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One-year follow-up of immediate postpartum contraceptive implant insertion in adolescents.
Barbieri, Mariane M; Dantas-Silva, Amanda; Caleffi, Leticia S; Morais, Sirlei S; Juliato, Cassia R T; Bahamondes, Luis; Surita, Fernanda G.
  • Barbieri MM; Department of Obstetrics and Gynaecology, State University of Campinas, Campinas, Brazil.
  • Dantas-Silva A; Department of Obstetrics and Gynaecology, State University of Campinas, Campinas, Brazil.
  • Caleffi LS; Department of Obstetrics and Gynaecology, State University of Campinas, Campinas, Brazil.
  • Morais SS; Department of Obstetrics and Gynaecology, State University of Campinas, Campinas, Brazil.
  • Juliato CRT; Department of Obstetrics and Gynaecology, State University of Campinas, Campinas, Brazil.
  • Bahamondes L; Department of Obstetrics and Gynaecology, State University of Campinas, Campinas, Brazil.
  • Surita FG; Department of Obstetrics and Gynaecology, State University of Campinas, Campinas, Brazil.
Eur J Contracept Reprod Health Care ; : 1-7, 2022 Oct 26.
Article in English | MEDLINE | ID: covidwho-2238995
ABSTRACT

PURPOSE:

Our study aimed to evaluate the acceptability, adverse effects and continuation rates among adolescents who accepted the etonogestrel (ENG) subdermal implant and compared to adolescents who chose other methods during the immediate postpartum period before hospital discharge, with one year follow-up up. MATERIALS AND

METHODS:

We conducted a cohort non-randomised study at the Women's Hospital, University of Campinas. All women up to 19 years of age, who gave birth at the hospital between July 2019 and April 2020, were invited to participate and were offered the ENG-implant or the routine contraceptive methods. They were followed for one year postpartum.

RESULTS:

We included 100 teenagers and 72 accepted the ENG-implant. Students are more likely to accept the ENG-implant than non-students (PR 1.25 [95%CI 0.99-1.59]). Up to one year of follow-up, survival analysis showed that the time of adherence to the method was longer for the ENG-implant users (p = 0.0049). More than 90% of the adolescents were satisfied with the implant; however, five requested early removal due to menstrual irregularity and local discomfort.

CONCLUSION:

Provision ENG-implant for adolescents in the immediate postpartum demonstrated high acceptance and ensured effective contraception. After one year, most of them were satisfied, with a high continuation rate and without unplanned pregnancies.
Keywords

Full text: Available Collection: International databases Database: MEDLINE Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Language: English Journal: Eur J Contracept Reprod Health Care Journal subject: Reproductive Medicine / Family Planning Services Year: 2022 Document Type: Article Affiliation country: 13625187.2022.2133536

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Language: English Journal: Eur J Contracept Reprod Health Care Journal subject: Reproductive Medicine / Family Planning Services Year: 2022 Document Type: Article Affiliation country: 13625187.2022.2133536