Discontinuation Patterns Among Women Using Jadelle Contraceptive Devices in a Tertiary Hospital in South-South Nigeria

Obinna Njoku; Matthias Gabriel Abah; Uduak Solomon Ocheche; Emmanuel Columba Inyangetoh; Mbereobong Saturday Etuk

doi:doi:10.11648/j.ejcbs.20230902.12

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Discontinuation Patterns Among Women Using Jadelle Contraceptive Devices in a Tertiary Hospital in South-South Nigeria

Obinna Njoku, Matthias Gabriel Abah, Uduak Solomon Ocheche, Emmanuel Columba Inyangetoh, Mbereobong Saturday Etuk

Published in European Journal of Clinical and Biomedical Sciences (Volume 9, Issue 2)

Received: 18 March 2023 Accepted: 10 April 2023 Published: 22 May 2023

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Abstract

Introduction: The Jadelle subdermal contraceptive implant is a widely used hormonal contraceptive consisting of two rods, each consisting of a Levonorgestrel-releasing core encased in thin-walled silicon-rubber tubing. Our study examined the prevalence and discontinuation patterns of Jadelle among women in a Southern Nigerian Hospital. Materials and Methods: A review of the discontinuation patterns among Jadelle contraceptive device users in the University of Uyo Teaching Hospital over 3 years was carried out. The Case files of all clients who used Jadelle implant over the period were retrieved and analyzed. Results: Out of 2,980 clients using different contraceptive methods during the study period, 231 clients (7.8%) used the Jadelle implant. Of the 198 (85.7%) case notes available, most (52%) of them were aged 30-34 years, had attained a tertiary level of education (50.4%), and were grand-multiparous (50%). Fifty-six (56.6%) percent of clients used Jadelle for birth spacing while 44.5% used it for limiting family sizes. The most common menstrual pattern at 24 months follow-up was Amenorrhea (50%). Sixty clients (30.3%) discontinued the method for reasons which include the desire for pregnancy (48.3%), side effects (25%), change of method (11.5%), and husbands` view (5%). Discontinuation was more among the younger clients less than 36 years (86.7%). Conclusion: The Jadelle contraceptive device is associated with a number of side effects, however, the major reason for discontinuation was the desire for pregnancy, followed by the complications arising from Jadelle use. There is a need for more detailed client and spousal counseling, especially on the side effects of Jadelle to reduce discontinuation due to them.

Published in	European Journal of Clinical and Biomedical Sciences (Volume 9, Issue 2)
DOI	10.11648/j.ejcbs.20230902.12
Page(s)	22-27
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Contraception, Family Planning, Jadelle, Side Effects, Discontinuation

References

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Obinna Njoku, Matthias Gabriel Abah, Uduak Solomon Ocheche, Emmanuel Columba Inyangetoh, Mbereobong Saturday Etuk. (2023). Discontinuation Patterns Among Women Using Jadelle Contraceptive Devices in a Tertiary Hospital in South-South Nigeria. European Journal of Clinical and Biomedical Sciences, 9(2), 22-27. https://doi.org/10.11648/j.ejcbs.20230902.12

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Obinna Njoku; Matthias Gabriel Abah; Uduak Solomon Ocheche; Emmanuel Columba Inyangetoh; Mbereobong Saturday Etuk. Discontinuation Patterns Among Women Using Jadelle Contraceptive Devices in a Tertiary Hospital in South-South Nigeria. Eur. J. Clin. Biomed. Sci. 2023, 9(2), 22-27. doi: 10.11648/j.ejcbs.20230902.12

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AMA Style

Obinna Njoku, Matthias Gabriel Abah, Uduak Solomon Ocheche, Emmanuel Columba Inyangetoh, Mbereobong Saturday Etuk. Discontinuation Patterns Among Women Using Jadelle Contraceptive Devices in a Tertiary Hospital in South-South Nigeria. Eur J Clin Biomed Sci. 2023;9(2):22-27. doi: 10.11648/j.ejcbs.20230902.12

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@article{10.11648/j.ejcbs.20230902.12,
  author = {Obinna Njoku and Matthias Gabriel Abah and Uduak Solomon Ocheche and Emmanuel Columba Inyangetoh and Mbereobong Saturday Etuk},
  title = {Discontinuation Patterns Among Women Using Jadelle Contraceptive Devices in a Tertiary Hospital in South-South Nigeria},
  journal = {European Journal of Clinical and Biomedical Sciences},
  volume = {9},
  number = {2},
  pages = {22-27},
  doi = {10.11648/j.ejcbs.20230902.12},
  url = {https://doi.org/10.11648/j.ejcbs.20230902.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ejcbs.20230902.12},
  abstract = {Introduction: The Jadelle subdermal contraceptive implant is a widely used hormonal contraceptive consisting of two rods, each consisting of a Levonorgestrel-releasing core encased in thin-walled silicon-rubber tubing. Our study examined the prevalence and discontinuation patterns of Jadelle among women in a Southern Nigerian Hospital. Materials and Methods: A review of the discontinuation patterns among Jadelle contraceptive device users in the University of Uyo Teaching Hospital over 3 years was carried out. The Case files of all clients who used Jadelle implant over the period were retrieved and analyzed. Results: Out of 2,980 clients using different contraceptive methods during the study period, 231 clients (7.8%) used the Jadelle implant. Of the 198 (85.7%) case notes available, most (52%) of them were aged 30-34 years, had attained a tertiary level of education (50.4%), and were grand-multiparous (50%). Fifty-six (56.6%) percent of clients used Jadelle for birth spacing while 44.5% used it for limiting family sizes. The most common menstrual pattern at 24 months follow-up was Amenorrhea (50%). Sixty clients (30.3%) discontinued the method for reasons which include the desire for pregnancy (48.3%), side effects (25%), change of method (11.5%), and husbands` view (5%). Discontinuation was more among the younger clients less than 36 years (86.7%). Conclusion: The Jadelle contraceptive device is associated with a number of side effects, however, the major reason for discontinuation was the desire for pregnancy, followed by the complications arising from Jadelle use. There is a need for more detailed client and spousal counseling, especially on the side effects of Jadelle to reduce discontinuation due to them.},
 year = {2023}
}

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TY  - JOUR
T1  - Discontinuation Patterns Among Women Using Jadelle Contraceptive Devices in a Tertiary Hospital in South-South Nigeria
AU  - Obinna Njoku
AU  - Matthias Gabriel Abah
AU  - Uduak Solomon Ocheche
AU  - Emmanuel Columba Inyangetoh
AU  - Mbereobong Saturday Etuk
Y1  - 2023/05/22
PY  - 2023
N1  - https://doi.org/10.11648/j.ejcbs.20230902.12
DO  - 10.11648/j.ejcbs.20230902.12
T2  - European Journal of Clinical and Biomedical Sciences
JF  - European Journal of Clinical and Biomedical Sciences
JO  - European Journal of Clinical and Biomedical Sciences
SP  - 22
EP  - 27
PB  - Science Publishing Group
SN  - 2575-5005
UR  - https://doi.org/10.11648/j.ejcbs.20230902.12
AB  - Introduction: The Jadelle subdermal contraceptive implant is a widely used hormonal contraceptive consisting of two rods, each consisting of a Levonorgestrel-releasing core encased in thin-walled silicon-rubber tubing. Our study examined the prevalence and discontinuation patterns of Jadelle among women in a Southern Nigerian Hospital. Materials and Methods: A review of the discontinuation patterns among Jadelle contraceptive device users in the University of Uyo Teaching Hospital over 3 years was carried out. The Case files of all clients who used Jadelle implant over the period were retrieved and analyzed. Results: Out of 2,980 clients using different contraceptive methods during the study period, 231 clients (7.8%) used the Jadelle implant. Of the 198 (85.7%) case notes available, most (52%) of them were aged 30-34 years, had attained a tertiary level of education (50.4%), and were grand-multiparous (50%). Fifty-six (56.6%) percent of clients used Jadelle for birth spacing while 44.5% used it for limiting family sizes. The most common menstrual pattern at 24 months follow-up was Amenorrhea (50%). Sixty clients (30.3%) discontinued the method for reasons which include the desire for pregnancy (48.3%), side effects (25%), change of method (11.5%), and husbands` view (5%). Discontinuation was more among the younger clients less than 36 years (86.7%). Conclusion: The Jadelle contraceptive device is associated with a number of side effects, however, the major reason for discontinuation was the desire for pregnancy, followed by the complications arising from Jadelle use. There is a need for more detailed client and spousal counseling, especially on the side effects of Jadelle to reduce discontinuation due to them.
VL  - 9
IS  - 2
ER  -

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Author Information

Obinna Njoku

Canadian Red-cross Society, Edmonton Branch, Edmonton, Canada
Matthias Gabriel Abah

Department of Obstetrics and Gynaecology, University of Uyo/University of Uyo Teaching Hospital, Uyo, Nigeria
Uduak Solomon Ocheche

Department of Obstetrics and Gynaecology, PAMO University of Health Sciences, Port Harcourt, Nigeria
Emmanuel Columba Inyangetoh

Department of Obstetrics and Gynaecology, University of Uyo/University of Uyo Teaching Hospital, Uyo, Nigeria
Mbereobong Saturday Etuk

Department of Obstetrics and Gynaecology, University of Uyo/University of Uyo Teaching Hospital, Uyo, Nigeria

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APA Style

Obinna Njoku, Matthias Gabriel Abah, Uduak Solomon Ocheche, Emmanuel Columba Inyangetoh, Mbereobong Saturday Etuk. (2023). Discontinuation Patterns Among Women Using Jadelle Contraceptive Devices in a Tertiary Hospital in South-South Nigeria. European Journal of Clinical and Biomedical Sciences, 9(2), 22-27. https://doi.org/10.11648/j.ejcbs.20230902.12

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ACS Style

Obinna Njoku; Matthias Gabriel Abah; Uduak Solomon Ocheche; Emmanuel Columba Inyangetoh; Mbereobong Saturday Etuk. Discontinuation Patterns Among Women Using Jadelle Contraceptive Devices in a Tertiary Hospital in South-South Nigeria. Eur. J. Clin. Biomed. Sci. 2023, 9(2), 22-27. doi: 10.11648/j.ejcbs.20230902.12

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AMA Style

Obinna Njoku, Matthias Gabriel Abah, Uduak Solomon Ocheche, Emmanuel Columba Inyangetoh, Mbereobong Saturday Etuk. Discontinuation Patterns Among Women Using Jadelle Contraceptive Devices in a Tertiary Hospital in South-South Nigeria. Eur J Clin Biomed Sci. 2023;9(2):22-27. doi: 10.11648/j.ejcbs.20230902.12

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@article{10.11648/j.ejcbs.20230902.12,
  author = {Obinna Njoku and Matthias Gabriel Abah and Uduak Solomon Ocheche and Emmanuel Columba Inyangetoh and Mbereobong Saturday Etuk},
  title = {Discontinuation Patterns Among Women Using Jadelle Contraceptive Devices in a Tertiary Hospital in South-South Nigeria},
  journal = {European Journal of Clinical and Biomedical Sciences},
  volume = {9},
  number = {2},
  pages = {22-27},
  doi = {10.11648/j.ejcbs.20230902.12},
  url = {https://doi.org/10.11648/j.ejcbs.20230902.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ejcbs.20230902.12},
  abstract = {Introduction: The Jadelle subdermal contraceptive implant is a widely used hormonal contraceptive consisting of two rods, each consisting of a Levonorgestrel-releasing core encased in thin-walled silicon-rubber tubing. Our study examined the prevalence and discontinuation patterns of Jadelle among women in a Southern Nigerian Hospital. Materials and Methods: A review of the discontinuation patterns among Jadelle contraceptive device users in the University of Uyo Teaching Hospital over 3 years was carried out. The Case files of all clients who used Jadelle implant over the period were retrieved and analyzed. Results: Out of 2,980 clients using different contraceptive methods during the study period, 231 clients (7.8%) used the Jadelle implant. Of the 198 (85.7%) case notes available, most (52%) of them were aged 30-34 years, had attained a tertiary level of education (50.4%), and were grand-multiparous (50%). Fifty-six (56.6%) percent of clients used Jadelle for birth spacing while 44.5% used it for limiting family sizes. The most common menstrual pattern at 24 months follow-up was Amenorrhea (50%). Sixty clients (30.3%) discontinued the method for reasons which include the desire for pregnancy (48.3%), side effects (25%), change of method (11.5%), and husbands` view (5%). Discontinuation was more among the younger clients less than 36 years (86.7%). Conclusion: The Jadelle contraceptive device is associated with a number of side effects, however, the major reason for discontinuation was the desire for pregnancy, followed by the complications arising from Jadelle use. There is a need for more detailed client and spousal counseling, especially on the side effects of Jadelle to reduce discontinuation due to them.},
 year = {2023}
}

Copy | Download

TY  - JOUR
T1  - Discontinuation Patterns Among Women Using Jadelle Contraceptive Devices in a Tertiary Hospital in South-South Nigeria
AU  - Obinna Njoku
AU  - Matthias Gabriel Abah
AU  - Uduak Solomon Ocheche
AU  - Emmanuel Columba Inyangetoh
AU  - Mbereobong Saturday Etuk
Y1  - 2023/05/22
PY  - 2023
N1  - https://doi.org/10.11648/j.ejcbs.20230902.12
DO  - 10.11648/j.ejcbs.20230902.12
T2  - European Journal of Clinical and Biomedical Sciences
JF  - European Journal of Clinical and Biomedical Sciences
JO  - European Journal of Clinical and Biomedical Sciences
SP  - 22
EP  - 27
PB  - Science Publishing Group
SN  - 2575-5005
UR  - https://doi.org/10.11648/j.ejcbs.20230902.12
AB  - Introduction: The Jadelle subdermal contraceptive implant is a widely used hormonal contraceptive consisting of two rods, each consisting of a Levonorgestrel-releasing core encased in thin-walled silicon-rubber tubing. Our study examined the prevalence and discontinuation patterns of Jadelle among women in a Southern Nigerian Hospital. Materials and Methods: A review of the discontinuation patterns among Jadelle contraceptive device users in the University of Uyo Teaching Hospital over 3 years was carried out. The Case files of all clients who used Jadelle implant over the period were retrieved and analyzed. Results: Out of 2,980 clients using different contraceptive methods during the study period, 231 clients (7.8%) used the Jadelle implant. Of the 198 (85.7%) case notes available, most (52%) of them were aged 30-34 years, had attained a tertiary level of education (50.4%), and were grand-multiparous (50%). Fifty-six (56.6%) percent of clients used Jadelle for birth spacing while 44.5% used it for limiting family sizes. The most common menstrual pattern at 24 months follow-up was Amenorrhea (50%). Sixty clients (30.3%) discontinued the method for reasons which include the desire for pregnancy (48.3%), side effects (25%), change of method (11.5%), and husbands` view (5%). Discontinuation was more among the younger clients less than 36 years (86.7%). Conclusion: The Jadelle contraceptive device is associated with a number of side effects, however, the major reason for discontinuation was the desire for pregnancy, followed by the complications arising from Jadelle use. There is a need for more detailed client and spousal counseling, especially on the side effects of Jadelle to reduce discontinuation due to them.
VL  - 9
IS  - 2
ER  -

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