000132193 001__ 132193
000132193 005__ 20260112133159.0
000132193 0247_ $$2doi$$a10.3389/fmed.2024.1172793
000132193 0248_ $$2sideral$$a137334
000132193 037__ $$aART-2024-137334
000132193 041__ $$aeng
000132193 100__ $$aRuiz de Viñaspre-Hernández, Regina
000132193 245__ $$aEarly removal of the etonogestrel contraceptive implant in Spanish women: a prospective cohort study
000132193 260__ $$c2024
000132193 5060_ $$aAccess copy available to the general public$$fUnrestricted
000132193 5203_ $$aPurpose To know the discontinuation rate and characterize predictors and reasons of contraceptive implant removal within 12 months of insertion in our community setting.MethodsThis prospective cohort study included women receiving the etonogestrel contraceptive implant at sexual and reproductive health centers between September 2019 and September 2020. The variables collected were implanted insertion timing, reproductive and demographic characteristics, medical conditions, sexual activity and counseling. Our primary outcome was implant discontinuation. Kaplan–Meier survival curves were used to show the cumulative discontinuation rate of implants contraceptive within the first year of insertion. We also identified factors that increased the risk of implant removal using the log-rank test and the Cox regression model. Reasons for discontinuation were documented.Results199 women were followed up. Implant discontinuation was documented in 17.1% of implant users prior to 12 months. Factors that increase the risk of implant removal are living with a partner, being aged 25–34 years and not receiving comprehensive and structured counseling from the midwife. The main reason for removal was unsatisfactory bleeding (97.1%), but this was combined with other reasons such as cessation of sexual intercourse (58.8%), worsening mood (58.8%), weight gain (55.9%) or decreased libido (50.0%).ConclusionThe rate of discontinuous implant uses in the first year is relevant in relation to cost-effectiveness, there is room for improvement that should not be overlooked. Comprehensive and structured midwife-led counseling can reduce early implant abandonment removal. The development in different countries of the role of midwives in the management of contraceptives can contribute to the economic benefit of health services and the satisfaction of women.
000132193 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttps://creativecommons.org/licenses/by/4.0/deed.es
000132193 590__ $$a3.0$$b2024
000132193 592__ $$a0.962$$b2024
000132193 591__ $$aMEDICINE, GENERAL & INTERNAL$$b61 / 332 = 0.184$$c2024$$dQ1$$eT1
000132193 593__ $$aMedicine (miscellaneous)$$c2024$$dQ1
000132193 594__ $$a6.0$$b2024
000132193 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000132193 700__ $$aGarrido-Santamaria, Rosana
000132193 700__ $$aUrra-Martínez, Raquel
000132193 700__ $$aSáenz-Cabredo, Paula
000132193 700__ $$aGarrido-Rivas, Ana Elena
000132193 700__ $$aJuárez-Vela, Raúl
000132193 700__ $$aSánchez-González, Juan Luis
000132193 700__ $$aLafuente-Jimenez, Alberto
000132193 700__ $$0(orcid)0000-0002-7911-9949$$aRamón-Arbués, Enrique
000132193 700__ $$aNavas-Echazarreta, Noelia
000132193 700__ $$aSantolalla-Arnedo, Ivan
000132193 773__ $$g11 (2024), [11 pp.]$$pFront. med.$$tFrontiers in Medicine$$x2296-858X
000132193 8564_ $$s543527$$uhttps://zaguan.unizar.es/record/132193/files/texto_completo.pdf$$yVersión publicada
000132193 8564_ $$s2195693$$uhttps://zaguan.unizar.es/record/132193/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000132193 909CO $$ooai:zaguan.unizar.es:132193$$particulos$$pdriver
000132193 951__ $$a2026-01-12-12:39:07
000132193 980__ $$aARTICLE