Satisfaction with and Intention to Continue Depo-Provera Versus the Mirena IUD among Post-Partum Adolescents through 12 Months of Follow-Up - 15/11/13
, Rebecca Wayman, MD, Julie L. Strickland, MD, MPHAbstract |
Study Objective |
No prior study has directly compared satisfaction with Depo-Provera to the Mirena intra-uterine device (IUD) among post-partum parous adolescents. Our aim was to make this comparison among post-partum adolescents at 3, 6, and 12 months of follow-up.
Participants |
Post-partum/parous adolescents (aged 20 and younger) choosing either Depo-Provera or the Mirena IUD as their method of contraception.
Design |
Prospective longitudinal survey.
Setting |
The adolescent clinic at the Truman Medical Center, Kansas City Missouri.
Main Outcome Measure |
Satisfaction with and intention to continue the chosen method at 3, 6, and 12 months of follow-up.
Interventions |
None.
Results |
Sixty-six post-partum/parous adolescents were recruited, 37 choosing the Mirena IUD and 29 choosing Depo-Provera for contraception. The 2 groups had similar baseline characteristics. There was no statistically significant difference in overall satisfaction with Depo-Provera versus the Mirena IUD at 3, 6, or 12 months of follow-up. For both contraceptive methods, unpredictable bleeding was most unacceptable at 6 months of follow-up but the trend was only statistically significant for Depo-Provera. For Depo-Provera, there was a significantly lower proportion of participants actually continuing the method at 12 months (42.9%) relative to the proportion who at 6 months had expressed an intention to continue (80.0%; P = .01). This trend was not seen for the Mirena IUD.
Conclusion |
Among post-partum/parous adolescents, overall subjective satisfaction with Depo-Provera and the Mirena IUD is similarly high over 12 months of follow-up. With Depo-Provera, however, there appears to be a disconnect between intention to continue at 6 months and actual continuation at 12 months.
Le texte complet de cet article est disponible en PDF.Key Words : Adolescents, Post-partum contraception, Long-acting reversible contraception
Plan
| The authors indicate no conflicts of interest. |
Vol 26 - N° 6
P. 358-365 - décembre 2013 Retour au numéro
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