Associated Factors in the Declining Trend in the Use of Progestogen Only Injectable Contraceptive in a Niger Delta University Teaching Hospital, Nigeria
Journal Title: Asian Journal of Medicine and Health - Year 2017, Vol 3, Issue 1
Abstract
Background: Progestogen-only injectable contraceptive (POIC) is a reversible and widely accepted contraceptive method. In an earlier study in the University of Port Harcourt Teaching Hospital, it was the contraceptive method of choice for the clients; a recent review however showed a declining acceptance and increasing discontinuation hence the study. Objectives: To determine the associated factors in the declining acceptance and growing discontinuation of progestogen only injectable contraceptives in our centre. Materials and Methods: A retrospective study of clients who accepted and used POIC at the family planning clinic of the University of Port Harcourt Teaching Hospital (UPTH) between 1st January 2004 and 31st December 2013. The case files of these clients were retrieved. Their data, which included socio-demographic characteristics and reasons for discontinuation of POIC was extracted, entered into a data bank and analyzed using SPSS for windows 19.0 version. Results: During this study period, the main methods of contraception available and proportion of clients who accepted them were: condom-male and female- (44.52%), intrauterine contraceptive device (15.98%), POIC (15.35%), implants (8.20%), oral contraceptive device (7.63%), bilateral tubal ligation (2.66%), foam tablets (0.43%). There were 1075 (15.35%) new acceptors of POIC out of the 7001 total new acceptors of contraception during this period. Secondary amenorrhea was the most common side effect occurring in 781 (72.7%) women. Eight hundred and fifty six (79.6%) were lost to follow up while 57(5.3%) discontinued POIC use due to pregnancy, a change to intrauterine device and implant; and complications such as weight gain and irregular vaginal bleeding. Other reasons for the decline in the use of POIC were multiple injections involved and frequent visits to the health care facility. No pregnancy was reported among these women during the study period. Conclusion: There was appreciable drop in the use of progestogen only injectable contraceptive and reasons such as its side effects, increasing acceptance of intra uterine devices and implants; and dislike based on frequent visits to the health care provider and concerns on possible impact of the repeated injections were noted.
Authors and Affiliations
Emmanuel O. Oranu, John D. Ojule, Ngozi C. Orazulike
Keywords
Related Articles
- EP ID EP336772
- DOI 10.9734/AJMAH/2017/32120
- Views 65
- Downloads 0
The Usefulness of 99mtechnetium-sestamibi Parathyroid Scintigraphy in Preoperative Localization of Parathyroid Adenoma in Patients with Primary Hyperparathyroidism at an Academic Hospital in South Africa
Background: Primary hyperparathyroidism (PHPT) is an endocrine disorder with increased secretion of parathyroid hormone and elevated serum calcium level. Parathyroid adenoma is the most common cause. The introduction of...
Stroke Awareness and Drug Adherence among Adult Hypertensives in a Tertiary Health Care Centre
Stroke is rated as the second leading cause of death worldwide. Stroke is mostly a preventable neurological disease because many of its risk factors such as hypertension, dyslipidemia, diabetes mellitus and smoking can b...
Oral Cancer and Oral Sex: Awareness and Practice among Nursing Students in Ibadan Metropolis, Nigeria
Objectives: To determine the prevalence of oral sex, and explore the level of awareness on oral cancer among nursing students in Ibadan metropolis, Nigeria. Materials and Methods: This research was a descriptive cross-se...
Antimicrobial Activity, Phytochemical Screening and Nutrient Analysis of Tetrapleura tetraptera and Piper guineense
The study was carried out to examine the antibacterial, antifungal activity, and minimum inhibitory concentrations (MIC) of the petroleum ether, aqueous and ethanolic extracts of Tetrapleura tetraptera and Piper guineens...
Trichomonas vaginalis Infection in a Typical Urban and a Suburban Area of Rivers State Nigeria
Aims: To assess Trichomonas vaginalis infection in a typical urban and a suburban area of Rivers state Nigeria. Place and Duration: Three research and diagnostic laboratories in Port Harcourt and its environment between...