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Clinic-Based Programs to Prevent Repeat Teen Pregnancy: A Systematic Review.

Brittni N Frederiksen1, Maria I Rivera2, Katherine A Ahrens1

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This review found few clinic-based programs effectively prevent repeat teen pregnancies. Immediate postpartum contraception and home visiting programs show promise for reducing repeat teen births.

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Area of Science:

  • Reproductive Health
  • Adolescent Health
  • Public Health Interventions

Background:

  • Repeat teen pregnancy remains a significant public health concern.
  • Effective clinical strategies are needed to support adolescents in preventing subsequent pregnancies.
  • Existing evidence on clinic-based repeat teen pregnancy prevention programs requires synthesis.

Purpose of the Study:

  • To synthesize and evaluate the evidence on the effectiveness of clinic-based repeat teen pregnancy prevention programs.
  • To identify factors that facilitate or hinder the success of these programs.
  • To inform the development of improved adolescent family planning services.

Main Methods:

  • Systematic literature search of multiple databases (January 1985-April 2016).
  • Inclusion criteria focused on clinic-based programs, repeat teen pregnancy prevention, and specific outcomes (knowledge, contraceptive use, pregnancy rates).
  • Quality assessment and evidence synthesis of included studies.

Main Results:

  • Only five studies met the criteria for clinic-based repeat teen pregnancy prevention programs.
  • Two studies reported positive effects, and two reported null effects on repeat pregnancy prevention.
  • One study identified facilitators for engaging teen mothers in services.

Conclusions:

  • Clinic-based programs for repeat teen pregnancy prevention have limited positively affecting factors.
  • Immediate postpartum contraception and home visiting programs are potential strategies to reduce repeat teen pregnancy.
  • Further research and implementation of targeted interventions are warranted.