Decision-Making Regarding the Continuation of Contraceptive Implant within 1 Year of Childbirth: A Comparison between Adolescents Receiving Individual Counseling through Print Media and Adolescents Receiving Video-Based Group Counseling

Main Article Content

Teerapan Seehanantawong
Siriya Kitiyodom

Abstract

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.

Downloads

Download data is not yet available.

Article Details

Section
Original Article

References

1. World Health Organization. Adolescent pregnancy. Fact Sheet 364. Geneva: WHO;2018. [cited 2018 Jan 27]. Available from: http://www.who.int/mediacentre/factsheets/fs364/en/
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.