Continuation rates and reasons for removal among Implanon (R) users accessing two family planning clinics in Queensland, Australia

Harvey, Caroline, Seib, Charrlotte and Lucke, Jayne (2009) Continuation rates and reasons for removal among Implanon (R) users accessing two family planning clinics in Queensland, Australia. Contraception, 80 6: 527-532. doi:10.1016/j.contraception.2009.05.132


Author Harvey, Caroline
Seib, Charrlotte
Lucke, Jayne
Title Continuation rates and reasons for removal among Implanon (R) users accessing two family planning clinics in Queensland, Australia
Formatted title
Continuation rates and reasons for removal among Implanon® users accessing two family planning clinics in Queensland, Australia
Journal name Contraception   Check publisher's open access policy
ISSN 0010-7824
1879-0518
Publication date 2009-12-01
Year available 2009
Sub-type Article (original research)
DOI 10.1016/j.contraception.2009.05.132
Volume 80
Issue 6
Start page 527
End page 532
Total pages 6
Place of publication Philadelphia, PA, United States
Publisher Elsevier
Collection year 2010
Language eng
Subject 1103 Clinical Sciences
C1
920499 Public Health (excl. Specific Population Health) not elsewhere classified
111799 Public Health and Health Services not elsewhere classified
Formatted abstract
Background
This study examined demographic profile, continuation rates and reasons for removal among Implanon® users accessing two family planning clinics in Queensland, Australia.

Study Design

A retrospective chart audit of 976 women who attended for implant insertion over a 3-year period between May 2001 and May 2004.

Results

Continuation rates showed that at 6 months after insertion, 94% of women continued, 74% continued at 1 year and 50% continued at 2 years. Metropolitan women were more likely than rural women to discontinue use because of dissatisfaction with bleeding patterns. Cox regression analysis showed that those attending the regional clinic experienced significantly shorter time to removal.

Conclusions

Implanon® continuation rates and reasons for removal differ between clinics in metropolitan and rural locations. A cooling-off period did not affect the likelihood of continuation with Implanon®. Preinsertion counselling should emphasize potential changes in bleeding patterns.
Keyword Implanon (R)
Clinical audit
Contraception
Etonogestrel implant
Discontinuation
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: 2010 Higher Education Research Data Collection
School of Public Health Publications
 
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Created: Sun, 20 Dec 2009, 10:04:08 EST