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Self-administration of injectable contraceptives: a systematic review
C R Kim1, M S Fønhus2, B Ganatra1
1Department of Reproductive Health and Research, World Health Organization, Geneva, Switzerland.
BJOG : an International Journal of Obstetrics and Gynaecology
|August 24, 2016
Summary
Self-administering contraceptive injections shows similar continuation rates to healthcare provider administration. With proper training, women can safely use injectable contraceptives at home.
Area of Science:
- Reproductive Health
- Contraception
- Public Health
Background:
- Injectable contraceptives are a globally utilized safe and effective birth control method.
- The development of various injectable delivery systems opens possibilities for self-administration.
- This systematic review focuses on the self-administration of contraceptive injectables.
Purpose of the Study:
- To evaluate the efficacy and safety of self-administered contraceptive injections compared to those administered by healthcare providers.
- To assess continuation rates, safety, and patient satisfaction with self-administered versus provider-administered contraceptive injections.
Main Methods:
- Searched major databases (PubMed, Popline, Cochrane, CINAHL, Embase) for studies on "self-administration" and "contraception".
- Included studies comparing women administering injections to themselves versus administration by healthcare providers.
- Extracted data, performed descriptive analysis, and assessed risk of bias for included studies.
Main Results:
- Three studies met inclusion criteria, indicating minimal difference in continuation rates between self-administration (326/1000) and provider administration (304/1000).
- Safety could not be definitively assessed due to a lack of reported serious adverse events in the included studies.
- The impact on overall satisfaction with the method and provider remains uncertain.
Conclusions:
- Self-administration of contraceptive injections, with adequate information and training, presents a viable option in specific contexts.
- The review highlights the potential for increased autonomy and accessibility in family planning services.
- Further research may be needed to fully elucidate satisfaction levels and long-term safety profiles.
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