Department of Obstetrics and Gynaecology: New Somerset Hospital and University of Cape Town, Cape Town, South Africa.
Department of Obstetrics and Gynaecology: New Somerset Hospital and University of Cape Town, Cape Town, South Africa.
Contraception. 2020 Aug;102(2):129-132. doi: 10.1016/j.contraception.2020.04.013. Epub 2020 Apr 24.
To assess etonogestrel contraceptive implant location and outcomes among women referred for "difficult" removal to a specialist clinic in South Africa.
We performed a retrospective review of cases referred to our clinic for removal of nonpalpable, deep, migrated, or damaged implants, or failed removals from March to August 2017.
Most (n = 68, 92%) of the 74 referrals were nonpalpable in our clinic. We used ultrasound for localization and successfully removed 72 implants (97%) in the outpatient clinic.
With proper protocols and equipment, localization and removal of nonpalpable implants can be safely and effectively achieved in an outpatient African setting.
Access to providers specially trained in ultrasound localization should be available in all settings where implants are offered. Providing timely access to safe and effective implant removals in routine and difficult cases is essential to ensuring that implant programs are in alignment with rights-based, client-centered family planning principles.
评估在南非一家专科诊所因“困难”取出而被转诊的妇女中依托孕烯避孕植入物的位置和结果。
我们对 2017 年 3 月至 8 月期间因无法触及、位置深、迁移或损坏的植入物或无法从普通诊所取出而转诊至我们诊所的病例进行了回顾性分析。
在我们的诊所中，大多数（n=68，92%）74 例转诊病例均无法触及。我们使用超声进行定位，并在门诊成功取出了 72 个（97%）植入物。
在适当的方案和设备的支持下，在非洲的门诊环境中，可安全有效地定位和取出无法触及的植入物。
应在提供植入物的所有环境中提供经过专门培训的超声定位提供者。及时提供安全有效的常规和困难情况下的植入物取出服务对于确保植入物项目符合基于权利、以客户为中心的计划生育原则至关重要。
