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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
Summary
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.
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.
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