Sociodemographic profiles and use-dynamics of Jadelle (levonorgestrel) implants in Jos, Nigeria.

Autor: Pam VC; Department of Obstetrics and Gynaecology, Jos University Teaching Hospital, Jos, Nigeria., Mutihir JT; Department of Obstetrics and Gynaecology, Jos University Teaching Hospital, Jos, Nigeria., Nyango DD; Department of Obstetrics and Gynaecology, Jos University Teaching Hospital, Jos, Nigeria., Shambe I; Department of Obstetrics and Gynaecology, Jos University Teaching Hospital, Jos, Nigeria., Egbodo CO; Department of Obstetrics and Gynaecology, Jos University Teaching Hospital, Jos, Nigeria., Karshima JA; Department of Obstetrics and Gynaecology, Jos University Teaching Hospital, Jos, Nigeria.
Jazyk: angličtina
Zdroj: Nigerian medical journal : journal of the Nigeria Medical Association [Niger Med J] 2016 Nov-Dec; Vol. 57 (6), pp. 314-319.
DOI: 10.4103/0300-1652.193855
Abstrakt: Background: Contraceptive implants (including Jadelle) are highly effective, safe, and easy to use and have a long duration of action. They do not interfere with intercourse with immediate return to fertility after removal. However, disruption of the menstrual bleeding pattern is almost inevitable and coercive prescription may be a problem because insertion and removal of implants are provider dependent. The objective of this study was to determine the sociodemographic profiles of acceptors of Jadelle and the reasons for discontinuation in Jos, Nigeria.
Materials and Methods: This was a 6-year retrospective chart review carried out at the Jos University Teaching Hospital.
Results: About 1401 women accepted Jadelle with a mean (±standard deviation) of 33.4 ± 5.9 years. About 88% of the women were Christians and almost three-quarters (73.5%) had at least secondary school education. The means of parity and number of children still alive at the time of accepting Jadelle were 4.1 and 3.8, respectively. Half of the women (49.5%) were breastfeeding and over half (55.9%) had future fertility desires at the time of commencing Jadelle. About 82% had previously used other contraceptives (mostly short-acting methods such as injectables, pills, and condoms), with only 18% starting Jadelle as the first-ever contraceptive method. About 90% of the women had regular menstrual cycles. The major reason for discontinuation of Jadelle was desire for pregnancy although menstrual pattern disruption was the most common reason for removal in the first 6 months of use.
Conclusion: The main reason for discontinuation of Jadelle was to have more children although menstrual pattern disruptions accounted for earlier discontinuation.
Competing Interests: There are no conflicts of interest.
Databáze: MEDLINE
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