Self‐administration of injectable contraceptives: a systematic review
Background The contraceptive injectable is a safe and effective method that is used worldwide. With the variety of injectable delivery systems, there is potential for administration by the woman herself. Self‐administration of the contraceptive injectable is the subject of this systematic review. Ob...
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Published in | BJOG : an international journal of obstetrics and gynaecology Vol. 124; no. 2; pp. 200 - 208 |
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Main Authors | , , |
Format | Journal Article |
Language | English |
Published |
England
Wiley Subscription Services, Inc
01.01.2017
John Wiley and Sons Inc |
Subjects | |
Online Access | Get full text |
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Summary: | Background
The contraceptive injectable is a safe and effective method that is used worldwide. With the variety of injectable delivery systems, there is potential for administration by the woman herself. Self‐administration of the contraceptive injectable is the subject of this systematic review.
Objectives
To assess how effective and safe the contraceptive injectable method is when women themselves perform/administer it, compared with when the usual healthcare providers administer it.
Search strategy
We searched PubMed, Popline, Cochrane, CINAHL, and Embase for articles with subject headings or text words related to ‘self‐administration’ and ‘contraception’.
Selection criteria
Studies that compared the administration of the contraceptive injectable by the woman herself versus administration by the healthcare provider were included. Outcomes of interest were continuation rates, safety, and the women's overall satisfaction with the contraceptive provider and method.
Data collection and analysis
We undertook data extraction, descriptive analysis, and assessment of risk of bias.
Main results
Three studies met the inclusion criteria. The best available evidence shows that there may be little or no difference in continuation rates when women self‐administer contraceptive injections (326 per 1000 women; 95% CI 192–554 per 1000 women) compared with administration by healthcare providers (304 per 1000 women). Safety was not estimable as no serious adverse events were reported in any of the studies. With regards to overall satisfaction towards the provider and the method, the effect of the intervention was uncertain.
Authors’ conclusions
Findings suggest that with appropriate information and training the provision of contraceptive injectables for the woman to self‐administer at home can be an option in some contexts.
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This review assessed the continuation rates and safety of self‐administration of the contraceptive injection.
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This review assessed the continuation rates and safety of self‐administration of the contraceptive injection. |
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Bibliography: | http://dx.doi.org/10.1111/1471-0528.14301 In any reproduction of this article there should not be any suggestion that WHO or the article endorse any specific organization or products. The use of the WHO logo is not permitted. This notice should be preserved along with the article's URL. Linked article This article is commented on by L Bahamondes, p. 209 in this issue. To view this mini commentary visit . ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Feature-3 content type line 23 ObjectType-Review-1 ObjectType-Undefined-4 ObjectType-Article-1 ObjectType-Feature-2 Linked article This article is commented on by L Bahamondes, p. 209 in this issue. To view this mini commentary visit http://dx.doi.org/10.1111/1471-0528.14301. |
ISSN: | 1470-0328 1471-0528 |
DOI: | 10.1111/1471-0528.14248 |