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Recommendations for Contraceptive Use

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NORPLANT® Implants

Q.8. What should the routine follow-up schedule be?

Recommendations

Rationales

a) Encourage the client to call or return to local provider if problems arise.

b) A visit within the first 1 to 3 months may be advised if additional counseling is necessary or to check the insertion site.

c) Inform the woman when removal will be necessary (in 5 years or sooner if she desires) and provide her with a means of remembering this date.

d) Visits are encouraged for other preventive reproductive health care as available, including provision of condoms, when appropriate.

a-d) The client should be encouraged to return to the clinic if she has any problems or questions, after 5 years or when she desires removal, and for general reproductive health care. If women have no complaints, there is no need for routine contraceptive clinic visits before the end of the 5 years.

  1. Norplant Contraceptive Subdermal Implants: Managerial and Technical Guidelines. Geneva, World Health Organization, 1990.
  2. NORPLANT® Levonorgestrel Implants: A Summary of Scientific Data. Monograph. New York, The Population Council, 1990.
  3. Emerling JM, Palozzi P, Lelva J, Collins U. Subdermal contraceptive implants in nurse-midwifery practice. Journal of Nurse-Midwifery 1993; 38(2):809-875.


Any part of Recommendations for Updating Selected Practices in Contraceptive Use may be reproduced or adapted to meet local needs without prior permission from the TG/CWG Secretariat, provided the TG/CWG is acknowledged and the material is made available free of charge or at cost.


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