Abstract
Objective
The purpose of this study was to understand the transition process from providing
Norplant, the six-capsule first contraceptive implant system, to providing Jadelle,
the two-rod second-generation system, in a clinical setting with extensive experience
providing Norplant implants.
Materials and Methods
Two hundred forty-nine women requesting contraceptive implants from the PROFAMILIA
clinic (Santo Domingo, Dominican Republic) were provided with information regarding
the differences and similarities between the two implant systems being studied, including
the easier insertion and removal procedures and the possible shorter use life associated
with Jadelle. A questionnaire evaluating their preference and the reason why they
chose either system was provided. The health care providers' opinions about the two
systems were also studied.
Results
Fifty-three percent of the women preferred Jadelle over Norplant. The main reason
behind their preference for Jadelle was its reduced number of implants with easier
insertion and removal and less visibility in the arm, whereas that for Norplant was
greater familiarity. Providers overwhelmingly preferred Jadelle. A 1-h presentation
was sufficient training for providers experienced with Norplant. None had any problem
with the management of Jadelle.
Conclusion
The inclusion of Jadelle in a clinic with extensive experience with Norplant was easy
and uneventful, but both methods should be available during a transition period of
several months while confidence in the new method is being acquired by the community.
Keywords
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References
- Release rates of levonorgestrel from silastic capsules, homogeneous rods and covered rods in humans.Contraception. 1983; 27: 483-495
- The performance of levonorgestrel rod and Norplant contraceptive implants: a 5 year randomized study.Hum Reprod. 1998; 13: 3371-3378
- Prolonged effectiveness of Norplant�� capsule implants: a 7-year study.Contraception. 2000; 6: 187-194
- Levonorgestrel concentrations during 7 years of continuous use of Jadelle contraceptive implants.Contraception. 2001; 64: 43-49
- Clinical performance of Norplant�� implants over time: a comparison of two cohorts.Stud Fam Plann. 1988; 19: 118-121
Article info
Publication history
Published online: January 04, 2006
Accepted:
October 26,
2005
Received in revised form:
October 12,
2005
Received:
May 25,
2005
Identification
Copyright
© 2006 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
