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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Immediate monthly combination contraception to facilitate initiation of the depot medroxyprogesterone acetate contraceptive injection
Contraception, Volume 70, No. 1, Year 2004
Notification
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Description
Conventional clinical protocols specify that women initiate depot medroxyprogesterone acetate (DMPA) within 7 days of the onset of menses, and product labeling specifies initiation within 5 days. Women outside of this window should wait until next menses to begin, often leaving them with inadequate interim contraceptive protection. An alternative is for women to initiate monthly hormonal contraception immediately, as a bridge to DMPA, with a scheduled follow-up appointment about 4 weeks later. We evaluated bridge preferences and DMPA initiation among 150 women requesting DMPA who were ineligible for their first injection at the time of clinic visit due to menstrual cycle day. Ninety-eight percent (n = 147) rejected the standard protocol of waiting with condoms or abstinence in favor of a hormonal bridge method. Ninety-seven percent follow-up (n = 146) showed that 86% were satisfied with their bridge method. There were no posttreatment pregnancies, and 55% (n = 81) of participants had initiated DMPA or another long-term contraceptive within 4 weeks of their initial clinic presentation. © 2004 Elsevier Inc. All rights reserved.
Authors & Co-Authors
Morroni, Chelsea
South Africa, Cape Town
University of Cape Town
Grams, Morgan E.
United States, New York
Columbia University
Tiezzi, Lorraine
United States, New York
Mailman School of Public Health
Westhoff, Carolyn L.
United States, New York
Columbia University
United States, New York
Mailman School of Public Health
Statistics
Citations: 14
Authors: 4
Affiliations: 3
Identifiers
Doi:
10.1016/j.contraception.2004.02.007
ISSN:
00107824
Research Areas
Health System And Policy
Sexual And Reproductive Health
Study Design
Cohort Study
Participants Gender
Female