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- W1973755369 abstract "To assess patterns and predictors of reliable and unreliable contraceptive use among adolescent mothers in the first 6 months following delivery.We surveyed 462 women, 18 years of age or younger, at delivery and again at 6 months postpartum. Contraceptive behaviors were evaluated among the 359 adolescents who stated they were sexually active and not trying to conceive.Method discontinuation and switching were common during the 6-month interval. Only 100 of 189 adolescents (53%) initially prescribed oral contraceptives were still using this method 6 months after delivery; ten of these 100 stated that they had missed at least three pills in the last cycle. Twelve (10%) of the 115 adolescents who initiated depot-medroxyprogesterone acetate failed to obtain a second injection within 4 months of the initial injection or use an alternative method. In contrast nine of the ten women who received levonorgestrel implants were still using this method 6 months after delivery. Overall, 76% of the sample reported using reliable contraception at last intercourse. Multivariate analyses identified seven factors as predictive of reliable contraceptive use: school enrollment, not having failed a grade in school, adequate support, belief that pregnancy is likely without birth control, attendance at postpartum visit, prior abortion, and the adolescent's desire to wait at least 2 years before having another child.Interventions designed to reduce rapid repeat pregnancy during the adolescent years should address emotional, financial, and educational, as well as contraceptive, needs." @default.
- W1973755369 created "2016-06-24" @default.
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- W1973755369 date "1997-06-01" @default.
- W1973755369 modified "2023-09-27" @default.
- W1973755369 title "Contraceptive use among adolescent mothers at 6 months postpartum" @default.
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- W1973755369 doi "https://doi.org/10.1016/s0029-7844(97)00123-3" @default.
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