Resumen

PEREZ PARRA, Zaadia; ORTEGA BLANCO, Myrna; OVIES CARBALLO, Gisel  y  PEREZ VIVES, José L. Caracterización del uso del implante subdérmico norplant. Rev Cubana Med Gen Integr [online]. 2001, vol.17, n.4, pp.344-348. ISSN 0864-2125.

Summary A descriptive study was carried out to identify the reproductive preconceptional risk factors that lead to the use of the implant, the causes of its removal and the evaluation of the technique used to remove it at the Family Planning Service of the "Plaza de la Revolución" Polyclinic. An analytical cohort study was also conducted to determine the time of permanence of the method during the studied period. Data were obtained from a database that had been previously created with the information taken from the medical histories. The Norplant subdermal implant is a second generation hormonal contraceptive method, classified as a long-acting release system (5 years) of high efficiency. As in our country there is little experience about its use we propose ourselves to characterize it among women that were implanted for a period of 5 years at the "Plaza de la Revolución" Teaching Polyclinic. The most frequent reproductive peconceptional risks were: 3 abortions or more (49,1 %), low weight according to height (46 %) and bronchial asthma (15.6 %). The changes occurred in the menstrual pattern, mainly in adolescents, were the most frequent cause of removal before the expiration date. The time used for removing implants in the first attempt was under 10 min in most of the cases (89.6 %). The time of permanence was 42.49 months as an average. Based on our experience, we concluded that Norplant is a contraceptive method generally used in women at reproductive risk, and as it is reported by other studies the alteration of the menstrual bleeding is the main cause for its removal, where no serious complications are observed on using the standard technique.

Palabras clave : LEVONOGESTREL; CONTRACEPTIVE AGENTS, FEMALE; FAMILY PLANNING [methods]; RISK FACTORS; REPRODUCTION; COMPREHENSIVE HEALTH CARE.

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