Melkamu Asaye Mengstu, Syoum Nigussie Tewodros, Mequannt Ambaw Worku
Midwifery Department, College of Medicine and Health Sciences, University of Gondar, P.O. Box 196, Gondar, Ethiopia.
Int J Reprod Med. 2018 Jan 21;2018:3597487. doi: 10.1155/2018/3597487. eCollection 2018.
Implanon discontinuation closely related to higher rates of overall fertility rate, unwanted pregnancies, and induced abortion. This might have social and economic consequences. In Ethiopia the magnitude of early Implanon discontinuation and contributing factors is not well studied.
To assess early Implanon discontinuation and associated factors among Implanon user women in Debre Tabor town, 2016.
A facility based cross-sectional study was conducted from May 1 to August 2016 through face-to-face interview. A total of 449 Implanon user women were selected by systematic random sampling technique. Epi Info version 7 and SPSS version 20 were used for data entry and analysis, respectively. Factors associated with early Implanon discontinuation were analyzed using binary and multivariable logistic regression model. Variables with value of <0.05 and 95% confidence interval were considered as statistically significant.
The overall proportion of early Implanon discontinuation among mothers was 65 % (95%, CI: 60.4%-69.5%). Having no children (AOR = 2.0, 95% CI = [1.3-4.5]), being not counseled for possible side effects (AOR = 1.50, 95% CI = [1.1-3.4]), having no appointment for follow-up (AOR = 2.6, 95% CI = [1.2-4.3]), and having developing side effects (AOR = 1.7, 95% CI = [1.5-4.4]) were found to be statistically significant factors associated with early Implanon discontinuation.
Early Implanon discontinuation among mothers was found to be high. Hence, counseling about Implanon side effects and appointment for follow-up of Implanon users should be made to increase Implanon retention.
取出依伴侬（Implanon）与总体生育率、意外怀孕率和人工流产率升高密切相关。这可能会产生社会和经济后果。在埃塞俄比亚，依伴侬早期取出情况及其影响因素尚未得到充分研究。
评估2016年德布雷塔博尔镇使用依伴侬的女性中依伴侬的早期取出情况及其相关因素。
2016年5月1日至8月，通过面对面访谈开展了一项基于机构的横断面研究。采用系统随机抽样技术共选取了449名使用依伴侬的女性。分别使用Epi Info 7版和SPSS 20版软件进行数据录入和分析。采用二元和多变量逻辑回归模型分析与依伴侬早期取出相关的因素。P值<0.05且具有95%置信区间的变量被视为具有统计学意义。
母亲中依伴侬早期取出的总体比例为65%（95%置信区间：60.4%-69.5%）。未育（比值比=2.0，95%置信区间=[1.3-4.5]）、未接受过可能副作用的咨询（比值比=1.50，95%置信区间=[1.1-3.4]）、未预约随访（比值比=2.6，95%置信区间=[1.2-4.3]）以及出现副作用（比值比=1.7，95%置信区间=[1.5-4.4]）被发现是与依伴侬早期取出相关的具有统计学意义的因素。
发现母亲中依伴侬早期取出率较高。因此，应就依伴侬的副作用进行咨询，并为依伴侬使用者预约随访，以提高依伴侬的留存率。
