Use of injectable progestogen-only contraceptives at the family planning clinic of the Nnamdi Azikiwe University Teaching Hospital Nnewi, Nigeria.

Abstract


Igwegbe AO and Ugboaja JO

This retrospective study investigates the use of, complications and discontinuation of injectable progestogen-only contraceptives at the family planning clinic of the Nnamdi Azikiwe University Teaching Hospital Nnewi, Nigeria. 392 (29.1%) of the 1345 new clients chose injectable progestogen-only contraceptives. Among them, 51.5% were spacers while 48.5% were limiters. Also 94.9% of the clients used depot medroxyprogesterone acetate (DMPA) while 5.1% used norethisterone enanthate (NET-EN). Majority of the acceptors belonged to the 30-34 years age bracket (35.7%), were grandmultiparous (63.8%), and had achieved secondary education and above (74.5%). Ninety (23.0%) clients experienced various forms of side effects, of which menstrual irregularity was the commonest (5.6%). The overall discontinuation rate was 6.1%, and the main reason for discontinuation was desirefor pregnancy (4.1%). There was no pregnancy reported during the study period. The likelihood of reporting complications was significantly associated with age (x2 = 34.06; p=0.00), and level of education (x2 =10.18; p=0.00). The injectable progestogen-only contraceptives are not widely accepted in our centre, and are associated with a low discontinuation rate. There is need to scale up their use in the family planning program in the area.

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