Publication
Contraceptive Choices Pre and Post Pregnancy in Adolescence
| dc.contributor.author | Correia, L | |
| dc.contributor.author | Martins, I | |
| dc.contributor.author | Oliveira, N | |
| dc.contributor.author | Antunes, I | |
| dc.contributor.author | Palma, F | |
| dc.contributor.author | Alves, MJ | |
| dc.date.accessioned | 2015-02-04T12:19:27Z | |
| dc.date.available | 2015-02-04T12:19:27Z | |
| dc.date.issued | 2015 | |
| dc.description.abstract | STUDY OBJECTIVE: The main aim of this study is to evaluate the impact of adolescent pregnancy in the future contraceptive choices. A secondary aim is to verify whether these choices differ from those made after an abortion. DESIGN: Retrospective study. SETTING:Adolescent Unit of a tertiary care center. PARTICIPANTS:212 pregnant teenagers. INTERVENTIONS: Medical records review. MAIN OUTCOME MEASURES:Intended pregnancy rate and contraceptive methods used before and after pregnancy. For contraceptive choices after pregnancy we considered: Group 1 - teenagers who continued their pregnancy to delivery (n = 106) and Group 2 - the same number of adolescents who chose to terminate their pregnancy. RESULTS: The intended pregnancy rate was 14.2%. Prior to a pregnancy continued to delivery, the most widely used contraceptive method was the male condom (50.9%), followed by oral combined contraceptives (28.3%); 18.9% of adolescents were not using any contraceptive method. After pregnancy, contraceptive implant was chosen by 70.8% of subjects (P < .001) and the oral combined contraceptives remained the second most frequent option (17.9%, P = .058). Comparing these results with Group 2, we found that the outcome of the pregnancy was the main factor in the choices that were made. Thus, after a pregnancy continued to delivery, adolescents prefer the use of LARC [78.4% vs 40.5%, OR: 5,958 - 95% (2.914-12.181), P < .001)], especially contraceptive implants [70.8% vs 38.7%, OR: 4.371 - 95% (2.224-8.591), P < .001], to oral combined contraceptives [17.9% vs 57.5%, OR: 0.118 - 95% CI (0.054-0.258), P < .001]. CONCLUSION:Adolescent pregnancy and its outcome constitute a factor of change in future contraceptive choice. | por |
| dc.identifier.citation | J Pediatr Adolesc Gynecol. 2015 Feb;28(1):24-8 | por |
| dc.identifier.uri | http://hdl.handle.net/10400.17/1995 | |
| dc.language.iso | eng | por |
| dc.peerreviewed | yes | por |
| dc.publisher | Elsevier | por |
| dc.subject | MAC MED MAF | por |
| dc.subject | Abortion, Induced/psychology | por |
| dc.subject | Choice Behavior | por |
| dc.subject | Adolescent | por |
| dc.subject | Condoms/utilization | |
| dc.subject | Contraception/methods | |
| dc.subject | Contraception/trends | |
| dc.subject | Contraception Behavior/psychology | |
| dc.subject | Contraceptives, Oral, Combined/therapeutic use | |
| dc.subject | Postpartum Period/psychology | |
| dc.subject | Pregnancy in Adolescence/psychology | |
| dc.subject | Retrospective Studies | |
| dc.title | Contraceptive Choices Pre and Post Pregnancy in Adolescence | por |
| dc.type | journal article | |
| dspace.entity.type | Publication | |
| oaire.citation.endPage | 28 | por |
| oaire.citation.startPage | 24 | por |
| oaire.citation.title | Journal of Pediatric and Adolescent Gynecology | por |
| rcaap.rights | openAccess | por |
| rcaap.type | article | por |