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.
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References
- Post-marketing surveillance of Norplant contraceptive implants: I. Contraceptive efficacy and reproductive health. International collaborative post-marking surveillance of Norplant.Contraception. 2001; 63: 167-186
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- A multicenter comparative study on the efficacy, safety, and acceptability of the contraceptive subdermal implants Norplant and Norplant-II.Contraception. 1997; 55: 359-367
Article info
Publication history
Accepted:
May 11,
2004
Received in revised form:
May 1,
2004
Received:
November 5,
2003
Identification
Copyright
© 2004 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
