An assessment of the use of the contraceptive Norplant in Rio de Janeiro, Brazil
Autor(a) principal: | |
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Data de Publicação: | 1987 |
Outros Autores: | , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Revista de Saúde Pública |
Texto Completo: | https://www.revistas.usp.br/rsp/article/view/23461 |
Resumo: | Anticonceptional methods for long-term have been searched for in many places. Norplant is one such, based on the use levonorgestrel capsules which introduced into women's arms, produce a daily secretion of hormones and have from two to five years' effect. It is produced under license from the Population Council and industrialised by Leiras Pharmaceutical. It has been used in Thailand, Egypt, Indonesia, Sweden, Denmark and Brazil. It is assessed the results of this method in Rio de Janeiro, where 175 Norplant users were interviewed at home, and their answers compared with those of two control groups (levonorgestrel pill-users and no-hormonal methods-users). The results show increased relative risks in Norplant users in menstrual disorders, hypertension, severe weight disturbances and hypertrichoses, all of them of statistical significance. Other non-statistical findings were angina pectoris, hypertensive encephalopaty, acne and duodenites. Some severe symptoms like headaches and behavioural disturbances were mentioned and these disappeared after the capsules had been withdrawn. It is discussed the relevance of all the side-effects in women who decided to interrupt the use of Norplant. In these cases follow-up measures are needed, in view of the fact that hemorrhage, marked weight gain and difficulties in pregnancy may developed. |
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An assessment of the use of the contraceptive Norplant in Rio de Janeiro, Brazil Avaliação do anticoncepcional Norplant no Município do Rio de Janeiro, RJ (Brasil) Anticoncepcionais femininos^i1^sefeitos adverAnticoncepção^i1^smétoEstudos de avaliaçãoRiscoContraceptive agentsfemale^i2^sadverse effeContraception^i2^smethEvaluation studiesRisk Anticonceptional methods for long-term have been searched for in many places. Norplant is one such, based on the use levonorgestrel capsules which introduced into women's arms, produce a daily secretion of hormones and have from two to five years' effect. It is produced under license from the Population Council and industrialised by Leiras Pharmaceutical. It has been used in Thailand, Egypt, Indonesia, Sweden, Denmark and Brazil. It is assessed the results of this method in Rio de Janeiro, where 175 Norplant users were interviewed at home, and their answers compared with those of two control groups (levonorgestrel pill-users and no-hormonal methods-users). The results show increased relative risks in Norplant users in menstrual disorders, hypertension, severe weight disturbances and hypertrichoses, all of them of statistical significance. Other non-statistical findings were angina pectoris, hypertensive encephalopaty, acne and duodenites. Some severe symptoms like headaches and behavioural disturbances were mentioned and these disappeared after the capsules had been withdrawn. It is discussed the relevance of all the side-effects in women who decided to interrupt the use of Norplant. In these cases follow-up measures are needed, in view of the fact that hemorrhage, marked weight gain and difficulties in pregnancy may developed. Métodos anticoncepcionais para longo tempo de uso têm sido buscados em vários lugares. O método Norplant é um deles, baseado em cápsulas de levonorgestrel introduzidas no braço das mulheres, através da liberação hormonal diária com efeito de dois a cinco anos. Norplant é produzido sob licença do "Population Council" e industrializado por "Leiras Pharmaceuticals", tendo sido usado na Tailândia, Egito, Indonésia, Suécia, Dinamarca e Brasil. Avaliam-se os resultados deste método, no Município do Rio de Janeiro (Brasil), onde 175 usuárias de Norplant foram entrevistadas em suas casas, e as respostas comparadas com dois grupos-controle (usuárias de pílulas à base de levonorgestrel e usuárias de métodos não-hormonais). Os resultados mostram aumento dos riscos relativos das usuárias de Norplant para desordens menstruais, hipertensão, graves distúrbios de peso e hipertricose, todos estes estatisticamente significantes. Outros achados não significantes foram angina pectoris, encefalopatia hipertensiva, acne e duodenite. Alguns sintomas graves como cefaléia e alterações de comportamento foram mencionados e desapareceram após a retirada das cápsulas. É discutida a relevância de todos os efeitos colaterais em mulheres que decidiram interromper o uso do Norplant. Nestes casos, as medidas de acompanhamento são necessárias, uma vez que hemorragia, ganho de peso acentuado e dificuldades na gravidez podem se desenvolver. Universidade de São Paulo. Faculdade de Saúde Pública1987-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/rsp/article/view/2346110.1590/S0034-89101987000600008Revista de Saúde Pública; Vol. 21 No. 6 (1987); 513-522 Revista de Saúde Pública; Vol. 21 Núm. 6 (1987); 513-522 Revista de Saúde Pública; v. 21 n. 6 (1987); 513-522 1518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPporhttps://www.revistas.usp.br/rsp/article/view/23461/25498Copyright (c) 2017 Revista de Saúde Públicainfo:eu-repo/semantics/openAccessKoifman, SérgioPaes, Sezisnando José PrimoOliveira, Denize PaulaVianna, Nilzete FerreiraGiovanini, Maria EdeaCastro, Maria Luiza Oliveira deMota, Laine GalvãoPoyares, Jovina Amália MoraesGomes, Fátima Meireles PereiraCastro, Ana Maria Monteiro de2012-05-28T16:33:10Zoai:revistas.usp.br:article/23461Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2012-05-28T16:33:10Revista de Saúde Pública - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
An assessment of the use of the contraceptive Norplant in Rio de Janeiro, Brazil Avaliação do anticoncepcional Norplant no Município do Rio de Janeiro, RJ (Brasil) |
title |
An assessment of the use of the contraceptive Norplant in Rio de Janeiro, Brazil |
spellingShingle |
An assessment of the use of the contraceptive Norplant in Rio de Janeiro, Brazil Koifman, Sérgio Anticoncepcionais femininos^i1^sefeitos adver Anticoncepção^i1^sméto Estudos de avaliação Risco Contraceptive agents female^i2^sadverse effe Contraception^i2^smeth Evaluation studies Risk |
title_short |
An assessment of the use of the contraceptive Norplant in Rio de Janeiro, Brazil |
title_full |
An assessment of the use of the contraceptive Norplant in Rio de Janeiro, Brazil |
title_fullStr |
An assessment of the use of the contraceptive Norplant in Rio de Janeiro, Brazil |
title_full_unstemmed |
An assessment of the use of the contraceptive Norplant in Rio de Janeiro, Brazil |
title_sort |
An assessment of the use of the contraceptive Norplant in Rio de Janeiro, Brazil |
author |
Koifman, Sérgio |
author_facet |
Koifman, Sérgio Paes, Sezisnando José Primo Oliveira, Denize Paula Vianna, Nilzete Ferreira Giovanini, Maria Edea Castro, Maria Luiza Oliveira de Mota, Laine Galvão Poyares, Jovina Amália Moraes Gomes, Fátima Meireles Pereira Castro, Ana Maria Monteiro de |
author_role |
author |
author2 |
Paes, Sezisnando José Primo Oliveira, Denize Paula Vianna, Nilzete Ferreira Giovanini, Maria Edea Castro, Maria Luiza Oliveira de Mota, Laine Galvão Poyares, Jovina Amália Moraes Gomes, Fátima Meireles Pereira Castro, Ana Maria Monteiro de |
author2_role |
author author author author author author author author author |
dc.contributor.author.fl_str_mv |
Koifman, Sérgio Paes, Sezisnando José Primo Oliveira, Denize Paula Vianna, Nilzete Ferreira Giovanini, Maria Edea Castro, Maria Luiza Oliveira de Mota, Laine Galvão Poyares, Jovina Amália Moraes Gomes, Fátima Meireles Pereira Castro, Ana Maria Monteiro de |
dc.subject.por.fl_str_mv |
Anticoncepcionais femininos^i1^sefeitos adver Anticoncepção^i1^sméto Estudos de avaliação Risco Contraceptive agents female^i2^sadverse effe Contraception^i2^smeth Evaluation studies Risk |
topic |
Anticoncepcionais femininos^i1^sefeitos adver Anticoncepção^i1^sméto Estudos de avaliação Risco Contraceptive agents female^i2^sadverse effe Contraception^i2^smeth Evaluation studies Risk |
description |
Anticonceptional methods for long-term have been searched for in many places. Norplant is one such, based on the use levonorgestrel capsules which introduced into women's arms, produce a daily secretion of hormones and have from two to five years' effect. It is produced under license from the Population Council and industrialised by Leiras Pharmaceutical. It has been used in Thailand, Egypt, Indonesia, Sweden, Denmark and Brazil. It is assessed the results of this method in Rio de Janeiro, where 175 Norplant users were interviewed at home, and their answers compared with those of two control groups (levonorgestrel pill-users and no-hormonal methods-users). The results show increased relative risks in Norplant users in menstrual disorders, hypertension, severe weight disturbances and hypertrichoses, all of them of statistical significance. Other non-statistical findings were angina pectoris, hypertensive encephalopaty, acne and duodenites. Some severe symptoms like headaches and behavioural disturbances were mentioned and these disappeared after the capsules had been withdrawn. It is discussed the relevance of all the side-effects in women who decided to interrupt the use of Norplant. In these cases follow-up measures are needed, in view of the fact that hemorrhage, marked weight gain and difficulties in pregnancy may developed. |
publishDate |
1987 |
dc.date.none.fl_str_mv |
1987-12-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/rsp/article/view/23461 10.1590/S0034-89101987000600008 |
url |
https://www.revistas.usp.br/rsp/article/view/23461 |
identifier_str_mv |
10.1590/S0034-89101987000600008 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/rsp/article/view/23461/25498 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2017 Revista de Saúde Pública info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2017 Revista de Saúde Pública |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
dc.source.none.fl_str_mv |
Revista de Saúde Pública; Vol. 21 No. 6 (1987); 513-522 Revista de Saúde Pública; Vol. 21 Núm. 6 (1987); 513-522 Revista de Saúde Pública; v. 21 n. 6 (1987); 513-522 1518-8787 0034-8910 reponame:Revista de Saúde Pública instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Revista de Saúde Pública |
collection |
Revista de Saúde Pública |
repository.name.fl_str_mv |
Revista de Saúde Pública - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
revsp@org.usp.br||revsp1@usp.br |
_version_ |
1800221766473220096 |