Continued use of Implanon inserted following termination of pregnancy

Continued use of Implanon inserted following termination of pregnancy

M. Preston, H. Ribbans

Department of Obstetrics and Gynaecology, East Lancashire Healthcare

Trust, Burnley General Hospital, Lancs, UK

Introduction: Since 1999, we have offered implanon for post

termination contraception. We were keen to determine the continuation rate of

implanon use to ensure that insertion at termination of pregnancy is acceptable

to women, as well as being cost effective.

Setting and methods: A dedicated family planning clinic in a district

general hospital, led by a consultant community gynaecologist, who was the only

trained implanon inserter within the district. This is a retrospective study. 58

women who had implanon inserted after termination of pregnancy from December

1999 until December 2002 were identified and their notes obtained and reviewed.

Women moving out of district were lost to follow up. The rest came back to the

family planning clinic for subsequent removal of the implanon for the reasons

outlined above.

Results: Until the end of 2003, 47 (81%) of the women continued to use

implanon for contraception. 11 (19%) of the women had the implant removed. The

time from insertion to removal in these women ranged from 2 weeks to 35 months

with an average of 15 months. There were no significant differences in the

demographics of the two groups.

Conclusions: There is a high continuation rate of implanon for

contraception when inserted post termination of pregnancy. Even within the group

of women who removed the implant, this was carried out on average 15 months

after insertion. Our study suggests that implanon is an acceptable contraceptive

post termination of pregnancy and its continuation rate shows that insertion is

a cost effective option.

Scroll to Top