What Effects on Stature and Weight Growth of newborns of mothers using Jadelle® Implants in the Immediate Postpartum? Senegal's experience

Moussa Diallo
2019 Journal of Gynecology and Womens Health  
The aim of this study was to evaluate the side effects of Jadelle® implants in the immediate postpartum and study their impact on the metabolism and growth of the newborn and infant. Materials and Method: To do this, we inserted the implants at two different postpartum period : first, between the first and the seventh day for the immediate postpartum period (IPP) group ; second, between the 45th and the 3rd postpartum months for the late postpartum (LPP) group. The variables studied were birth
more » ... studied were birth route, weight at birth, quality of milky climb, pregnancy term at time of delivery, complaints, the weight, height, head, brachial, thoracic and cranial perimeters and their evolution over time. Results : In both groups, full-term infants were the most numerous. In the IPP group, however, the proportion of premature babies was slightly higher than in the other group. In both groups, the upper lane (caesarean section) was the most frequently reported delivery route, 86% for the late postpartum group and 70% for the immediate postpartum group. In the IPP group, insertions took place on the third postpartum day for the majority of patients, and were all done before the seventh day. The LPP group took place at six weeks and rarely more than two months (four cases only). The mean weights of the two groups were not very different. They were 2920g and 2930g respectively for the immediate postpartum group and the late postpartum group. This was not the case for the maxima of 4400g and 5000g respectively for the IPP and LPP group. By correcting this discrepancy, there is no statistically significant difference in infant growth. The same is true for newborns of low birth weight. Given the low sample size after adjusting the data, caution is required in interpreting these results. we found that the metabolism of the liver was not disturbed by the product. Conclusion: Our results are encouraging to further promote contraception in the immediate postpartum period in developing countries and thus reach a wide range of users. We can therefore say that the side effects are not different during this period and largely are also tolerated.
doi:10.19080/jgwh.2019.15.555924 fatcat:myp4llo5ubas5ndwbmtwbwjzcq