Abstract
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. 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. 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. 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.
Highlights
The United Nations Sustained Development Goals aims to promote good health and well-being, quality education, gender equality, and to reduce inequalities—among other actions —to ensure prosperity for all.[1]
Antenatal and postpartum education have shown a significant increase in the choice for long-acting reversible contraception (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
Summary
The United Nations Sustained Development Goals aims to promote good health and well-being, quality education, gender equality, and to reduce inequalities—among other actions —to ensure prosperity for all.[1]. In Brazil, this rate is 60.8/1,000, while in developed countries the rate is < 25/1,000.4 In 2016 in Brazil, one in five babies was born from adolescent girls and, to other Latin American countries, Brazil has the highest number of pregnancies in adolescent girls under 14 years old.[5]
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callMore From: Revista Brasileira de Ginecologia e Obstetrícia / RBGO Gynecology and Obstetrics
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
