Comparison of two strategies for the administration of injectable depot medroxyprogesterone acetate: among women who returned to a family planning clinic at three- or six-month intervals
| العنوان: | Comparison of two strategies for the administration of injectable depot medroxyprogesterone acetate: among women who returned to a family planning clinic at three- or six-month intervals |
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| المؤلفون: | Luis Bahamondes, Mayara P. Gonçalves, Jessica Mayra Ferreira, Ilza Monteiro, Bruna F. Bottura |
| المصدر: | The European Journal of Contraception & Reproductive Health Care. 21:408-411 |
| بيانات النشر: | Informa UK Limited, 2016. |
| سنة النشر: | 2016 |
| مصطلحات موضوعية: | Adult, medicine.medical_specialty, Pediatrics, Time Factors, Pregnancy Rate, Population, Kaplan-Meier Estimate, Medroxyprogesterone Acetate, Ambulatory Care Facilities, Young Adult, 03 medical and health sciences, Health services, 0302 clinical medicine, Pregnancy, Health care, Contraceptive Agents, Female, Humans, Medicine, Medroxyprogesterone acetate, Pharmacology (medical), 030212 general & internal medicine, Continuation rate, education, Retrospective Studies, Gynecology, Travel, education.field_of_study, 030219 obstetrics & reproductive medicine, business.industry, Clinical performance, Obstetrics and Gynecology, Discontinuation, Treatment Outcome, Reproductive Medicine, Family planning, Delayed-Action Preparations, Female, Health Facilities, business, medicine.drug |
| الوصف: | The aim of this study was to compare the clinical performance of depot medroxyprogesterone acetate (DMPA) in women who received injections every 3 months at the Family Planning Clinic, and those who received every other injection at a health care facility near their place of residence, only returning to the clinic every 6 months.The medical charts of DMPA users from 2 January 1980 through 31 December 2012 were evaluated for this study. Two cohorts of women were created and compared: those who regularly received DMPA injections every 3 months (3-month group) at the clinic and those who received alternating 3-month injections at a health care facility near their residence house, returning to the clinic every 6 months for an injection (6-month group). In addition, effectiveness rates, reasons for discontinuation, and continuation rates were evaluated.Overall, 2637 women received all injections at 3-month intervals at the clinic, and 1190 women received every other injection at a health care facility near their residence. The women in the 3-month group had higher pregnancy rates and higher discontinuation rates (with the exception of discontinuation due to the loss of libido).The women who received alternating injections near their homes were more likely to continue using DMPA as a contraception method and presented lower pregnancy and discontinuation rates (for the majority of reasons), when compared to those women who returned to the clinic every 3 months. |
| تدمد: | 1473-0782 1362-5187 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::f2362a71470a2e4617d4c016436f4847 https://doi.org/10.1080/13625187.2016.1217326 |
| رقم الأكسشن: | edsair.doi.dedup.....f2362a71470a2e4617d4c016436f4847 |
| قاعدة البيانات: | OpenAIRE |
PDF full text from Publisher | تدمد: | 14730782 13625187 |
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