POSTPARTUM LONG-ACTING REVERSIBLE CONTRACEPTION IN ADOLESCENCE – WHAT MATTERS?
ESC Congress Library. Correia L. 05/28/14; 50576; A-161
Dr. Lúcia Correia
Dr. Lúcia Correia
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Abstract
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 Objective: To evaluate which variables influence the choice of postpartum long-acting reversible contraception (LARC) in adolescence.


Method: Five-year retrospective study of adolescents with a recent delivery in a university tertiary hospital in Portugal capital city. All teenagers were followed at the hospital's adolescent outpatient unit, by the same multidisciplinary team, during pregnancy and in the postpartum period. Contraceptive counselling was systematically done by the same health professionals and all contraceptive methods were available and free of charge.


Clinical files were reviewed and only those with information about contraceptive choices in the first postpartum evaluation were included.


Age, ethnicity, education level, profession, marital status, contraceptive use, parity, pregnancy planning and type of delivery were evaluated and compare between two groups: group 1 - teenagers who chose postpartum LARC methods and group 2 - those who didn't.


Nonparametric tests were applied for mutual comparison of continuous variables and Qui-square - exact Fisher test to categorical variables. For parameters with p-value <0.05, odds ratio (OR) - 95% Confidence Interval (CI) was calculated.


Results: 187 adolescents were included and 131 (70.1%) chose postpartum LARC. The implant was the method chosen in 93% of the cases.


LARC methods were preferred by non-white teenagers [OR: 2.171 (95% CI - 1.081 to 4.360), p-value: 0.029], those with lower education level (inferior or equal to 9th degree) [OR: 2.325 (95% CI - 1.127 to 4.798), p-value: 0.022], married or living with a partner [OR: 2.552 (95% CI - 1.057 to 6.162), p-value: 0.037] and with an intended pregnancy [OR: 2.773 (95% IC - 1.011 to 7.606), p-value: 0.048].


No differences were identified between groups regarding age, profession, previous contraceptive use, parity and type of delivery.


Conclusions: We have a high rate of postpartum LARC, with intradermal implant being the most frequently chosen method.


In our study ethnicity, education level, marital status and pregnancy planning were the main variables influencing postpartum LARC choice in adolescence.

 Objective: To evaluate which variables influence the choice of postpartum long-acting reversible contraception (LARC) in adolescence.


Method: Five-year retrospective study of adolescents with a recent delivery in a university tertiary hospital in Portugal capital city. All teenagers were followed at the hospital's adolescent outpatient unit, by the same multidisciplinary team, during pregnancy and in the postpartum period. Contraceptive counselling was systematically done by the same health professionals and all contraceptive methods were available and free of charge.


Clinical files were reviewed and only those with information about contraceptive choices in the first postpartum evaluation were included.


Age, ethnicity, education level, profession, marital status, contraceptive use, parity, pregnancy planning and type of delivery were evaluated and compare between two groups: group 1 - teenagers who chose postpartum LARC methods and group 2 - those who didn't.


Nonparametric tests were applied for mutual comparison of continuous variables and Qui-square - exact Fisher test to categorical variables. For parameters with p-value <0.05, odds ratio (OR) - 95% Confidence Interval (CI) was calculated.


Results: 187 adolescents were included and 131 (70.1%) chose postpartum LARC. The implant was the method chosen in 93% of the cases.


LARC methods were preferred by non-white teenagers [OR: 2.171 (95% CI - 1.081 to 4.360), p-value: 0.029], those with lower education level (inferior or equal to 9th degree) [OR: 2.325 (95% CI - 1.127 to 4.798), p-value: 0.022], married or living with a partner [OR: 2.552 (95% CI - 1.057 to 6.162), p-value: 0.037] and with an intended pregnancy [OR: 2.773 (95% IC - 1.011 to 7.606), p-value: 0.048].


No differences were identified between groups regarding age, profession, previous contraceptive use, parity and type of delivery.


Conclusions: We have a high rate of postpartum LARC, with intradermal implant being the most frequently chosen method.


In our study ethnicity, education level, marital status and pregnancy planning were the main variables influencing postpartum LARC choice in adolescence.

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