Pregnancy in adolescence: planned or unplanned?
ESC Congress Library. Marlene A. 05/28/14; 50478; A-061
Dr. Andrade Marlene
Dr. Andrade Marlene
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Abstract
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Objectives


The majority of pregnancies in adolescent woman are unintended. Of these, most occur to women who were practicing contraception in the month they conceived. The purpose of this study is to know the number of planned/unplanned pregnancies in the group of adolescent woman that gave birth in our terciary hospital and what was the contraceptive method used before pregnancy.


Design and methods


Data related to the cases of pregnancies in women aged less than 18 (N=98) were collected between January 2011 and November 2013 in our hospital. In these cases, we assessed whether the pregnancy was planned or if it was due to a failure of contraception. In cases where the pregnancy was unplanned it was performed the collection of data across patient's records for descriptive evaluation of contraceptive methods that were used.


Results


Between January 2011 and November 2013, in our hospital, there was a total of 98 pregnancies in woman aged below 18. These cases were distributed as follows: 1 with 14 years old, 5 with 15 years old, 8 with 16 years old, 33 with 17 years old and 51 with 18 years old. Seven percent of these were planned pregnancies. Among those who had an unplanned pregnancy (93%), approximately 22% were preceded by no contraception, 28% by condom use and 50% by oral contraception. None of them had a teen repeat birth.


Conclusion


Once pregnancy in this age group is in most cases unplanned, here is once again recognized the role of primary prevention and therefore the establishment of a kind of safe and effective contraception is essential.
There is still a large percentage of adolescents without contraception (22%). Oral contraception is the contraceptive most commonly used (50%); we should take into account the importance of full compliance of adolescents, since the effectiveness of the contraceptive method is dependent on its proper use.
So we should keep in mind the importance of establishing a contraceptive method in preventing teenage pregnancy which must be effective, safe and accepted by woman.

 


Objectives


The majority of pregnancies in adolescent woman are unintended. Of these, most occur to women who were practicing contraception in the month they conceived. The purpose of this study is to know the number of planned/unplanned pregnancies in the group of adolescent woman that gave birth in our terciary hospital and what was the contraceptive method used before pregnancy.


Design and methods


Data related to the cases of pregnancies in women aged less than 18 (N=98) were collected between January 2011 and November 2013 in our hospital. In these cases, we assessed whether the pregnancy was planned or if it was due to a failure of contraception. In cases where the pregnancy was unplanned it was performed the collection of data across patient's records for descriptive evaluation of contraceptive methods that were used.


Results


Between January 2011 and November 2013, in our hospital, there was a total of 98 pregnancies in woman aged below 18. These cases were distributed as follows: 1 with 14 years old, 5 with 15 years old, 8 with 16 years old, 33 with 17 years old and 51 with 18 years old. Seven percent of these were planned pregnancies. Among those who had an unplanned pregnancy (93%), approximately 22% were preceded by no contraception, 28% by condom use and 50% by oral contraception. None of them had a teen repeat birth.


Conclusion


Once pregnancy in this age group is in most cases unplanned, here is once again recognized the role of primary prevention and therefore the establishment of a kind of safe and effective contraception is essential.
There is still a large percentage of adolescents without contraception (22%). Oral contraception is the contraceptive most commonly used (50%); we should take into account the importance of full compliance of adolescents, since the effectiveness of the contraceptive method is dependent on its proper use.
So we should keep in mind the importance of establishing a contraceptive method in preventing teenage pregnancy which must be effective, safe and accepted by woman.

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