Factors Influencing Discontinuation of Long-Term Contraceptive Methods
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Dec 30, 2022
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Abstract
Discontinuation of contraception represents a very important reproductive health problem and has adverse consequences on women's reproductive health outcomes. Worldwide, a large number of women become at risk of conception after discontinuation of contraception. The purpose of this study was to determine the reasons for discontinuation and the factors that influence the discontinuation of long-term contraceptive methods. The research method used is a literature review with article searches using four databases consisting of Pubmed, Sage, Science Direct and Proquest with a publication range of 2012-2022. The keywords used are associated factor and discontinuation of long acting reversible contraception. The findings indicate that the factors that influence the long-term discontinuation of contraceptive methods are marital status, education, counseling, age, parity, occupation, contraceptive satisfaction, partner support, duration to health facilities, desire to get pregnant again and side effects. The most common reason for discontinuing a long-term contraceptive method is due to health problems or side effects. Therefore, health workers should properly advise women about the common side effects of using long-term contraceptive methods and how to manage these side effects.
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How to Cite
Marista, D., Qomaruddin, M. B. and Soedirham, O. (2022) “Factors Influencing Discontinuation of Long-Term Contraceptive Methods”, Science Midwifery, 10(5), pp. 4407-4417. doi: 10.35335/midwifery.v10i5.1057.
References
Abebe, B. A., Assefa, N., & Mengistie, B. (2020). Discontinuation of Reversible Long-Acting Contraceptive and Associated Factors among Female Users in Health Facilities of Hawassa City, Southern Ethiopia: Cross-Sectional Study. Open Access Journal of Contraception, 11, 113–123. PubMed. https://doi.org/10.2147/OAJC.S259978
Abeje, G., Omigbodun, A., Roberts, O., & Yalew, A. (2020). Factors associated with early long-acting reversible contraceptives discontinuation in Ethiopia: Evidence from the 2016 Ethiopian demographic and health survey. Archives of Public Health, 78. https://doi.org/10.1186/s13690-020-00419-w
Agrahari, K., Mohanty, S., & Chauhan, R. K. (2016). Socio-Economic Differentials in Contraceptive Discontinuation in India. SAGE Open, 6. https://doi.org/10.1177/2158244016646612
Amare, B., & Terefe, M. (2020). Discontinuation of implants use and associated factors among women attending health facility clinics in Hawassa City, Southern Ethiopia, 2019; cross sectional study. Contraception and Reproductive Medicine, 5. https://doi.org/10.1186/s40834-020-00128-3
Bawah, A., Sato, R., Asuming, P., Henry, E., Agula, C., Agyei-Asabere, C., Canning, D., & Shah, I. (2021). Contraceptive method use, discontinuation and failure rates among women aged 15–49 years: Evidence from selected low income settings in Kumasi, Ghana. Contraception and Reproductive Medicine, 6. https://doi.org/10.1186/s40834-021-00151-y
Bereku, T., Habtu, Y., Abreham, B., Ayele, M., & Eliso, M. (2022). Magnitude and factors for method discontinuation and switching among long acting reversible contraceptive users in health facilities of Southern Ethiopia. Reproductive Health, 19. https://doi.org/10.1186/s12978-022-01357-2
Dadzie, L., Seidu, A.-A., Ahinkorah, B., Tetteh, J., Salihu, T., Okyere, J., & Yaya, S. (2021). Contraceptive discontinuation among women of reproductive age in Papua New Guinea. https://doi.org/10.21203/rs.3.rs-494614/v1
Geja, E., Belayneh, F., Legesse, D., Tsegaw, D., Abuka, T., Gebremariam, A., Gebreyohaness, H., Jember, D., Oltaye, Z., & Tadele, A. (2021). Prevalence of Early Removal of Long-Acting Contraceptive Methods and Its Associated Factors in Sidama Regional State, Ethiopia. Open Access Journal of Contraception, 12, 35–44. PubMed. https://doi.org/10.2147/OAJC.S280405
Grunloh, D., Casner, T., Secura, G., Peipert, J., & Madden, T. (2013). Characteristics Associated With Discontinuation of Long-Acting Reversible Contraception Within the First 6 Months of Use. Obstetrics and Gynecology, 122. https://doi.org/10.1097/01.AOG.0000435452.86108.59
Isa, B., Ibrahim, S. M., Mandara, M., & Bako, B. (2020). Uptake and reason for discontinuation of long-acting reversible contraception in a tertiary hospital: A 5 years retrospective review. African Journal of Medical and Health Sciences, 19(9), 142–149. https://doi.org/10.5897/AJMHS2020.0111
Melesse, Y. D., Zegeye, A. M., Kebede, G. D., Tarik, Y. D., Fenta, S. L., Getu, A. A., Wassie, T. H., Bogale, T. W., Dabalo, M. L., & Jaleta, P. (2022). Discontinuation of Long-Acting Reversible Contraceptive methods and associated factors among women in health facilities of Bahir Dar city, Northwest Ethiopia: A Cross-sectional study (PPR445041). https://doi.org/10.21203/rs.3.rs-1212900/v1
Mihretie, G., Abebe, S., Abebaw, Y., Gedefa, L., Gure, T., Alemayehu, B., Sori, D., Taddesse, D., Fanta, G., Abubeker, F., Legesse, A., G/Michael, A., Teklu, A., Damtew, M., & Girma, B. (2022). Factors associated with discontinuation among long-acting reversible contraceptive users: A multisite prospective cohort study in urban public health facilities in Ethiopia. BMJ Open, 12, e059372. https://doi.org/10.1136/bmjopen-2021-059372
Nega, G., Abera, M., & Tadele, A. (2021). Discontinuation rate and associated factors among contraceptive implant users in Kersa district, southwestern Ethiopia. Archives of Public Health = Archives Belges de Sante Publique, 79(1), 75–75. PubMed. https://doi.org/10.1186/s13690-021-00603-6
Obsu, M., Hundessa, B., Abeya, S., Aman, H., & Merga, H. (2022). Magnitude and associated factors of early Implanon discontinuation among rural women in public health facilities of central Ethiopia: A community-based cross-sectional study. BMC Women’s Health, 22. https://doi.org/10.1186/s12905-022-01651-y
Tesfaye, H., Negara, E., & Bayisa, K. (2021). Early implanon discontinuation and associated factors among women ever used implanon in Mettu district, Oromia regional state, southwest Ethiopia, 2021. Reproductive Health, 18(1), 176. https://doi.org/10.1186/s12978-021-01222-8
Weldekidan, H. A., Lemlem, S. B., Sinishaw Abebe, W., & Sori, S. A. (2022). Discontinuation rate of long-acting reversible contraceptives and associated factors among reproductive-age women in Butajira town, Central Ethiopia. Women’s Health, 18, 17455057221104656. https://doi.org/10.1177/17455057221104656
Yimer, Y., Cherie, N., & Damtie, Y. (2022). Determinants of early discontinuation of etonogestrel sub-dermal implant among reproductive-age women in Legambo district, Northeast Ethiopia: An unmatched case-control study. SAGE Open Medicine, 10, 20503121221088104–20503121221088104. PubMed. https://doi.org/10.1177/20503121221088102
Abeje, G., Omigbodun, A., Roberts, O., & Yalew, A. (2020). Factors associated with early long-acting reversible contraceptives discontinuation in Ethiopia: Evidence from the 2016 Ethiopian demographic and health survey. Archives of Public Health, 78. https://doi.org/10.1186/s13690-020-00419-w
Agrahari, K., Mohanty, S., & Chauhan, R. K. (2016). Socio-Economic Differentials in Contraceptive Discontinuation in India. SAGE Open, 6. https://doi.org/10.1177/2158244016646612
Amare, B., & Terefe, M. (2020). Discontinuation of implants use and associated factors among women attending health facility clinics in Hawassa City, Southern Ethiopia, 2019; cross sectional study. Contraception and Reproductive Medicine, 5. https://doi.org/10.1186/s40834-020-00128-3
Bawah, A., Sato, R., Asuming, P., Henry, E., Agula, C., Agyei-Asabere, C., Canning, D., & Shah, I. (2021). Contraceptive method use, discontinuation and failure rates among women aged 15–49 years: Evidence from selected low income settings in Kumasi, Ghana. Contraception and Reproductive Medicine, 6. https://doi.org/10.1186/s40834-021-00151-y
Bereku, T., Habtu, Y., Abreham, B., Ayele, M., & Eliso, M. (2022). Magnitude and factors for method discontinuation and switching among long acting reversible contraceptive users in health facilities of Southern Ethiopia. Reproductive Health, 19. https://doi.org/10.1186/s12978-022-01357-2
Dadzie, L., Seidu, A.-A., Ahinkorah, B., Tetteh, J., Salihu, T., Okyere, J., & Yaya, S. (2021). Contraceptive discontinuation among women of reproductive age in Papua New Guinea. https://doi.org/10.21203/rs.3.rs-494614/v1
Geja, E., Belayneh, F., Legesse, D., Tsegaw, D., Abuka, T., Gebremariam, A., Gebreyohaness, H., Jember, D., Oltaye, Z., & Tadele, A. (2021). Prevalence of Early Removal of Long-Acting Contraceptive Methods and Its Associated Factors in Sidama Regional State, Ethiopia. Open Access Journal of Contraception, 12, 35–44. PubMed. https://doi.org/10.2147/OAJC.S280405
Grunloh, D., Casner, T., Secura, G., Peipert, J., & Madden, T. (2013). Characteristics Associated With Discontinuation of Long-Acting Reversible Contraception Within the First 6 Months of Use. Obstetrics and Gynecology, 122. https://doi.org/10.1097/01.AOG.0000435452.86108.59
Isa, B., Ibrahim, S. M., Mandara, M., & Bako, B. (2020). Uptake and reason for discontinuation of long-acting reversible contraception in a tertiary hospital: A 5 years retrospective review. African Journal of Medical and Health Sciences, 19(9), 142–149. https://doi.org/10.5897/AJMHS2020.0111
Melesse, Y. D., Zegeye, A. M., Kebede, G. D., Tarik, Y. D., Fenta, S. L., Getu, A. A., Wassie, T. H., Bogale, T. W., Dabalo, M. L., & Jaleta, P. (2022). Discontinuation of Long-Acting Reversible Contraceptive methods and associated factors among women in health facilities of Bahir Dar city, Northwest Ethiopia: A Cross-sectional study (PPR445041). https://doi.org/10.21203/rs.3.rs-1212900/v1
Mihretie, G., Abebe, S., Abebaw, Y., Gedefa, L., Gure, T., Alemayehu, B., Sori, D., Taddesse, D., Fanta, G., Abubeker, F., Legesse, A., G/Michael, A., Teklu, A., Damtew, M., & Girma, B. (2022). Factors associated with discontinuation among long-acting reversible contraceptive users: A multisite prospective cohort study in urban public health facilities in Ethiopia. BMJ Open, 12, e059372. https://doi.org/10.1136/bmjopen-2021-059372
Nega, G., Abera, M., & Tadele, A. (2021). Discontinuation rate and associated factors among contraceptive implant users in Kersa district, southwestern Ethiopia. Archives of Public Health = Archives Belges de Sante Publique, 79(1), 75–75. PubMed. https://doi.org/10.1186/s13690-021-00603-6
Obsu, M., Hundessa, B., Abeya, S., Aman, H., & Merga, H. (2022). Magnitude and associated factors of early Implanon discontinuation among rural women in public health facilities of central Ethiopia: A community-based cross-sectional study. BMC Women’s Health, 22. https://doi.org/10.1186/s12905-022-01651-y
Tesfaye, H., Negara, E., & Bayisa, K. (2021). Early implanon discontinuation and associated factors among women ever used implanon in Mettu district, Oromia regional state, southwest Ethiopia, 2021. Reproductive Health, 18(1), 176. https://doi.org/10.1186/s12978-021-01222-8
Weldekidan, H. A., Lemlem, S. B., Sinishaw Abebe, W., & Sori, S. A. (2022). Discontinuation rate of long-acting reversible contraceptives and associated factors among reproductive-age women in Butajira town, Central Ethiopia. Women’s Health, 18, 17455057221104656. https://doi.org/10.1177/17455057221104656
Yimer, Y., Cherie, N., & Damtie, Y. (2022). Determinants of early discontinuation of etonogestrel sub-dermal implant among reproductive-age women in Legambo district, Northeast Ethiopia: An unmatched case-control study. SAGE Open Medicine, 10, 20503121221088104–20503121221088104. PubMed. https://doi.org/10.1177/20503121221088102