To study and compare acceptability and tolerance between breast-feeding post-partum woman, who receive contraceptive implant 48-72 hours after giving birth or at 5-7 weeks after giving birth, using either Levonorgestrel or Etonogestrel contraceptive implant.
* To study and compare acceptability and tolerance between breast-feeding post-partum woman, who receive contraceptive implant 48-72 hours after giving birth or at 5-7 weeks after giving birth, using either Levonorgestrel or Etonogestrel contraceptive implant. * Participants who wish to attend the study will be invited to choose between Levonorgestrel and Etonogestrel contraceptive implant, then they will be randomized into immediate postpartum or delay postpartum group. They will be follow-up at 6 and 12 weeks after receive contraceptive implant. * Information about side effects, breastfeeding status, child growth, acceptability and tolerance will be noted using medical records and interviewing, gathering on paper case record forms. * Sample size N = 60 (30 in each group (Immediate and delay postpartum group, 15 in each subgroup (Levonogestrel and Etonogestrel group)) This number of sample size is already counted with 10% data loss
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
60
Etonogestrel 68 mg (single rod) is implanted at inner arm of participant.
Levonorgestrel 75 mg (2 rods) are implanted at inner arm of participant.
King Chulalongkorn Memorial Hospital
Pathum Wan, Bangkok, Thailand
Number of participants with treatment-related adverse events
To compare treatment-related adverse events between Immediate and delayed breastfeeding postpartum contraceptive users, using case record form which specify bleeding days, spotting days, abdominal discomfort, headache, acne, alopecia, weight and blood pressure of users.
Time frame: immediately after contraceptive implant use until 12 weeks after use
Removal rate of contraceptive implants users
To compare tolerance between Immediate and delayed breastfeeding postpartum contraceptive users, by collecting and calculating removal rate of users.
Time frame: immediately after contraceptive implant use until 12 weeks after use
Satisfactory of contraceptive implant users
To compare acceptability between Immediate and delayed breastfeeding postpartum contraceptive users, using questionnaire rating satisfactory scale by score from 1 to 5
Time frame: immediately after contraceptive implant use until 12 weeks after use
Breastfeeding status
To compare breastfeeding status between Immediate and delayed breastfeeding postpartum contraceptive users by using questionnaire whether each participant is full-breastfeeding, partial-breastfeeding or non-breastfeeding and specify reasons if she's not full-breastfeeding.
Time frame: immediately after contraceptive implant use until 12 weeks after use
Child weight
To compare child growth by measuring weight, between Immediate and delayed breastfeeding postpartum contraceptive users.
Time frame: immediately after contraceptive implant use until 12 weeks after use
Child height
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To compare child growth by measuring height, between Immediate and delayed breastfeeding postpartum contraceptive users.
Time frame: immediately after contraceptive implant use until 12 weeks after use