Acceptability of levonorgestrel subdermal implants versus tubal ligation for long-term contraception in a rural population of Zimbabwe.

Abstract:

:This prospective cohort study of 257 rural Zimbabwean women was designed to compare patient satisfaction with levonorgestrel subdermal implants (Norplant and reg;) versus tubal ligation (TL) as a method of long-term contraception. Women were equally satisfied with both methods. At 1 year, 96% of Norplant users and 97% of the TL group reported being "satisfied" or "very satisfied," and 98% of Norplant users, and 99% of the TL cohort would recommend their chosen method to a friend or relative. Rating scores at both 6 months and 1 year were high and equal, with women in each cohort rating their method, on average, as 9 out of 10. Norplant users were significantly more likely to rate birth spacing as a reason for satisfaction with their method, whereas women in the TL cohort were more likely to select multiparity. The 1-year continuation rate with Norplant was 90%, with 4% discontinuing in order to have more children. Selecting the most appropriate method depends primarily on the potential desire of the woman to have more children.

journal_name

Contraception

journal_title

Contraception

authors

Mitchel MJ,Thistle P

doi

10.1016/j.contraception.2004.05.004

subject

Has Abstract

pub_date

2004-12-01 00:00:00

pages

483-6

issue

6

eissn

0010-7824

issn

1879-0518

pii

S0010-7824(04)00153-2

journal_volume

70

pub_type

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