Long-term contraceptive methods

Implant contraceptives

Implants are contraindicated in:

• Severe hypertension

• Thromboembolism

• Active liver disease

• Sickle cell anaemia

• Genital bleeding

• Severe headaches

Recommended implants

• Etonogestrel 68 mg in a single silastic capsule with applicator is implanted in the left upper arm with local anesthesia. It is effective for 3 years

  
  

  OR

• Levonorgestrel 75 mg in two silastic capsules implanted subdermally in the left upper arm with local anesthesia. It is effective for 5 years and is recommended for women who have completed their family or are not ready for sterilization or those not able to take estrogen containing contraceptives

Important notes on implants

• Implants may be inserted during the immediate postpartum period or after 4 weeks postpartum

Intrauterine contraceptive device (IUCD)

It is a device containing copper or levonorgestrel that is inserted into the uterus to prevent pregnancy.

• CuT380A intrauterine contraceptive device (IUCD) may also be used

It can be inserted during:

• Immediate postpartum period

• Within 48 hours postpartum

• After 4 weeks postpartum

Contraindications to postpartum IUCD

• Active postpartum haemorrhage

• Puerperal sepsis or chorioamnionitis or active pelvic inflammatory disease

• Allergy to copper

• Period within 48 hours and 4 weeks postpartum

Important note

• Use the WHO Medical Eligibility Criteria (MEC) wheel when providing family planning methods