal of certification and
data base information. BOMA-USA has worked closely with Australia
to standardize teacher training and provide authentic materials
for use in all programs of the Billings Ovulation Method.

The Importance of Authentic Charting
Mrs Marian Corkill, Senior Billings Method Educator
What motivates the Billings Method teacher?
Why teach natural fertility regulation? Why then teach the BOM?
It is the best choice because
it is free of side effects,
is morally acceptable to all peoples of the world,
it can be taught to vast numbers of people cheaply and simply.
The Billings Ovulation Method (BOM) has undergone the most thorough
investigations and trials of all methods of NFP and is based on
sound scientific knowledge.
While love is our motivation the BOM teacher needs to understand
the great responsibility which has been entrusted to him/her. We
are privileged to help couples in their marriage, their relationship,
their way of loving.
It is paramount that the BOM teacher is a teacher of excellence.
This requires good knowledge, good interpersonal skills and an openness
to continue to learn, to constantly update and ensure that what
is being taught is in fact the BOM as has been developed and promulgated
by Drs John and Lyn Billings.
Presentation of the BOM
Drs John and Lyn have always taught us to teach the method simply.
A Powerpoint presentation suitable for teaching couples will be
demonstrated.
A CD of this demonstration will be available for sale at this Conference.
Education Committee
The Education Committee of OMR&RCA has been given the responsibility
to ensure that teaching standards are consistent. The role of the
Education Committee will be explained particularly its role in the
training, accrediting and re-accrediting of teachers, ensuring authentic
literature is published and pregnancy investigations.

Marriage, Pastoral Formation and Fertility Awareness
Mrs Anna Krohn, B.Theol, Director, Catholic Pastoral Formation
Centre, Archdiocese of Melbourne
Marriage Preparation programs have over the past years developed
a high degree of expertise in both their methodology and in their
provision. Programs currently offer sophisticated units aimed at
improving couple communication, their emotional and social compatibility
and personal development. These skills are very important.
However many of the programs only touch upon or assume a basic
level of faith education and awareness in the participants. It has
been expected that the participants’ families, schools and
church involvement would have provided this foundational formation.
In our post – modern social context, many of these networks
have been disrupted so that couples are in need of re-catechesis
at an adult learning level.
Furthermore marriage preparation needs to include material which
opens up for the couple the incredibly rich developments in the
theology and spirituality of marriage and family. For couples seeking
a sacramental marriage it is vital that the basics in sacramental
theology are also presented.
Developments in the Melbourne Archdiocese on a project which aims
to supplement existing marriage preparation courses and which will
address some of these needs will be discussed.

Developing Curricula for Christian Education in Sexuality
Mrs Lisa Brick, Co-author, Teachable Moments,
An education in understanding Christian sexuality is a dynamic
process that begins within the family. Our parents are our first
and most important educators in this and many other areas of our
lives. With this as our focus, Julianne White and I saw that the
development of curricula for Christian sexuality education outside
of the family must include an opportunity for the involvement and
education of parents, thereby acknowledging the primary responsibility
parents have in this area.
Christian sexuality education curriculum must be based upon the
understanding that we are created male and female in the image and
likeness of God. It must be designed to develop a full Christian
understanding of what it means to be biologically and spiritually
a man or a woman and it must enhance our capacity to express our
sexuality appropriately within the vocations of Christian life we
are called too. To achieve this schools and parents work need to
work in partnership bringing this knowledge and understanding to
their children, utilizing the important resources and teaching skills
of teachers to support and strengthen the primary educative role
of parents.
How to foster and develop this partnership is one of the most pressing
issues facing parents and educators today. A successful partnership
should take into account and addresses the needs of parents, teachers
and communities so they may all fulfil their roles in the education
and formation of children leading them become fully integrated human
persons. Crucial to achieving this partnership is the development
of good resource materials for both parents and teachers. A resource
needs to provide parents and teachers with the knowledge and the
skills to work together, taking into account the individuality of
each child and the child’s need to be informed at their level
of understanding and awareness. The materials within such a resource
needs to foster an understanding and appreciation of our bodies
and recognition of the universal call to chastity.

Christian Education in Sexuality – Dealing with Media Influences
Mrs Trish Beale, Coordinator, Christian Sexuality Program, Perth
WA
The “Loving for Life” Programme seeks to present the
Christian ideal of sexuality.
The constant challenge is to present the Programme so it will touch
the hearts and minds of young people in a way they will accept.
Topics of Presentation
“Christian Education in Sexuality – dealing with the
Media Influences”
The presentation will
· Outline the continued value the “Loving for Life”
Programme has been for young people since it’s inception.
· Outline the sessions presented and covered in the “Loving
for Life” Programme and how these sessions seek to establish
the Christian ideal of sexuality.
· Look at the influence the media has on young people’s
views of human sexuality.
· Establish the importance of continually updating the presentation
of the materials used in the Programme so as to deliver the message
to young people in a way they will accept.
· Encourage all to accept the challenge, but also the joy
involved, when we engage youth in discerning what will lead to their
happiness.
The Media has an overpowering and persuasive influence on the lives
of young people today The Perth Billings Team has made the Media
session covered in the “ loving for Life” Programme
a reference point by which to challenge the students own values
and behaviours. Other Sessions presented in the Programme can now
be referred back to what is covered in the Media Session to reinforce
what is required for the long term happiness of the individual.

Continuing Professional Development Programs for Medical Practitioners
Dr Mary Walsh MBBS FRACGP, Family Physician
The Billings Ovulation Method used for avoiding pregnancy is evidence-based
medicine supported by several independent, international, multi-centre
prospective trials published in peer reviewed journals indicating
a Pearl index of 0-2.2 pregnancies per hundred women years, including
a World Health Organization trial, and Indian Medical Research Council
trial and a trial conducted by the Jiangsu Family Health Institute
in China. The results indicate the BOM is comparable in effectiveness
to the contraceptive pill, and, as users well know, it has so many
advantages over intrusive methods of fertility control.
Our own surveys of several hundred general medical practitioners
have shown that amongst those who participated there was a lack
of knowledge of the mucus symptom and the capacity of women to identify
their periods of infertility and possible fertility and the occurrence
and time of ovulation. Trials of professional development intervention
with general medical practitioners showed that BOM teachers suitably
trained for the purpose could bring about dramatic change in the
knowledge and attitude of general practitioners. The latter learned
how a woman could use the BOM rules about the mucus symptom to assist
a woman to manage her fertility, overcome sub-fertility and take
better care of her reproductive health.
This is a most important development in the promotion of natural
family regulation, assisting in bringing the Billings Ovulation
Method into the medical mainstream where it ought to be. It is vital
that women are given the confidence, by their doctors, to manage
their own fertility and maintain their own reproductive health.
In fact it is their right to be supported in that way as a significant
option to the medicalisation of reproductive health.
In this paper an account is given of the research and trialling
that led to the establishment of Continuing Professional Development
programs for doctors and other health professionals in the area
of fertility and infertility awareness. The OMR&RCA has been
approved by the Royal Australian College of General Practitioners
as an Accredited Provider of CPD programs. Billings associations
in other countries are urged to likewise seek that status from their
local Colleges and to establish CPD programs.
In the next phase of this work, a prospective longitudinal trial
is planned to assess the comparative effectiveness of BOM instruction
in overcoming sub-fertility and to better identify sub-groups within
the sub-fertile population who would most benefit. If the results
are as we would expect from what BOM teachers report anecdotally,
then we would hope that further initiatives will be developed to
make BOM instruction accepted as a first line assistance to women
seeking medical help for infertility. It should be born in mind,
in this respect, that women who go on IVF programs have only a one
out of five chance of coming home with a baby, and of the embryos
produced for them only one in twenty-five survive to be babies.
Many of those couples who are sub-fertile may, with appropriate
instruction, be able to have their babies naturally with no or minimal
intervention.

‘She’s a Natural’ National Promotion
Mrs Joan Clements, Coordinator, Billings Family Life Centre
It is important that when we all leave this Conference we do so
with the determination to spread the good news of the billings Method
in our local communities. The point of coming together is to learn
from each other and them take our new knowledge back to where we
can make a difference to the health and happiness of women and families.
Each of us will find different ways to communicate this knowledge
– whether we start or continue to teach the Billings Method,
or actively support those who do so, or lobby governments of funding
bodies, or educate health professionals, or give talks to local
community groups, or advertise the WOOMB website, or any other of
a myriad ways to get the news out there – we take back to
our communities enthusiasm for, and a determination to let others
know about, this great Method of natural fertility regulation.
In doing so, some of us will be part of a strong and supportive
network, but others will, at least initially, be working alone.
There may be hardships and disappointments, but we trust no-one
will feel totally isolated. Please make a note of our email address
and other contact details, and KEEP IN TOUCH. With more than 30
countries represented here this week, together we can take this
news to the world and support each other in doing so.
Marriage, Evangelisation and Inculturation
The Most Reverend Peter Turkson, Archbishop of Cape Coast,
Ghana
At the head of the Canadian Bishops’ Conference, in its defense
of Marriage against ‘same sex unions’, Bishop Berthelet
reminds us that ‘marriage, as a union between one man and
one woman has existed across all cultures, in all civilizations,
in all countries and in all religions for all recorded history.
It is the basic unit of society, the social nucleus in which most
children are born and raised’.
Against the background of a presentation of an instance of the
celebration of marriage in a traditional society in Africa [the
Akans in Southern Ghana], some essential features and characteristics
of the customary marriage of a traditional society in Africa are
presented and briefly discussed. These are matrimonial consent,
the personal and communitarian character of marriage, the successive
stages of customary marriage and consent, dowry and bride’s
price, fecundity and helpmate as crucial ends of customary marriage,
monogamy and polygamy, repudiation and divorce.
Discovering the place of marriage in God’s plan [Revelation],
we proceed to evaluate these features and characteristics in the
light of the Gospel, as it is interpreted by the Magisterium. It
is an encounter between the features and practices of customary
marriage and the Christian vision of marriage, as a sacrament [a
sacramental epiphany of the union between Christ and his Church],
as a vocation [to perfect love, to holiness etc.] and a mission
[ martyria of love and purity], marriage’s sacramental gifts
of chastity and perseverance [1 Cor. 7:7 according to St. Augustine]
and the function of the body and sex in marriage.
Where there are coincidences between customary marriage and Christian
marriage, we shall consider, as proposed pastoral orientations,
the degree of compatibility between the two types of marriages and
the extent to which forms and practices of customary marriage can
serve the catechesis, the celebration and the living of the gospel
vision of marriage.
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