A 5-Year Clinical Evaluation of Subdermal Implants Among Abakaliki Acceptors

Abstract

Background: The family planning clinic of the Federal Teaching Hospital, Abakaliki in Ebonyi State, obtains its clients from the
postnatal clinic, the general outpatient department, specialist clinics, and referrals from the primary, secondary, and private
health centers in the state. Aim: To evaluate subdermal implants use in Abakaliki, Nigeria, for acceptance rate, efficacy, and
complications. Materials and Methods: A descriptive retrospective study that was carried out in the family planning unit of the
Federal Teaching Hospital, Abakaliki, Nigeria, between January 1, 2009, and December 31, 2013. The records of the clients from
the family planning clinic and their case files from the medical record units were studied. Sociodemographic characteristics,
side effects, discontinuation, and reasons for discontinuation were extracted and fed into the computer using Epi Info program
(2008) of the Centers for Disease Control and Prevention Atlanta USA version 3.5.1 and analyzed. Results: Of 1737 contraceptive
acceptors, 554 clients accepted subdermal implants giving a rate of 31.9%. The mean (standard deviation) for age and parity
was 32.9 (5.2) years and 4.9 (2.2) years, respectively. Sixty-nine clients discontinued the method giving a discontinuation rate
of 69/554 (12.5%) over the 5-year period. The most common reason for discontinuation was the desire to get pregnant 47/69
(68.1%). Seventeen clients out of 554 (3.1%) had side effects or complications. Menstrual disturbances were the most common
side effect. Conclusion: Subdermal implants are very effective and safe with high acceptance and continuation rate in Abakaliki.

KEY WORDS: Contraception, family planning, subdermal implants