Abstract
Between January 1992 and January 1993, there were 280 teens (ages 13-18) who either delivered a baby or terminated a pregnancy at Johns Hopkins Bayview Medical Center. Of these, 92 chose to contracept with Norplant implants, and 188 chose another method including "no" method. In July 1993, telephone interviews were conducted with 37 of those who chose Norplant implants and 41 of the non-Norplant implants users. After 1 year, 47% of oral contraceptive (COC) users had discontinued the method compared to only 16% of Norplant implants users (P <0.03). Reasons for discontinuation centered on side effects for both groups but with some COC and condom users, discontinuing use due to "forgetfulness" or failure (pregnancy). Among the COC group (which was the most common choice after Norplant implant), 25% of the adolescents had experienced a subsequent unplanned pregnancy compared to 0% of the Norplant implant group (P <0.01). Norplant implants were clearly an acceptable and effective contraceptive for these post-partum and post-abortal teens, who articulated a high motivation to avoid a subsequent unplanned pregnancy. However, it is clearly not the only method teens will choose to use, and more attention must be paid to adequate counseling of those choosing another method.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 451-460 |
| Number of pages | 10 |
| Journal | Contraception |
| Volume | 50 |
| Issue number | 5 |
| DOIs | |
| State | Published - 1994 |
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Keywords
- Adolescents
- contraception
- post-abortion
- post-partum
ASJC Scopus subject areas
- Medicine(all)
- Obstetrics and Gynecology
Cite this
Contraceptive outcomes among post-partum and post-abortal adolescents. / Blumenthal, Paul D.; Wilson, Lucy E.; Remsburg, Robin E.; Cullins, Vanessa E.; Huggins, George R.
In: Contraception, Vol. 50, No. 5, 1994, p. 451-460.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Contraceptive outcomes among post-partum and post-abortal adolescents
AU - Blumenthal, Paul D.
AU - Wilson, Lucy E.
AU - Remsburg, Robin E.
AU - Cullins, Vanessa E.
AU - Huggins, George R.
PY - 1994
Y1 - 1994
N2 - Between January 1992 and January 1993, there were 280 teens (ages 13-18) who either delivered a baby or terminated a pregnancy at Johns Hopkins Bayview Medical Center. Of these, 92 chose to contracept with Norplant implants, and 188 chose another method including "no" method. In July 1993, telephone interviews were conducted with 37 of those who chose Norplant implants and 41 of the non-Norplant implants users. After 1 year, 47% of oral contraceptive (COC) users had discontinued the method compared to only 16% of Norplant implants users (P <0.03). Reasons for discontinuation centered on side effects for both groups but with some COC and condom users, discontinuing use due to "forgetfulness" or failure (pregnancy). Among the COC group (which was the most common choice after Norplant implant), 25% of the adolescents had experienced a subsequent unplanned pregnancy compared to 0% of the Norplant implant group (P <0.01). Norplant implants were clearly an acceptable and effective contraceptive for these post-partum and post-abortal teens, who articulated a high motivation to avoid a subsequent unplanned pregnancy. However, it is clearly not the only method teens will choose to use, and more attention must be paid to adequate counseling of those choosing another method.
AB - Between January 1992 and January 1993, there were 280 teens (ages 13-18) who either delivered a baby or terminated a pregnancy at Johns Hopkins Bayview Medical Center. Of these, 92 chose to contracept with Norplant implants, and 188 chose another method including "no" method. In July 1993, telephone interviews were conducted with 37 of those who chose Norplant implants and 41 of the non-Norplant implants users. After 1 year, 47% of oral contraceptive (COC) users had discontinued the method compared to only 16% of Norplant implants users (P <0.03). Reasons for discontinuation centered on side effects for both groups but with some COC and condom users, discontinuing use due to "forgetfulness" or failure (pregnancy). Among the COC group (which was the most common choice after Norplant implant), 25% of the adolescents had experienced a subsequent unplanned pregnancy compared to 0% of the Norplant implant group (P <0.01). Norplant implants were clearly an acceptable and effective contraceptive for these post-partum and post-abortal teens, who articulated a high motivation to avoid a subsequent unplanned pregnancy. However, it is clearly not the only method teens will choose to use, and more attention must be paid to adequate counseling of those choosing another method.
KW - Adolescents
KW - contraception
KW - post-abortion
KW - post-partum
UR - http://www.scopus.com/inward/record.url?scp=0028172366&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0028172366&partnerID=8YFLogxK
U2 - 10.1016/0010-7824(94)90062-0
DO - 10.1016/0010-7824(94)90062-0
M3 - Article
C2 - 7859454
AN - SCOPUS:0028172366
VL - 50
SP - 451
EP - 460
JO - Contraception
JF - Contraception
SN - 0010-7824
IS - 5
ER -