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Published on: January 12, 2018
Factors influencing uptake of intrauterine devices among postpartum adolescents: a qualitative study
Melissa R S Weston1, Summer L Martins, Amy B Neustadt
1Division of Family Planning and Contraceptive Research, Department of Obstetrics and Gynecology, Pritzker School of Medicine, University of Chicago, IL 60637, USA.
Objective:
We assessed barriers and facilitators to uptake of the intrauterine device (IUD) among primiparous African American adolescent mothers.
Study Design:
Twenty participants who expressed IUD desire completed 4-5 qualitative interviews during the first postpartum year as part of a larger longitudinal study. Transcripts were analyzed for salient themes using a grounded theory approach to content analysis.
Results:
Twelve participants did not obtain IUDs and instead used condoms, used no method, or intermittently used hormonal methods, resulting in 3 repeat pregnancies. Outdated IUD eligibility requirements, long wait times, lack of insurance coverage, and fear of IUD-related side effects precluded or delayed uptake. Facilitators to IUD uptake included strong recommendations from providers or family members, planning for IUD during pregnancy, and perceived reproductive autonomy.
Conclusion:
Postpartum adolescents may reduce their risk of rapid repeat pregnancy by using IUDs. Providers and members of adolescents' support networks can be instrumental in method adoption.
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