Early contraceptive implants removal and its associated factors among women using implants at a National Referral Hospital, Kampala Uganda

Abstract Background Early discontinuation of implant contraceptive methods and reasons for discontinuation remains a major concern for family planning programs. Early discontinuation is related to higher rates of the overall fertility rate, unwanted pregnancies leading to possibly induced abortion....

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Autores principales:	Gerald Ssebatta, Dan Kabonge Kaye, Scovia Nalugo Mbalinda
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Early implant removal Implant Contraception Gynecology and obstetrics RG1-991 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/0eea623a04d042f99fec07b53a060a94
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spelling	oai:doaj.org-article:0eea623a04d042f99fec07b53a060a942021-12-05T12:08:22ZEarly contraceptive implants removal and its associated factors among women using implants at a National Referral Hospital, Kampala Uganda10.1186/s12905-021-01541-91472-6874https://doaj.org/article/0eea623a04d042f99fec07b53a060a942021-12-01T00:00:00Zhttps://doi.org/10.1186/s12905-021-01541-9https://doaj.org/toc/1472-6874Abstract Background Early discontinuation of implant contraceptive methods and reasons for discontinuation remains a major concern for family planning programs. Early discontinuation is related to higher rates of the overall fertility rate, unwanted pregnancies leading to possibly induced abortion. There is paucity of data on the practice of discontinuation of contraceptives in developing countries. The objective of the study was to determine the magnitude of early implants discontinuation among women receiving implants services in the study area and the factors associated with it. Methods A cross-sectional study was conducted from 2nd January to 3rd March 2020. Data were collected from 207 women who had come to remove implants on socio-demographic characteristics, obstetric history, duration of implant, and reasons for wanting to remove the implant. We computed the proportion of those who removed the implant before 18 months (early discontinuation). To assess the factors associated with early discontinuation, we estimated the prevalence ratios with a generalized linear model of the poisson family with a log link and robust error variance. Results The proportion of early implant discontinuation was 87/207(42%). Factor associated with early implant discontinuation included; experience of side effects (PR = 1.1; 95% CI 1.03–1.24; P = 0.001), not having received pre-insertion counseling about the benefits and side effects of contraceptive implants (PR = 1.5; 95% CI 1.02–1.30; P = 0.019) and staying in rural areas (PR = 1.1; 95% CI 1.03–1.27; P = 0.014). Conclusion Nearly one in every two mothers have early discontinuation of contraceptive implants. Factors associated with early implant removal include; experience of side effects, lack of counseling services, and staying in rural areas. There is a need for intervention to address high prevalence of early contraceptive removal through improving on counselling services about possible side effects.Gerald SsebattaDan Kabonge KayeScovia Nalugo MbalindaBMCarticleEarly implant removalImplantContraceptionGynecology and obstetricsRG1-991Public aspects of medicineRA1-1270ENBMC Women's Health, Vol 21, Iss 1, Pp 1-9 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Early implant removal Implant Contraception Gynecology and obstetrics RG1-991 Public aspects of medicine RA1-1270
spellingShingle	Early implant removal Implant Contraception Gynecology and obstetrics RG1-991 Public aspects of medicine RA1-1270 Gerald Ssebatta Dan Kabonge Kaye Scovia Nalugo Mbalinda Early contraceptive implants removal and its associated factors among women using implants at a National Referral Hospital, Kampala Uganda
description	Abstract Background Early discontinuation of implant contraceptive methods and reasons for discontinuation remains a major concern for family planning programs. Early discontinuation is related to higher rates of the overall fertility rate, unwanted pregnancies leading to possibly induced abortion. There is paucity of data on the practice of discontinuation of contraceptives in developing countries. The objective of the study was to determine the magnitude of early implants discontinuation among women receiving implants services in the study area and the factors associated with it. Methods A cross-sectional study was conducted from 2nd January to 3rd March 2020. Data were collected from 207 women who had come to remove implants on socio-demographic characteristics, obstetric history, duration of implant, and reasons for wanting to remove the implant. We computed the proportion of those who removed the implant before 18 months (early discontinuation). To assess the factors associated with early discontinuation, we estimated the prevalence ratios with a generalized linear model of the poisson family with a log link and robust error variance. Results The proportion of early implant discontinuation was 87/207(42%). Factor associated with early implant discontinuation included; experience of side effects (PR = 1.1; 95% CI 1.03–1.24; P = 0.001), not having received pre-insertion counseling about the benefits and side effects of contraceptive implants (PR = 1.5; 95% CI 1.02–1.30; P = 0.019) and staying in rural areas (PR = 1.1; 95% CI 1.03–1.27; P = 0.014). Conclusion Nearly one in every two mothers have early discontinuation of contraceptive implants. Factors associated with early implant removal include; experience of side effects, lack of counseling services, and staying in rural areas. There is a need for intervention to address high prevalence of early contraceptive removal through improving on counselling services about possible side effects.
format	article
author	Gerald Ssebatta Dan Kabonge Kaye Scovia Nalugo Mbalinda
author_facet	Gerald Ssebatta Dan Kabonge Kaye Scovia Nalugo Mbalinda
author_sort	Gerald Ssebatta
title	Early contraceptive implants removal and its associated factors among women using implants at a National Referral Hospital, Kampala Uganda
title_short	Early contraceptive implants removal and its associated factors among women using implants at a National Referral Hospital, Kampala Uganda
title_full	Early contraceptive implants removal and its associated factors among women using implants at a National Referral Hospital, Kampala Uganda
title_fullStr	Early contraceptive implants removal and its associated factors among women using implants at a National Referral Hospital, Kampala Uganda
title_full_unstemmed	Early contraceptive implants removal and its associated factors among women using implants at a National Referral Hospital, Kampala Uganda
title_sort	early contraceptive implants removal and its associated factors among women using implants at a national referral hospital, kampala uganda
publisher	BMC
publishDate	2021
url	https://doaj.org/article/0eea623a04d042f99fec07b53a060a94
work_keys_str_mv	AT geraldssebatta earlycontraceptiveimplantsremovalanditsassociatedfactorsamongwomenusingimplantsatanationalreferralhospitalkampalauganda AT dankabongekaye earlycontraceptiveimplantsremovalanditsassociatedfactorsamongwomenusingimplantsatanationalreferralhospitalkampalauganda AT scovianalugombalinda earlycontraceptiveimplantsremovalanditsassociatedfactorsamongwomenusingimplantsatanationalreferralhospitalkampalauganda
_version_	1718372174078672896

Early contraceptive implants removal and its associated factors among women using implants at a National Referral Hospital, Kampala Uganda

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