Utilize este identificador para referenciar este registo: http://hdl.handle.net/10400.17/1995
Título: Contraceptive Choices Pre and Post Pregnancy in Adolescence
Autor: Correia, L
Martins, I
Oliveira, N
Antunes, I
Palma, F
Alves, MJ
Palavras-chave: MAC MED MAF
Abortion, Induced/psychology
Choice Behavior
Contraception Behavior/psychology
Contraceptives, Oral, Combined/therapeutic use
Postpartum Period/psychology
Pregnancy in Adolescence/psychology
Retrospective Studies
Data: 2015
Editora: Elsevier
Citação: J Pediatr Adolesc Gynecol. 2015 Feb;28(1):24-8
Resumo: 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.
Peer review: yes
URI: http://hdl.handle.net/10400.17/1995
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