Difficult etonogestrel implant removals in South Africa: A review of 74 referred cases.
Contraceptive implant
Difficult removal
Etonogestrel implant
South Africa
Journal
Contraception
ISSN: 1879-0518
Titre abrégé: Contraception
Pays: United States
ID NLM: 0234361
Informations de publication
Date de publication:
08 2020
08 2020
Historique:
received:
11
08
2019
revised:
15
04
2020
accepted:
19
04
2020
pubmed:
28
4
2020
medline:
16
10
2021
entrez:
28
4
2020
Statut:
ppublish
Résumé
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.
Identifiants
pubmed: 32339484
pii: S0010-7824(20)30128-1
doi: 10.1016/j.contraception.2020.04.013
pmc: PMC8221391
mid: NIHMS1713867
pii:
doi:
Substances chimiques
Contraceptive Agents, Female
0
Drug Implants
0
etonogestrel
304GTH6RNH
Desogestrel
81K9V7M3A3
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
129-132Subventions
Organisme : FIC NIH HHS
ID : D43 TW010543
Pays : United States
Informations de copyright
Copyright © 2020 Elsevier Inc. All rights reserved.
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