COMPARE OF CONTINUATION RATE AND REASONS FOR DISCONTINUATION OF DMPA CONTRACEPTIVE AMONG WOMEN REFERRED TO TABRIZ AND ARDEBIL HEALTH CENTERS IN 2007

Health Promotion Perspectives

Volume 1 - Number Supple.1

Article Type: Original Article
Abstract: Introduction: Depot-Medroxy Progesterone Acetate (DMPA) is an ingestible contraceptive that is widely used by 68 million women in over 100 countries. However, different medical and non medical reasons have been reported for discontinuation of DMPA use. Due to little information about continuation rate and reasons for discontinuation of DMPA in our rejoin and because of the different results of the researches in other countries this study was designed. The objectives of this study were to evaluate the use of DMPA including continuation rate and reasons for discontinuation in Tabriz & Ardebil cities. Materials and Methods: In this cross-sectional retrospective study 396 and 484 DMPA user women referring to health care centers in Ardabil & Tabriz, respectively, were selected through stratified random sampling. The data was collected in questionnaire by interview and analyzed by SPSS software using Analysis of Variance (ANOVA) and Correlation. Results: The results in Ardebil showed that the mean age of the study population was 32±7.8 years, the majority of the users were housewives (95%) and only 20 (5%) were employed. Six, nine, twelve and twenty four months cumulative continuation rate of DMPA were recorded as 44.5%, 26.5%, 18.2% and 2.3%, respectively. The most common reason (69.7%) for discontinuation among all groups was amenorrhea. The results in Tabriz showed that the mean age of the study population was 33.6±6.2 years. The majority of the users were housewives (89.9%).  Six, nine, twelve and twenty four months cumulative continuation rate of DMPA were recorded as 58.8%, 35.1% , 21.6% and 9.1%, respectively. The most common reason for discontinuation was amenorrhea and spotting (%14.8 and 4.8%, respectively). In total the mean of continuation were 2.6 and 6.52 months in Tabriz and Ardebil, respectively. Discussion and conclusion: The results of this study could help health education and promotion, personal capabilities development, and also care givers in terms of counseling of women desiring DMPA injection and their follow up. This factor could result in more satisfaction use and improve continuation rate of DMPA.