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Contraceptive choices pre and post pregnancy in adolescence
L Correia1, I Martins1, N Oliveira1
1Adolescence Unit of Maternity Dr. Alfredo da Costa - Centro Hospitalar de Lisboa Central, Lisbon, Portugal.
Journal of Pediatric and Adolescent Gynecology
|December 3, 2014
Summary
Adolescent pregnancy significantly impacts future contraceptive choices. Teenagers who carry a pregnancy to term are more likely to opt for long-acting reversible contraceptives (LARCs) compared to those who terminate their pregnancy.
Area of Science:
- Reproductive Health
- Adolescent Medicine
- Contraception
Background:
- Adolescent pregnancy presents unique challenges in reproductive healthcare.
- Understanding contraceptive choices post-pregnancy is crucial for preventing unintended pregnancies.
Purpose of the Study:
- To evaluate how adolescent pregnancy influences future contraceptive decisions.
- To compare contraceptive choices between adolescents who continued a pregnancy versus those who had an abortion.
Main Methods:
- Retrospective study involving 212 pregnant teenagers at a tertiary care center.
- Medical records were reviewed to analyze intended pregnancy rates and contraceptive methods.
- Comparison between two groups: those who continued pregnancy (n=106) and those who terminated (n=106).
Main Results:
- The intended pregnancy rate was 14.2%.
- After pregnancy, contraceptive implant use increased significantly (70.8%) compared to pre-pregnancy rates.
- Adolescents who continued their pregnancy showed a strong preference for long-acting reversible contraceptives (LARCs) (78.4%) over oral contraceptives, unlike those who terminated their pregnancy.
Conclusions:
- The outcome of an adolescent pregnancy is a significant factor influencing subsequent contraceptive choices.
- Adolescents who carry a pregnancy to term are more likely to adopt LARCs, particularly implants, for future contraception.
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