Adolescent satisfaction with postpartum contraception and body weight concerns.
J Adolesc Health
; 22(6): 446-52, 1998 Jun.
Article
en En
| MEDLINE
| ID: mdl-9627814
ABSTRACT
PIP: Factors having a potential effect on adolescents' use of and satisfaction with postpartum contraceptive methods were assessed in three focus groups involving 22 adolescent mothers of an infant under 12 months of age recruited from a Minnesota (US) clinic specializing in the prenatal and postpartum care of adolescent women. The average age of study participants was 17 years (range, 13-19 years). All adolescents chose to use contraception after delivery. 16 (73%) were using Depo-Provera, 3 were using oral contraceptives, and 3 were using condoms/foam. Most Depo-Provera users made their decision to accept this method with their prenatal care provider during pregnancy. Many had taken the pill at some point, but reported it was hard for them to take it every day. Despite concerns about side effects (especially increased hunger/weight gain and irregular menstrual bleeding), adolescent Depo-Provera acceptors preferred this method because it did not require daily compliance. 16 women (73%) considered themselves overweight, and they attributed this to both their pregnancy weight gain and their contraceptive method. Skepticism regarding their ability to lose weight through healthy eating and exercise was widespread. However, the desire to prevent another pregnancy through use of an effective method such as Depo-Provera was stronger than the desire to return to one's pre-pregnancy body weight. Overall, these adolescent mothers seemed resigned about their inability as a result of the demands of motherhood to resolve their malaise, fatigue, and sense of not being physically fit. These findings suggest a need for effective weight management and health-promoting programs for adolescent mothers that take into account their multiple role demands and generally limited financial resources.
Palabras clave
Adolescent Pregnancy; Adolescents; Adolescents, Female; Age Factors; Americas; Behavior; Biology; Body Weight; Contraception; Contraceptive Agents, Female--side effects; Contraceptive Agents, Progestin--side effects; Contraceptive Agents--side effects; Contraceptive Usage; Data Collection; Demographic Factors; Depo-provera--side effects; Developed Countries; Family Planning; Family Planning Programs; Fertility; Focus Groups; Medroxyprogesterone Acetate--side effects; Minnesota; North America; Northern America; Physiology; Population; Population Characteristics; Population Dynamics; Postpartum Programs; Postpartum Women; Psychological Factors; Puerperium; Reproduction; Reproductive Behavior; Research Methodology; Research Report; Satisfaction; United States; Youth
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Embarazo en Adolescencia
/
Imagen Corporal
/
Satisfacción del Paciente
/
Acetato de Medroxiprogesterona
/
Anticonceptivos Femeninos
Tipo de estudio:
Prognostic_studies
/
Qualitative_research
Límite:
Adolescent
/
Adult
/
Female
/
Humans
/
Male
/
Pregnancy
Idioma:
En
Revista:
J Adolesc Health
Asunto de la revista:
PEDIATRIA
Año:
1998
Tipo del documento:
Article
País de afiliación:
Estados Unidos
Pais de publicación:
Estados Unidos