Preventing repeat teenage pregnancyeffects of a family planning program
ESC Congress Library. Guazzelli C. May 4, 2016; 126907; A-081 Disclosure(s): NO
Prof. Dr. Cristina Guazzelli
Prof. Dr. Cristina Guazzelli
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Abstract
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ABSTRACT: The beginning of sexual activity among teenagers has been increasingly precocious, frequently causing an unplanned pregnancy. Worse than an early pregnancy is its recurrence, which presumes a series of emotional and obstetric problems. Through a descriptive and retrospective study, conducted at the Family Planning Sector from Universidade Federal de Sao Paulo, the effects of an educational and assistance program were evaluated as a result of recurrent pregnancy in adolescents..

Method - Medical records were studied, referring to adolescents with at least one pregnancy prior to registration in the program. Use of contraceptive methods, continuity rate of methods, outgoing attendances and repeat pregnancy rates were evaluated.

 

Results: Six hundred and seventy adolescents were registered in the Family Planning Program during a five-year period. Records of 147 adolescents with at least one pregnancy prior to registration were included. Fifty-two of them kept attending for more than 12 months, whereas 29 adolescents attended just the first medical appointment. The results reveal that the menarche occurred on average at 12 years-old, the first sexual intercourse on average at 14.7 years-old and the first pregnancy 1.7 years after that. By their registration in the program the most were primiparas and 2 had already had two gestations. The most used contraceptive methods were male condom and injectable combined hormones. There were 2 cases of repeat pregnancy after registration in the program. These data reinforce the importance of providing family planning programs, focusing on the education and the assistance  by providing contraceptive methods for adolescents.

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