Results of a family planning program to reduce repeated pregnancies in adolescents
ESC Congress Library. Guazzelli C. May 10, 2018; 208100; ESC96
Prof. Dr. Cristina Guazzelli
Prof. Dr. Cristina Guazzelli
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Introduction: The age when girls start to be sexually active has decreased over time, leading to increased rates of unplanned pregnancies in this age group. Repeated pregnancies in adolescents is associated with emotional and obstetric problems. Objective: Assess the results of an educational family planning program to prevent repeat pregnancies in adolescents with a previous pregnancy. Methods: This retrospective cohort study was conducted at the Sao Paulo Federal University Family Planning Clinic in Sao Paulo city, Brazil between January 2009 to December 2014. The educational program consisted of two (2-hours) group educational sessions conducted by a nurse and a psychologist and two individual counseling sessions with a nurse and a gynecologist. All activities occurred at the family planning clinic, on three separate days.  Results. 45 adolescents (from 10-19 years of age) with at least one previous pregnancy participated in the study. Their mean age was 17.2 years, most were single (n=24, 53.3%), 35.5% were living with a partner and 11.1% were married. The participants had an average of 9.7 years of formal education and 38% (n=17) had completed 12 years of schooling (high school graduates). Mean age at menarche was 12.2 years, mean age at the start of sexual life was 14.5 years and mean age at first pregnancy was 16.7 years. Three of the adolescents (6.7%) had two previous pregnancies. The most popular birth control methods before entering the program were condoms and oral contraceptives. After starting the program, injectable contraceptives were the most popular method. Three (6.7%) of the program participants had an unplanned repeated pregnancy during the study period due to incorrect use of the contraceptive method. Conclusion: The program effectively prevented an unplanned repeat pregnancy in over 93% of the adolescents. Failure was due to incorrect use of the contraceptive method chosen. This underscores the need to incentivize this population to use highly effective contraceptive methods that do not depend on the user´s need to remember to use them.  323 words
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