Abstract
Aim:We aimed to evaluate the postpartum contraception preferences of adolescent women in this study.Material and Method:This descriptive study was prepared after a retrospective analysis of file records of primigravida women who had given birth at the Adiyaman University School of Medicine Training and Research Hospital Department of Obstetric and Gynecology between January 2010 and June 2012. More than 12 months had passed after birth. The adolescents who were included in the study and the control group women were called by phone and invited to our clinic. A total of 506 adolescents and 1,046 control group women came to the clinic and were evaluated. The control group was formed of women between the age of 20-35 years who gave given birth in our clinic during the same period and were randomly selected. Postpartum obstetric history, contraception methods and data of these patients were recorded.Results:The mean age was 18.3±0.4 years and 28.2±4.9 years in the adolescent group and control group respectively. No contraception other than lactation amenorrhea was used by 256 women of the adolescent group (50.6%) and 345 women of the control group (33%). The most commonly used contraceptive method in both groups other than lactation amenorrhea was condoms (160 women (64%) and 230 women (32.8%) respectively). The annual contraceptive failure rate was 3.95% in the adolescent group and 1.72% in the control group. The highest failure rate was with lactation amenorrhea in both groups.Discussion:Adolescent women mostly use contraceptive methods with low reliability such as lactation amenorrhea and the calendar method in the postpartum period. Providing adequate contraceptive education is therefore important. On the other hand, starting such training starting in the early postnatal period will prevent recurring adolescent pregnancies with a short pregnancy interval.
Highlights
Improvements in birth control methods and access to relevant information in the last 20 years have contributed to the decrease of unintended pregnancies and consequent maternal and fetal complications in Turkey (Turkey Demographic and Health Survey, 2008)
Aim: We aimed to evaluate the postpartum contraception preferences of adolescent women in this study
No contraception other than lactation amenorrhea was used by 256 women of the adolescent group (50.6%) and 345 women of the control group (33%)
Summary
Improvements in birth control methods and access to relevant information in the last 20 years have contributed to the decrease of unintended pregnancies and consequent maternal and fetal complications in Turkey (Turkey Demographic and Health Survey, 2008). Contraception is especially significant for the adolescent age group and the postpartum period in all women. The number of studies on adolescent women's postpartum contraception preferences as related to these subjects is inadequate. The rate of adolescent pregnancies in developing countries is still very high compared with the rate in developed countries. This difference may be due to the lack of information on postpartum contraception knowledge in the adolescent age group. Contraceptive education for adolescent women may decrease the rate of postpartum unintended pregnancies. We aimed to evaluate the postpartum contraception preferences and their efficiency in adolescents in our study
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