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Five-year experience with depot medroxy progesterone acetate injectable contraception
1Department of Obstetrics and Gynaecology, University of Nigeria Teaching Hospital, Enugu, Nigeria.
Summary
Depot medroxyprogesterone acetate (DMPA) is an effective contraceptive. Client characteristics and experiences, including high continuation rates and male influence on contraceptive choice, are detailed.
Area of Science:
- Reproductive Health
- Family Planning
- Contraception
Background:
- Describes characteristics and experiences of women using depot medroxyprogesterone acetate (DMPA) for contraception.
- Highlights DMPA as a key method in family planning services.
Purpose of the Study:
- To characterize clients using DMPA for contraception.
- To analyze client experiences and factors influencing DMPA use and discontinuation.
Main Methods:
- Retrospective review of family planning records.
- Data collected from clients using DMPA between 1992-1996 at University of Nigerian Teaching Hospital, Enugu.
Main Results:
- Mean client age was 32.7 years; over 71% had five or more children.
- Lower educational attainment correlated with higher parity; DMPA used for child spacing across different parity groups.
- Menstrual abnormalities were common complications, but 'husband's wish' was the primary reason for discontinuation; 36-month continuation rate was 82.7%.
Conclusions:
- DMPA is an acceptable and effective contraceptive method.
- Emphasizes the significant role of male involvement in family planning decisions and program success.