Causas que influyen en el retiro anticipado de los implantes subdérmicos en mujeres atendidas en el Centro de Salud Trinitaria 2
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2018
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Obstetricia
Resumen
Los implantes de anticoncepción subdérmicos utilizados para control de la
natalidad por las ventajas que brinda como su acción prolongada y eficaz
sin necesidad de olvido del método por tres años, es lo que incrementa el
uso del mismo, sin embargo al presentarse efectos adversos conllevan al
retiro de forma anticipada por lo que en este estudio observacional,
retrospectivo y transversal se buscó conocer las causas en una muestra de
100 usuarias que se retiraron el implante de Etonogestrel, de las que se
procedió hacer una revisión de los documentos pertenecientes a sus
historias clínicas. Para el análisis se utilizó como herramienta informática al
programa Excel, los resultados alcanzados fueron que el sangrado
irregular forma la razón principal para la remoción anticipada y en menor
incidencia efectos como la cefalea, aumento de peso y acné, el grupo
etario donde se encuentra la mayor pedida de extracción se comprendió en
edades de 20 a 25 años con una edad media de 24.37 años el tiempo
mayor de continuidad se reportó de 13 a 24 meses, por lo consiguiente el
retiro del implante subdérmico se podría evitar incentivando a las usuarias
a comprometerse con controles rutinarios obteniendo de esta forma mayor
información acerca de los efectos adversos que puede estar presentando y
lograr mayor continuidad del mismo previniendo los embarazos no
deseados.
The subdermal contraceptive implants used for birth control because of the advantages it offers as its prolonged and effective action without needing to forget the method for three years, is what increases the use of it, nevertheless when adverse effects occur to the withdrawal in advance so that in this observational, retrospective and cross-sectional study it was sought to know the causes in a sample of 100 users who withdrew the Etonogestrel implant, from which a review of the documents belonging to their histories was made clinics For the analysis, the Excel program was used as a computer tool. The results achieved were that irregular bleeding forms the main reason for early removal and in lesser incidence effects such as headache, weight gain and acne, the age group where the highest order of extraction was understood in ages of 20 to 25 years with an average age of 24.37 years, the longer time of continuity was reported from 13 to 24 months, therefore the removal of the subdermal implant could be avoided by encouraging the users to commit themselves with routine controls obtaining in this way more information about the adverse effects that may be presenting and achieve greater continuity of it preventing unwanted pregnancies.
The subdermal contraceptive implants used for birth control because of the advantages it offers as its prolonged and effective action without needing to forget the method for three years, is what increases the use of it, nevertheless when adverse effects occur to the withdrawal in advance so that in this observational, retrospective and cross-sectional study it was sought to know the causes in a sample of 100 users who withdrew the Etonogestrel implant, from which a review of the documents belonging to their histories was made clinics For the analysis, the Excel program was used as a computer tool. The results achieved were that irregular bleeding forms the main reason for early removal and in lesser incidence effects such as headache, weight gain and acne, the age group where the highest order of extraction was understood in ages of 20 to 25 years with an average age of 24.37 years, the longer time of continuity was reported from 13 to 24 months, therefore the removal of the subdermal implant could be avoided by encouraging the users to commit themselves with routine controls obtaining in this way more information about the adverse effects that may be presenting and achieve greater continuity of it preventing unwanted pregnancies.
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Implantes subdérmicos, Anticonceptivos, Etonogestrel, Centro de Salud Trinitaria 2, Cantón Guayaquil, Ecuador