Use of 52-mg Levonorgestrel-Releasing Intrauterine System in Adolescents and Young Adult Women: 3-Year Follow-Up

Oliveira, Elaine Cristina Fontes de; Baêta, Thaís; Cotta, Rossana Cristina Fontes; Rocha, Ana Luiza Lunardi

doi:10.1016/j.jpag.2022.09.001

Cited by 4 publications

(2 citation statements)

References 26 publications

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“…The present study is the continuation of a previously published paper with a 5-year follow-up. 17 The study was conducted with nulliparous or parous women aged between 15 and 24 years old who were eligible for the use of LNG-IUS, according to the World Health Organization (WHO) medical eligibility criteria for contraceptive use. The exclusion criteria were: uterine sounding < 5 cm; cervical cytological abnormalities in the last 18 months; uterine cavity distortion (any congenital or acquired uterine abnormality distorting the uterine cavity in a manner that is incompatible with IUD insertion); current breast cancer, endometrial cancer, or cervical cancer (awaiting treatment); recent history of pelvic inflammatory disease or untreated genitourinary tract infection; abnormal uterine bleeding of unknown cause; < 6 weeks postpartum or postabortion.…”

Section: Introductionmentioning

confidence: 99%

Five-year Contraceptive Use of 52-mg Levonorgestrel Releasing Intrauterine System in Young Women, Menstrual Patterns, and New Contraceptive Choice

de Oliveira,

Rocha

2023

Rev Bras Ginecol Obstet

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Objective To evaluate the continuation rates of the 52-mg levonorgestrel-releasing intrauterine system (LNG-IUS) during the first 5 years of use, reasons for its discontinuation, bleeding patterns, and new contraceptive choice after the 5th year, in adolescents and young women. Methods The present study was a 5-year prospective cohort conducted in a Family Planning Service of a tertiary hospital in Brazil. We selected 100 healthy women between 15 and 24 years old who used 52-mg LNG-IUS for contraception. The clinical follow-up of these women took place from June 2017 to December 2022. The study evaluated the continuation rates of the method, reasons for its discontinuation, bleeding patterns, and new contraceptive choice after the 5th year. Continuous data were reported as mean ± standard deviation (SD) and range (minimum-maximum). Categorical variables were described as percentages. Results The continuation rates of LNG-IUS were 89.1% (82/92), 82.9% (72/87), 75.3% (64/85), 70.5% (60/85), and 64.2% (54/84) in the 1st, 2nd, 3rd, 4th, and 5th years of use, respectively. The main reason for discontinuation was acne (11/30). Amenorrhea rates were 50, 54.1, 39, 35.7, and 51.8% at 12, 24, 36, 48, and 60 months, respectively. All patients who completed the study and needed contraception after the 5th year opted for long-acting contraceptive methods (LARC). Conclusion The LNG-IUS showed high continuation rates in adolescents and young women in the first 5 years of use. Most patients who completed the study chose a LARC method after the 5th year.

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Section: Introductionmentioning

confidence: 99%

Five-year Contraceptive Use of 52-mg Levonorgestrel Releasing Intrauterine System in Young Women, Menstrual Patterns, and New Contraceptive Choice

de Oliveira,

Rocha

2023

Rev Bras Ginecol Obstet

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“…Teenagers often gather and interact in their peer groups, resulting in dynamics and mutual influence within the group. With the interactions and dynamics that develop in peer groups, good communication is formed, adolescents can formulate, improve and enhance their communication through the groups they have (Oliveira et al, 2023). The purpose of this community service activity is to foster and empower Peer Group Friends as a nutrition companion to increase knowledge, attitudes and actions of young women regarding family planning, delaying the age of marriage, reproductive health and prevention of anemia as an effort to prevent stunting in two coastal areas Indonesia, namely the City of Bengkulu and the City of Kupang, East Nusa Tenggara.…”

Section: Introductionmentioning

confidence: 99%

Guiding the Behavior of Young Women in Family Planning and Prevention of Anemia through Peer Group Empowerment as an Effort to Prevent Stunting

Manaf

2023

J. Health. Science. Med. Therapy.

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The problems of young women are anemia, child marriage and reproductive health. The prevalence of anemia in young women in Indonesia increased from 26.4 % to 48.9%. It is necessary to form a peer group to become a peer companion which aims to increase knowledge, attitudes and actions regarding family planning, age delay marriage, reproductive health and prevention of anemia by applying booklet media and Fe Tablet consumption monitoring cards. The target audience is 50 young women in SMP 9 Bengkulu City and 50 young women in Kupang City. Assistance is carried out for 4 months (August-November 2020) using the small group method. There was an increase in the knowledge score of 13.98 points (p=0.0001) before and after the mentoring activities. Increased knowledge scores in Bengkulu City (12.11 points) and in Kupang City (15.32 points). There was a significant increase in attitude scores of 0.73 points (p=0.0001). Before and after mentoring activities in Bengkulu City (0.67 points) and in Kupang City (0.40 points) and young women became obedient in consuming Fe tablets. The school, in collaboration with health workers, needs to continue to empower Peer Groups to provide assistance with small group methods to improve adolescent health, prevent anemia, and prevent giving birth to stunted children in the future.

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Effect of the COVID-19 pandemic on maternal mortality and cesarean section rates among brazilian adolescents

dos Santos Borges,

Suzart,

Lipi

et al. 2024

International Journal of Adolescence and Youth

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Use of 52-mg Levonorgestrel-Releasing Intrauterine System in Adolescents and Young Adult Women: 3-Year Follow-Up

Cited by 4 publications

References 26 publications

Five-year Contraceptive Use of 52-mg Levonorgestrel Releasing Intrauterine System in Young Women, Menstrual Patterns, and New Contraceptive Choice

Five-year Contraceptive Use of 52-mg Levonorgestrel Releasing Intrauterine System in Young Women, Menstrual Patterns, and New Contraceptive Choice

Guiding the Behavior of Young Women in Family Planning and Prevention of Anemia through Peer Group Empowerment as an Effort to Prevent Stunting

Effect of the COVID-19 pandemic on maternal mortality and cesarean section rates among brazilian adolescents

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