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Subdermal contraceptive implants in nurse-midwifery practice

J M Emerling1, P Paluzzi, J Leiva

  • 1Center for Addiction and Pregnancy (CAP), Francis Scott Key Medical Center, Baltimore, Maryland.

Journal of Nurse-Midwifery
|March 1, 1993
PubMed
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Norplant, a new subdermal contraceptive implant, is now available in the US. This article details its development, effectiveness, safety, and practical use for healthcare providers and patients.

Area of Science:

  • Reproductive Health
  • Contraception
  • Pharmacology

Background:

  • Subdermal contraceptive implants represent a recent advancement in long-acting reversible contraception.
  • Norplant is the first subdermal contraceptive implant approved in the United States.

Purpose of the Study:

  • To provide a comprehensive overview of Norplant, a newly approved subdermal contraceptive implant.
  • To detail Norplant's development, efficacy, safety, and clinical application.

Main Methods:

  • Literature review on Norplant's development and clinical trials.
  • Synthesis of information regarding Norplant's system description, client education, and side effect profile.
  • Analysis of Norplant's indications, contraindications, insertion, and removal procedures.
Keywords:
AmericasClinic ActivitiesContraceptionContraception Termination--indicationsContraceptive Agents, Female--contraindicationsContraceptive Agents, Female--side effectsContraceptive Agents, Progestin--contraindicationsContraceptive Agents, Progestin--side effectsContraceptive Agents--contraindicationsContraceptive Agents--side effectsContraceptive Implants--contraindicationsContraceptive Implants--indicationsContraceptive Methods--contraindicationsContraceptive Methods--indicationsCounselingDelivery Of Health CareDeveloped CountriesEconomic FactorsEducationEquipment And SuppliesFamily PlanningFamily Planning TrainingHealthHealth PersonnelInsertionLevonorgestrel--contraindicationsLevonorgestrel--side effectsMarylandNorth AmericaNorthern AmericaNurse-midwivesOrganization And AdministrationProgram ActivitiesProgramsResearch And DevelopmentTechnologyTraining ProgramsTreatmentUnited States

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Main Results:

  • Norplant demonstrates efficacy and a defined safety profile.
  • The article outlines client education needs, potential side effects, and clinical guidelines.
  • Practical aspects including insertion, removal, and integration into midwifery practice are discussed.

Conclusions:

  • Norplant offers a new long-term contraceptive option in the United States.
  • Comprehensive understanding and education are crucial for effective implementation of Norplant.
  • Healthcare professionals require specific training to incorporate Norplant into their practice.