Prevalencia y factores asociados al abandono del implante subdérmico de Etonogestrel, Azogues, Ecuador, 2014-2017

Abstract

BACKGROUND: The national plan for maternal and neonatal death reduction considers birth control as one of the best methods to reduce unwanted pregnancies, non-therapeutic abortions and maternal deaths, in this way the discontinuation of subdermal Etonorgestrel implant is a public health issue. The aim of this study is to determine the prevalence and associated factors of contraceptive discontinua-tion, of subdermal Etonorgestrel implant, in patients from Azogues (03D01 Health District), from 2014 to 2017. METHODOlOGY: Observational, descriptive, cross-sectional study. The study universe included all sub-dermal Etonorgestrel implant users, the study sample included 234 patients, selected by simple ran-dom sampling. The data was obtained and analyzed with the SPSS Software, 2015 version. Significant association was considered with a value of p < 0.005. RESUlTS:The sample age was between 13 and 46 years, 58.5 % were married, 49.1 % lived in the urban area. The prevalence of contraceptive discontinuation for Etonorgestrel implant was 33.3 % [95 % CI 26.98 - 39.02]; and it was associated with: menstrual cycle disturbances that affected quality of life [PR 3.9, 95 % CI 3 .1 – 5.0, p < 0.001], with weight increase> 10 kg [RP 3.5, 95 % CI 2.8 – 4.0,p < 0.001], severe headache [RP 3.7, 95 % CI 3.0 – 5.0, p < 0.001], pain at the insertion site [RP 3.1, 95 % CI 2.6 – 4.0, p 0.004] and pregnancy planning [RP 3.3, 95 % CI 2.7 – 4.0, p < 0.001]. CONClUSION: The prevalence of contraceptive discontinuation of the subdermal Etonogestrel implant in our population was 33.3% and it is associated with the drug side effects. KEYWORDS: CONTRACEPTION, PREVALENCE, SECONDARY EFFECT, DEVICE REMOVAL, PREGNANCY, RE-PRODUCTIVE HEALTH.