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Overall experience with Norplant positive for clients, clinicians

Overall experience with Norplant positive for clients, clinicians

Contraceptive Technology Update 12(11): 179-181

ISSN/ISBN: 0274-726X

PMID: 12318409

Since Norplant was approved late 1990 for use in the US, Grady Memorial Hospital in Atlanta has trained 121 physicians and six nurses to insert the device, and Norplant has been inserted in 138 women at the facility. 1-3 months after receiving Norplant, 75% and 13% of women report being very pleased and pleased with the method, respectively. Indeed, as soon as the gauze bandage is removed, women tend to begin showing the implanted Norplant system rods to their family and friends. Two women have chosen to have their implants removed; one because of an increased number of menstrual bleeding days and one because she had a problem with acne while using the method. Acne is a side effect reported by about 1% of Norplant users. It is not known whether the woman's acne improved since Norplant removal. Among the 136 women who are continuing to use Norplant, there have been no pregnancies, insertion-site infections, or episodes of syncope during insertion. Clinician satisfaction has been as positive as that of the Norplant acceptors. Clinicians inserting Norplant are encouraged to carefully counsel women considering the method and to stress the following points: Norplant will probably change women's periods, bruises after insertion may be fairly large and will change color as they fade, removal of Norplant is more difficult than insertion, and a missed period in a woman who otherwise has regular periods could indicate pregnancy. Such a woman with a missed period needs to be evaluated by a physician or nurse practitioner.

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Accession: 046896020

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