Early removal of etonogestrel subcutaneous contraceptive implant at a community health centre in Pretoria

South African Family Practice

 
 
Field Value
 
Title Early removal of etonogestrel subcutaneous contraceptive implant at a community health centre in Pretoria
 
Creator Moeti, Dikonketjo M.P. Govender, Indiran Bongongo, Tombo
 
Subject — early removal; etonogestrel; subcutaneous contraceptive; implant; Pretoria; community health centre; weight gain; vaginal bleeding
Description Background: The etonogestrel subcutaneous contraceptive implant offers efficacy for three years, but some women remove it earlier than prescribed. This study discusses factors associated with the early removal of these implants at a Pretoria community health centre between 01 January 2020 to 30 June 2020.Methods: A cross-sectional study using a piloted and researcher assistant-administered questionnaire.Results: Of the 124 participants who removed their etonogestrel subcutaneous contraceptive implant earlier than prescribed, most were single, unemployed, in the age group 30–39 years, Christian, with secondary level education and with parity one or more. Etonogestrel subcutaneous contraceptive implant pre-insertion counselling was given to all participants, most of whom had not previously used contraceptives. Those participants with previous contraceptive use had used injectables. Long-term contraception was the main reason for getting the etonogestrel subcutaneous contraceptive implant. Most participants did not attend post-insertion counselling. Heavy bleeding was the most common side effect and reason for early removal. Fifty-one participants kept the etonogestrel subcutaneous contraceptive implant in for a longer period of 12–23 months. From participants’ responses, it seems that Etonogestrel implants may be offered from as early as 15–20 years of age.Conclusion: Women having etonogestrel subcutaneous contraceptive implants removed early at a Pretoria community health centre tended to be young, single, unemployed, Christian, with a secondary level education and with parity one or more. All participants attended the etonogestrel subcutaneous contraceptive implant pre-insertion counselling services but not the post-counselling services. Heavy bleeding was the main reason for the early removal of the etonogestrel subcutaneous contraceptive implant.
 
Publisher AOSIS
 
Contributor
Date 2022-07-07
 
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article —
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/safp.v64i1.5407
 
Source South African Family Practice; Vol 64, No 1 (2022): Part 3; 6 pages 2078-6204 2078-6190
 
Language eng
 
Relation
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:

https://safpj.co.za/index.php/safpj/article/view/5407/7435 https://safpj.co.za/index.php/safpj/article/view/5407/7436 https://safpj.co.za/index.php/safpj/article/view/5407/7437 https://safpj.co.za/index.php/safpj/article/view/5407/7438
 
Coverage — — —
Rights Copyright (c) 2022 Dikonketjo M.P. Moeti, Indiran Govender, Tombo Bongongo https://creativecommons.org/licenses/by/4.0
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