Contraceptive choices pre and post pregnancy in adolescence.
J Pediatr Adolesc Gynecol
; 28(1): 24-28, 2015 Feb.
Article
in En
| MEDLINE
| ID: mdl-25444052
ABSTRACT
STUDY OBJECTIVE:
The main aim of this study is to evaluate the impact of adolescent pregnancy in the future contraceptive choices. A secondary aim is to verify whether these choices differ from those made after an abortion.DESIGN:
Retrospective study.SETTING:
Adolescent Unit of a tertiary care center.PARTICIPANTS:
212 pregnant teenagers.INTERVENTIONS:
Medical records review. MAIN OUTCOMEMEASURES:
Intended pregnancy rate and contraceptive methods used before and after pregnancy. For contraceptive choices after pregnancy we considered Group 1--teenagers who continued their pregnancy to delivery (n = 106) and Group 2--the same number of adolescents who chose to terminate their pregnancy.RESULTS:
The intended pregnancy rate was 14.2%. Prior to a pregnancy continued to delivery, the most widely used contraceptive method was the male condom (50.9%), followed by oral combined contraceptives (28.3%); 18.9% of adolescents were not using any contraceptive method. After pregnancy, contraceptive implant was chosen by 70.8% of subjects (P < .001) and the oral combined contraceptives remained the second most frequent option (17.9%, P = .058). Comparing these results with Group 2, we found that the outcome of the pregnancy was the main factor in the choices that were made. Thus, after a pregnancy continued to delivery, adolescents prefer the use of LARC [78.4% vs 40.5%, OR 5,958 - 95% (2.914-12.181), P < .001)], especially contraceptive implants [70.8% vs 38.7%, OR 4.371 - 95% (2.224-8.591), P < .001], to oral combined contraceptives [17.9% vs 57.5%, OR 0.118 - 95% CI (0.054-0.258), P < .001].CONCLUSION:
Adolescent pregnancy and its outcome constitute a factor of change in future contraceptive choice.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Pregnancy in Adolescence
/
Choice Behavior
/
Contraception
/
Contraception Behavior
Type of study:
Observational_studies
Limits:
Adolescent
/
Female
/
Humans
/
Male
/
Pregnancy
Language:
En
Journal:
J Pediatr Adolesc Gynecol
Journal subject:
GINECOLOGIA
/
PEDIATRIA
Year:
2015
Document type:
Article