Jadelle subdermal implants. Preliminary experience in a teaching hospital in the Niger Delta Region of Nigeria

The reproductive health hazards of unwanted pregnancies and unsafe abortions have been reduced with modern contraceptive use. The purpose of this review is to highlight the acceptability and side effects of Jadelle; a modern subdermal contraceptive implant in Port Harcourt.

Case files of acceptors of Jadelle:" subdermal implants between 4th January 2008 and 30th June 2010 were retrieved. Information obtained were sociodemographic characteristics, insertion and post insertion complications. Data analysis was done with Microsoft Excel and EPI info statistical software 14.0.

Of the seven thousand, eight hundred and eighty four (7884) clients who accepted contraceptive during the study period; 75 chose Jadelle constituting 0.95% of acceptors. The mean age and parity of acceptors were 33.1 years and 4.05 respectfully. Majority of the clients (89.33%) were married while 10.67% were single mothers. Similarly most of the acceptors had secondary and tertiary education, 26.67% and 69.33% respectively. Prevalent side effects were amenorrhoea (41.33%), intermenstrual bleeding (6.67%), intermenstrual spotting (4.00%). None of the acceptors discontinued the method. There was no accidental pregnancy.

Jadelle appears to have been accepted in our centre. About two third of the clients switched from their other methods to Jadelle; with a zero percent discontinuations rate among acceptors.