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Contraception. 2018 Sep;98(3):220-222. doi: 10.1016/j.contraception.2018.05.003. Epub 2018 May 8.

Two-year contraceptive continuation rates among immediate postpartum implant users at a district hospital in Malawi: a prospective cohort study.

Author information

1
University of North Carolina at Chapel Hill, Department of Obstetrics & Gynecology, 100 Manning Drive, CB #7570, Chapel Hill, NC, 27599-7570, USA; UNC Project-Malawi, 100 Mzimba Road, Lilongwe, Malawi. Electronic address: jennifer_tang@med.unc.edu.
2
UNC Project-Malawi, 100 Mzimba Road, Lilongwe, Malawi.
3
Kasungu District Hospital, Kasungu, Malawi.

Abstract

OBJECTIVE:

To compare 2-year continuation rates in Malawian women undergoing immediate postpartum insertion of the levonorgestrel implant or etonorgestrel implant.

STUDY DESIGN:

We followed 159 women who underwent immediate postpartum levonorgestrel implant or etonorgestrel implant insertion at Kasungu District Hospital for up to 2 years.

RESULTS:

We analyzed continuation data on 145 (92.4%) implant users. The 2-year continuation rates were 93.4 (95% CI 86.5-96.8) for levonorgestrel implant and 96.3 (95% CI: 76.5-99.5) for etonorgestrel implant (p=.268).

CONCLUSIONS:

Immediate postpartum implant insertion of both the levonorgestrel and etonorgestrel implant had high continuation rates at 2 years in Malawian women.

IMPLICATIONS:

Immediate postpartum implant insertion of both the levonorgestrel and etonorgestrel implant had continuation rates of over 90% at 2 years among our population of Malawian women. Both implants should be offered routinely to eligible and interested women prior to hospital discharge after delivery.

KEYWORDS:

Africa; Continuation; Implant; Malawi; Postpartum

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