Main Article Content
Objectives: To compare the continuation rates of contraceptive implant within 1 year of childbirth between adolescents receiving individual counseling through educational brochures and adolescents receiving video-based group counseling
Materials and methods: This research is a prospective study of non-inferior trials in 272 postpartum adolescent mothers which compared between individual counseling and video-based group counseling. The video was created with introductory content about all methods of contraception including their advantages and side effects. The decision-making regarding the continuation of contraceptive implant usage would then be followed up within 1 year. Criterion for non-inferiority was at a lower limit of <-7% for the 95% CI.
Results: The adolescent mothers in this study were at the average age of 17 years old, and most of them were living with their husbands. The follow-up found that the decision rates of continuing the use of contraceptive implants comparing between those who received video-based group counseling and individual counseling at 6 months were 77% and 72.8% (95% CI = -5.8, 14.2), at 1 year were 69.4% and 65.0% (95% CI = -6.4, 15.3), with the lower confidence limit being inside the non-inferiority limit of -7%. It can be interpreted that video-based group counseling was not less effective than individual counseling at 6 months and 1 year.
Conclusion: Evidence of non-inferiority was noted comparing individual counseling and video-based group counseling. The systematic and complete provision of information would facilitate the decision-making of adolescents, hence increasing the continuation rate of contraceptive implant.
2. World Health Organization. Adolescent birth rate. Geneva: WHO; 2016. [cited 2016 Dec 14]. Available from: http://www.who.int/gho/maternal_health/reproductive_health/adolescent_fertility/en/
3. United Nations. Official list of MDG indicators. 2008 [cited 2018 Jan 27]. Available from: http://mdgs.un.org/unsd/mdg/Resources/Attach/Indicators/OfficialList2008.pdf
4. Pinitmontree Y, Kitiyodom S. One Year Postpartum Adaptation of Teen Mothers: Comparison between Students and Other Occupations. Maharat Nakhon Ratchasima Hospital Med Bull 2012;36:113-20.
5. Kitiyodom S. Maternal youth and pregnancy outcomes: early and middle adolescent versus late adolescent compared with women beyond the teen years. Maharat Nakhon Ratchasima Hospital Med Bull 2013; 37:62-74.
6. Rinehart W, Rudy S, Drennan M. GATHER guide to counseling. Popul Rep J 1998;48:1-31.
7. Grunloh DS, Casner T, Secura GM, Peipert JF, Madden T. Characteristics associated with discontinuation of long-acting reversible contraception within the first 6 months of use. Obstet Gynecol 2013;122:1214-21.
8. Nageso A, Gebretsadik A. Discontinuation rate of Implanon and its associated factors among women who ever used Implanon in Dale District, Southern Ethiopia. BMC Womens Health 2018;18:189.
9. Berlan E1, Mizraji K2, Bonny AE3. Twelve-month discontinuation of etonogestrel implant in an outpatient pediatric setting. Contraception 2016;94:81-6.
10. Rubenstein J, Rubenstein P, Barter J, Pittrof R. Counselling styles and their effect on subdermal contraceptive implant continuation rates. Eur J Contracept Reprod Health Care 2011;16:225–8.
11. Korsch M, Robra BP, Walther W1. Implant counseling and information: questions, predictors, and decision-making of patients before implant therapy. Clin Oral Implants Res 2015;26:e47-e50.
12. Secura GM1, Madden T, McNicholas C, Mullersman J, Buckel CM, Zhao Q et.al. Provision of no-cost, long-acting contraception and teenage pregnancy. N Engl J Med 2014;371:1316-23.
13. Berek JS, Abaid LN, Anderson JR, Aubuchon M, Baker VL, Baram DA, et al. Berek&Novak’s gynecology. 15th ed. Philadelphia: Lippincott Williams&Wilkins, a Wolters Kluwer business; 2012.