Implanon uptake at the university of Calabar teaching hospital Calabar, Nigeria

A five year review

https://doi.org/10.53730/ijhs.v6nS2.6752

Authors

  • Eyong Edu M Department of Obstetrics and Gynaecology, University of Calabar, Nigeria
  • Okon Asuquo O Department of Obstetrics and Gynaecology, University of Calabar, Nigeria
  • Ekpo Edet E Department of Obstetrics and Gynaecology, University of Calabar, Nigeria
  • Abeshi Sylvester E Department of Obstetrics and Gynaecology, University of Calabar, Nigeria

Keywords:

Implanon, socio-demographic profile, menstrual irregularities, Calabar

Abstract

Background: Implanon is a modern hormonal contraceptive with a long-acting and reversible effect. It is effective for up to 3 years and can be given during breastfeeding, thus preventing early pregnancy in about 99% of breastfeeding mothers.  The current prevalence rate for contraceptive use in Nigeria is approximately 11%–15%. This rate is very low in spite of the high rate of sexual activity and widespread awareness of the various contraceptive methods among Nigerian adolescents and youths. Objective: To determine the socio-demographic profile of implanon acceptors, the side effects profile and reasons for discontinuation of the method in Calabar. Method: This was a five-year retrospective review of records of clients who accepted Implanon at the University of Calabar Teaching Hospital (UCTH), Calabar, Nigeria. Result: During the period under review, 311 clients accepted Implanon as a method of modern contraceptive in this tertiary facility. The mean age of users was 31.0  5.5SD. Of this number, 97.7% were Christians while 2.3% were Muslims. 93.6% of the clients had at least secondary education and above, 52.7% of the clients had three or more children at the point of accepting the method. However, 80.0% of them desired future fertility. T

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References

Etuk S. J., Ekanem A. D. Knowledge, attitude and practice of family planning amongst women with unplanned pregnancy in Calabar, Nigeria. Nigerian Journal of Physiological sciences. 2003; 18: 65 – 71

National Population Commission (NPC) and ICF macro (2009) Nigeria Demographic Health Survey 2008: Key findings. Calverton, Maryland, U.S.A: NPC & ICF macro. 11: 63 – 86

Austin A. Unmet Contraceptive need among married Nigerian women: an examination of trends and drivers. J contraception 2015 Jan; 91 (1) : 31 – 38

Canning D., Schultz T. P. The economic consequences of reproductive health and family planning. The Lancet. 2012;380: 165 – 171

Schultz T. P., Shareen J. Family planning and women’s and children’s health: consequences of an outreach program in Matlab, Bangladesh. Demography. 2013; 50 (1): 149 – 180

Okonofua F. and Odunsi K. (eds) Contemporary Obstetrics and Gynaecology for Developing Countries; 2003. WHARC, Benin City, Nigeria. 110 – 119. Association of Reproductive Health Professionals (2008). History of subdermal contraceptive implants. Association of Reproductive Health Bulletin.

Monjok E, Smesny A, Ekabua JE. Contraceptive practices in Nigeria: Literature review and recommendation for future policy decisions. Open access contraception 2010; 1: 9 – 22

Power J, French R, Cowan FM. Subdermal implantable contraceptives versus other forms of reversible contraceptives or other implants as effective methods of preventing pregnancy. Cochrane Database of Systematic Reviews. 2007: 3.

Adekunle AO. Recent advances on Contraceptive development. In: Ojule JD, Oranu EO, Enyindah CE. Experience with implanon in Southern Nigeria. Journal of Med and Med Sciences, 2012; 3(1):710 – 14.

Balogun OR, Olaomo N, Adeniran AS, Fawole AA. Implanon subdermal implant: an emerging method of contraception in Ilorin, Nigeria. Journal of Med and Biomedical Sciences, 2014; 3(1):1 – 5

Mestad R, Secura G, Allsworth JE, Madden T, Zhau Q, Peipert JF. Acceptance of long-acting reversible contraceptive methods by adolescent participants in the contraceptive CHOICE project – Contraception 2011; 84:493 – 8.

Guazzelli CA, de Queiroz FT, Barbieri M, Torloni MR, de Araujo FF. Etornorgestrel implants in adolescents: Evaluation of clinical aspects. Contraception 2011; 83:336 – 9

Lewis LN, Doherty DA, Hickey M, Skinner SR. Implanon as a contraceptive choice for teenage mothers: A comparison of contraceptive choices, acceptability and repeat pregnancy. Contraception 2010; 81:421 – 6.

Marrone G, Abdul-Rahman L, De Coninck Z, Johansson A. Predictors of Contraceptive use among female adolescents in Ghana. Afr J Reprod Health 2014; 18:102 – 9.

Ankomah A, Anyanti J, Oladosu M. Myths, misinformation and communication about family planning and contraceptive use in Nigeria. Open Assess J Contracept 2011; 2: 95 – 105

Palamuleni ME. Socio-economic and demographic factors affecting contraceptive use in Malawi. Afr J Reprod Health 2013; 17:91 – 104

Aisien AO, Enosolease ME. Safety, efficacy and side-effects of implanon, a single rod implantable contraceptive (etornorgestrel) in University of Benin Teaching Hospital. Niger J Clin Pract. 2010; 13(3):331 – 5.

Akadri AA, Odelola OI. Progestogen – only injectible contraceptive: Acceptor prevalence and client experience at Sagamu, Nigeria. Niger Postgrad Med J 2017; 24:178 – 81

Adeyemi AS, Adekanle DA, Progestogen – only injectable contraceptive: Experience of women in Osogbo, Southwestern, Nigeria. AM Afr Med 2012; 11: 27 – 31.

Hou MM, McNicholas C, Creinin MD. Combined oral contraceptive treatment for bleeding complaints with etornorgestrel contraceptive implant: A randomized control trial. Eur J Contracept Reprod Healthcare 2016; 21:361 – 66.

Friedlander E. Therapeutic options to unscheduled vaginal bleeding associated with long-acting reversible contraception. Obstetrics and Gynaecology Clinics of North America 2015; 42: 593 – 603.

Adebola O, Imran O, Morhason – Bello, Michael A, Okuniola, Adeyemi O, Adekunle. Profile of Implanon acceptors and pattern of side effects. J Reprod Med 2015, Mar; 26(1): 46 – 52

Abeshi, Sylvester E; Eyong, Edu M; Ekenjoku, A J; Ekpo, Edet E -Current trend in contraceptive demand at the university of Calabar teaching hospital, Calabar, Nigeria. Asian journal of science and technology 11 (05); 10972-10974, 2020

Published

29-04-2022

How to Cite

Eyong Edu, M., Okon Asuquo, O., Ekpo Edet, E., & Abeshi Sylvester, E. (2022). Implanon uptake at the university of Calabar teaching hospital Calabar, Nigeria: A five year review. International Journal of Health Sciences, 6(S2), 7236–7243. https://doi.org/10.53730/ijhs.v6nS2.6752

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Section

Peer Review Articles