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Continuation rates among injectable contraceptive users

J M Westfall1, D S Main, L Barnard

  • 1Department of Family Medicine, University of Colorado Health Sciences Center, Denver, USA.

Family Planning Perspectives
|November 1, 1996
PubMed
Summary
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Depot medroxyprogesterone acetate continuation rates are low. Only 23% of women continued using this injectable contraceptive after one year, with few returning for subsequent doses.

Area of Science:

  • Reproductive Health
  • Contraception
  • Public Health

Background:

  • Limited data exist on the long-term use of depot medroxyprogesterone acetate (DMPA), an injectable contraceptive.
  • Understanding continuation rates is crucial for assessing the real-world effectiveness and patient satisfaction with DMPA.

Purpose of the Study:

  • To determine the continuation rates of depot medroxyprogesterone acetate among women in the Rocky Mountains region.
  • To analyze factors influencing DMPA continuation over a two-year period.

Main Methods:

  • A retrospective cohort study was conducted.
  • Data were collected from 5,178 women receiving DMPA between January 1993 and March 1995.
  • Continuation was defined by subsequent injections received.
Keywords:
AmericasColoradoContraceptionContraception ContinuationContraceptive AgentsContraceptive Agents, FemaleContraceptive Agents, ProgestinContraceptive MethodsContraceptive UsageDepo-proveraDeveloped CountriesFamily PlanningInjectablesMedroxyprogesterone AcetateNorth AmericaNorthern AmericaResearch ReportUnited States

Related Experiment Videos

Main Results:

  • Only 57% of women returned for a second DMPA injection.
  • Of those receiving a second injection, 63% received a third.
  • The overall one-year continuation rate was 23%.

Conclusions:

  • Continuation rates for depot medroxyprogesterone acetate are notably low.
  • No significant demographic or payment-related factors influenced continuation rates.
  • Further research is needed to identify barriers to DMPA continuation and improve patient retention.