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Who uses Norplant. A study from Finland
S Sihvo1, E Ollila, E Hemminki
1Department of Public Health, University of Helsinki, Finland.
Acta Obstetricia Et Gynecologica Scandinavica
|July 1, 1994
Summary
Norplant implantable contraceptives are used by women aged 25-34, often after previous abortions. Physicians and clinic staff are key information sources for Norplant users in Finland.
Area of Science:
- Reproductive Health
- Contraception Research
- Public Health
Background:
- Norplant (levonorgestrel implant) use in Finland has been limited despite its introduction.
- Understanding Norplant user demographics and information pathways is crucial for improving contraceptive access.
Purpose of the Study:
- To identify the characteristics of women using Norplant in Finland.
- To determine who recommended Norplant and where users obtained information.
- To assess user satisfaction with information provided prior to Norplant insertion.
Main Methods:
- A questionnaire survey was administered to 262 women who had Norplant inserted in Helsinki family-planning clinics.
- The study achieved an 82% response rate after one reminder.
- Data were collected one to two years post-insertion.
Main Results:
- Norplant users were predominantly 25-34 years old, with many having a history of induced abortion.
- Half of the users were considering future pregnancies.
- All users had prior contraceptive experience, reporting issues with previous methods.
- Women self-selected Norplant, primarily informed by physicians and clinic staff.
- Most users felt adequately informed about Norplant's benefits and drawbacks.
Conclusions:
- Women with prior abortions represent a distinct user group for Norplant.
- While not exceptional, Norplant users often have specific reproductive histories and contraceptive needs.
- Physician and clinic staff counseling significantly influences Norplant adoption.