implant jadelle
TRANSCRIPT
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JADELLE
JADELLEis the registered trademark of Leiras Oy for two-rod subdermal
levonorgestrel implants. orplantis the registered trademark of !he"opulation #oun$il for subdermal levonorgestrel implants.
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%hat is JADELLE
!wo &ilasti$7rods $ontaining
'( mg of levonorgestrel )L*+
whi$h are inserted ,ust under
the skin )subdermal+ of awomans upper arm.
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JADELLE /e$hanisms of A$tion
&uppress ovulation
De$rease tubal motility
#hange endometrium
!hi$ken $ervi$al mu$us
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JADELLE #ontra$eptive 9enefits
! :ighly effe$tive )2.2(0;3pregnan$ies per 022 women during the
first year of use+
!
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JADELLE #ontra$eptive 9enefits
continued
! @mmediate return of fertility on removal
! ew side effe$ts
! #lient needs to return to $lini$ only if problems
! o supplies needed by $lient
! #an be provided by trained nonphysi$ian )nurse or midwife+
! #ontain no estrogen
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JADELLE on$ontra$eptive 9enefits
! De$reases e$topi$ pregnan$y
! /ay de$rease menstrual $ramps
! /ay de$rease menstrual bleeding
! /ay improve anemia
! "rote$ts against endometrial $an$er
! De$reases benign breast disease
! "rote$ts against some $auses of "@D
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JADELLE Limitations
! #auses $hanges in menstrual bleeding pattern )irregular
bleeding8spotting+ in most women
!
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JADELLE Limitations continued
! %oman $annot stop whenever she wants )provider dependent+
! Effe$tiveness may be lowered when $ertain drugs for epilepsy
)phenytoin and barbiturates+ or tuber$ulosis )rifampin+ aretaken
! #ost-effe$tiveness dependent on length of use
! Does not prote$t against &!Ds )e.g.; :9B; :@B8A@D&+
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%ho #an Cse JADELLE
%omen
$ Of any reprodu$tive age
$ Of any parity in$luding nulliparous women$ %ho want highly effe$tive; long-term prote$tion against
pregnan$y
$ %ho are breastfeeding ) 6 weeks postpartum+
$ %ho are postpartum and not breastfeeding
$ %ho are postabortion
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%ho #an Cse JADELLEcontinued
%omen
$ %ith desired family sie who do not want voluntary
steriliation
$ %ith histories of e$topi$ pregnan$y
$ %ho have blood pressure = 0728002; blood $lotting
problems of si$kle $ell disease
$ %ith moderate to severe menstrual $ramping
$ %ho smoke )any age; any amount+$ %ho prefer not to or should not use estrogen
$ %ho $annot remember to take a pill every day
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JADELLE %ho &hould ot Cse
)%:O #lass 5+
JADELLEshould not be used if woman
$ @s pregnant )known or suspe$ted+
$ :as une>plained vaginal bleeding )only if serious problemsuspe$ted+
$ :as breast $an$er
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JADELLE #onditions
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JADELLE #onditions o Longer
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%hen to @nsert JADELLE
! Anytime during the menstrual $y$le when you $an be
reasonably sure the $lient is not pregnant
! Days 0B' of the menstrual $y$le
! "ostpartum
$ after 6 months if using la$tational amenorrhea method
)LA/+
$ after 6 weeks if breastfeeding but not using LA/
$ immediately or within 6 weeks if not breastfeeding
! "ostabortion )immediately or within the first ' days+
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16&our$e !iet,en; #ronin and /$@ntosh 0113.
JADELLE @nfe$tion "revention
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JADELLE !en /ost re?uently
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&ide Effe$ts /anagement
@rregular or heavy
bleeding
#he$k for gyne$ologi$ problem
#ounseling and reassuran$e #O#s;
&A@Ds or oral estrogens
:eada$he onnar$oti$ analgesi$s
%eight $hange Diet history; advi$e and e>er$ise
9reast tenderness &upport bra
9reast dis$harge De$reased nipple stimulation
A$ne Diet; $leansers and topi$al
antibioti$s
JADELLE !reatment of #ommon &ide
Effe$ts
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JADELLEvs. orplant #omparison of
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JADELLE #lient @nstru$tions
! eep in$ision area dry for 57 hours.
! eep pressure bandage on for 57 hours and leave 9and-Aid7
on until in$ision heals )4F( days+.
! 9ruising; swelling and tenderness at insertion site are
$ommon.
!
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JADELLE *eneral @nformation
! #ontra$eptive effe$tiveness begins '3 hours after insertion
and stops soon after removal.
! #hanges in menstrual bleeding patterns are $ommon.
! #ertain drugs may redu$e effe$tiveness of implants. !ell your
provider if you start any new drugs.
!
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JADELLE %arning &igns