Contraceptive Choices Pre and Post Pregnancy in Adolescence

Correia, Luciano Lima; Martins, Isabel; Oliveira, Natacha; Antunes, Isabel; Palma, Fátima; Alves, Maria José

doi:10.1016/j.jpag.2014.02.004

Cited by 15 publications

(9 citation statements)

References 10 publications

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“…ALWHIV in our study had a rate of unintended pregnancy consistent with the prevalence previously documented in seronegative adolescents in high resource settings. [30][31][32][33] In prior studies, ALWHIV reported an intent to have children, but generally desire to avoid pregnancy until later. 34 Improving timing of pregnancy in ALWHIV consequently remains an important target.…”

Section: Discussionmentioning

confidence: 99%

Pregnancy in an Urban Cohort of Adolescents Living with Human Immunodeficiency Virus: Characteristics and Outcomes in Comparison to Adults

Murphy

Keller

Argani

et al. 2021

AIDS Patient Care and STDs

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Adolescents (13-24 years of age) account for more than one-fifth of new HIV diagnoses yearly, and the United States has one of the highest rates of adolescent pregnancy among high resource countries. However, there is limited information on the characteristics and outcomes of adolescents living with HIV (ALWHIV) during pregnancy and differences with pregnancy in adults living with HIV. We performed a retrospective cohort study to compare demographic characteristics, HIV viral suppression, and pregnancy outcomes in adolescents (n = 90) as compared with adults (n = 250) in an urban HIV pregnancy clinic from 2003 to 2015. Seventy-one women overall were diagnosed with HIV during pregnancy (adolescents, 25/90; adults, 46/250). One-fifth of adolescents acquired HIV perinatally. Adolescents were more likely than adults to have unintended pregnancy (83.6% vs. 68.7%, p = 0.016) and were less likely to be virally suppressed at delivery (50.0% vs. 69.7% overall, p = 0.001; 48.0% vs. 78.2% in postuniversal antiretroviral therapy era, p = 0.007%). Over one-third of adolescents reported a history of any illicit substance use, and adolescents were more likely than adults to use marijuana during pregnancy (29.2% vs. 16.9%, p = 0.013). Adolescents were less likely to experience preterm labor (11.0% vs. 24.1%, p = 0.012) or preterm premature rupture of membranes (3.7% vs. 16.7%, p = 0.003). There was one case of maternal-fetal transmission, which occurred in an adult pregnancy. Despite the high rate of unintended pregnancy, one-third of adolescents were discharged without an identified contraception plan. We identify several opportunities for intervention to improve reproductive health outcomes in ALWHIV.

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Section: Discussionmentioning

confidence: 99%

Pregnancy in an Urban Cohort of Adolescents Living with Human Immunodeficiency Virus: Characteristics and Outcomes in Comparison to Adults

Murphy

Keller

Argani

et al. 2021

AIDS Patient Care and STDs

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“…11 Contraceptive use among adolescents is still a complicated issue in many settings; 12,13 nevertheless, it is well-established that LARC methods are the best contraceptive choice to avoid unplanned pregnancy. [12][13][14] LARCs promote similar efficacy between typical and perfect use with only one intervention. 8,13,15 The postpartum period is an excellent opportunity to initiate contraception because, at this moment, women are motivated to avoid a new pregnancy.…”

Section: Discussionmentioning

confidence: 99%

Empowering Adolescent Mothers in the Choice of Contraceptive Methods at the Postpartum Period: Avoiding a Subsequent Pregnancy

Borovac-Pinheiro

Jesus

Surita

2019

Rev Bras Ginecol Obstet

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Objective Almost 80% of adolescent pregnancies are unplanned, and between 28 and 63% of adolescent mothers had a repeated pregnancy within 18 months. Among girls with repeated pregnancies, two-thirds reported that the pregnancy was unplanned. We aim to assess contraceptive use by adolescent mothers with increasing choice for long-acting reversible contraception (LARC) methods in postpartum consultation after a semistructured group intervention involving adolescent mothers. Methods Retrospective observational study conducted at the Universidade Estadual de Campinas, Campinas, state of São Paulo, Brazil, involving new antenatal and postpartum education groups for adolescents. At postpartum consultations, the adolescents chose their contraceptive. The data was compared with previous series followed in a period before the implementation of the education group – a historical control group. Results We included 129 adolescent after childbirth from January 1st, 2015 through July 31st, 2017. Out of this total, 63% had ever used contraceptive methods before pregnancy, and the most frequent method was combined oral contraceptives (33%) followed by condoms (21%). At the first postpartum consultation, the most common contraceptive chosen was intrauterine contraception (IUC) (37.2%) and depot-medroxyprogesterone acetate (DMPA) (34.1%). When comparing the rates before and after the education interventions, there was a 3-fold increase in the use of IUCs. Conclusion Antenatal and postpartum education have shown a significant increase in the choice for LARC methods among adolescent mothers, with very high acceptability after a period using the method. The educational groups performed during the antenatal care and beyond the gestational period are easy to be applied worldwide with low dependence on funding.

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“…The causes of early marriage in Indonesia are influenced by many factors, including: low education, economic needs, young marriage culture, arranged marriages, premarital sex in adolescents, and religious understanding [10], [11]. Adolescents who marry early have several characteristics, including low levels of education or dropped-out of school, 15-16-year average age at marriage, and being economically under the responsibility of their parents [12], [13].…”

Section: Introductionmentioning

confidence: 99%

The Factors That Cause Early Marriage and the Impact on the Psychology of Couples in Rural Areas

Ernawati¹,

Mas’udah²,

Setiawan³

et al. 2023

Proceedings of the 3rd Borobudur International Symposium on Humanities and Social Science 2021 (BIS-HSS 2021)

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Early marriage is a global problem that has an impact on maternal and infant morbidity and mortality. The number of early marriages in Indonesia is increasing. The rate of early marriage in Ponorogo reaches 100%. The purpose of this study was to determine the factors that cause early marriage and its impact on psychology. This study used a crosssectional design with a sample unit of 75 families of early married couples. The samples came from 3 sub-districts in the Ponorogo district, namely Sawoo, Ngrayun, and Pulung. The variables studied consisted of the dependent variable, namely the psychology of the couple, and the independent variable, namely the reason for marriage. The confounding variables are husband's age, wife's age, husband's education, and wife's education. The analysis used is logistic regression. The results show that there is no relationship between the reasons for getting married to the psychological condition of the couple. This happens because early marriage in rural areas has become commonplace so that psychological conditions with various reasons for marriage have the same psychological impact.

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Contraceptive Choices Pre and Post Pregnancy in Adolescence

Cited by 15 publications

References 10 publications

Pregnancy in an Urban Cohort of Adolescents Living with Human Immunodeficiency Virus: Characteristics and Outcomes in Comparison to Adults

Pregnancy in an Urban Cohort of Adolescents Living with Human Immunodeficiency Virus: Characteristics and Outcomes in Comparison to Adults

Empowering Adolescent Mothers in the Choice of Contraceptive Methods at the Postpartum Period: Avoiding a Subsequent Pregnancy

The Factors That Cause Early Marriage and the Impact on the Psychology of Couples in Rural Areas

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