Gupta Sarika, Mola Glen, Ramsay Philippa, Jenkins Greg, Stein Wendy, Bolnga John, Black Kirsten
Department of Obstetrics and Gynaecology, John Hunter Hospital, Newcastle, New South Wales, Australia.
School of Public Health, Faculty of Medicine, University of Sydney, Camperdown, New South Wales, Australia.
Aust N Z J Obstet Gynaecol. 2017 Apr;57(2):213-218. doi: 10.1111/ajo.12596.
Poor access to contraception contributes to persistently high maternal mortality rates in Papua New Guinea (PNG). Since 2012 contraceptive implants have been provided to women in rural areas of PNG through outreach services but follow-up data in these communities on continuation and acceptability is lacking.
To gain insight into women's experience with contraceptive implants by assessing the acceptability, satisfaction, 12 month continuation rates and efficacy of contraceptive implants among women in rural PNG.
We undertook a cross-sectional survey of women in two rural provinces who had received a contraceptive implant at least 12 months prior using a structured questionnaire. We sought information on device continuation rates, satisfaction scores, side effects and failure rates.
Of the 860 women surveyed, 97% (n = 836) still had the device in situ after 12 months and 92% (n = 793) were very happy with it. Seventy-six percent of women (n = 654) reported no side effects. Irregular bleeding was the most commonly reported side effect (n = 178, 20.6%) but only 7% (n = 13) said the bleeding was bothersome. Documented failure rates were 0.8% although pregnancy at the time of insertion could not be excluded in any of these cases.
Twelve month implant follow-up data in this study showed high continuation rates and high levels of satisfaction among a rural population in PNG. Implants have the potential to lower maternal morbidity and mortality and simultaneously address the unmet need for contraception in these communities.
在巴布亚新几内亚（PNG），难以获得避孕措施导致孕产妇死亡率持续居高不下。自2012年以来，通过外展服务为PNG农村地区的妇女提供了避孕植入物，但这些社区缺乏关于持续使用情况和可接受性的后续数据。
通过评估PNG农村地区妇女对避孕植入物的可接受性、满意度、12个月持续使用率和有效性，深入了解妇女使用避孕植入物的经历。
我们使用结构化问卷对两个农村省份中至少在12个月前接受过避孕植入物的妇女进行了横断面调查。我们收集了有关装置持续使用率、满意度评分、副作用和失败率的信息。
在接受调查的860名妇女中，97%（n = 836）在12个月后仍保留该装置，92%（n = 793）对其非常满意。76%的妇女（n = 654）报告无副作用。不规则出血是最常报告的副作用（n = 178，20.6%），但只有7%（n = 13）的人表示出血令人困扰。记录的失败率为0.8%，尽管在这些案例中均无法排除植入时已怀孕的情况。
本研究中对避孕植入物12个月的随访数据显示，PNG农村人口的持续使用率很高，满意度也很高。避孕植入物有潜力降低孕产妇发病率和死亡率，同时满足这些社区未得到满足的避孕需求。
