Empowering adolescent mothers in the choice of contraceptive methods: avoiding a subsequent pregnancy
ESC Congress Library. Ramos de Jesus E. May 10, 2018; 208220; ESC54
Erica Almeida Ramos de Jesus
Erica Almeida Ramos de Jesus
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Abstract
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Objective: To evaluate the increase of LARCs (Long Acting Reversible Contraception) prescription in a postpartum consultation after a semi-structured group intervention with educative purpose during prenatal care of adolescents. Design and methods: A cross-sectional study from January 1th 2015 and July 31th 2017. We obtained data from medical records of all adolescents who underwent postpartum review consultation in a tertiary centre at Campinas - São Paulo - Brazil. We included adolescents aged between 10 and 19 years. There were no exclusion criteria. Statistical analyses were performed using Excel v15.34 to access averages, standard deviation and percentages. The study was approved by the Research Ethics Committee. Results: All 129 postpartum adolescents were included. The average age of teens was 16.1 (±1.6) years and the average age of their partners was 22.06 (±5.71) years. Sixty-one (51%) were in a stable relationship. More than half (61%) had early menarche (12 years or younger),the mean age for the first sexual intercourse was 14.1 (± 1.4), and 72% had a vaginal delivery. Contraception before pregnancy was used by 63% of these adolescents. The most frequent method used was combined oral contraceptives (33%) followed by condoms (21%). Among primiparous and multiparous the most frequent contraception method was combined hormonal. The main reason for abandoning the use of contraception was to become unintended pregnant (23.4%), followed by irregular use of medication (22.2%). At the postpartum consultation, the contraception mostly frequently prescribed was DMPA (55%), followed by IUD (42%).The continued rate of IUD use was 90%. The frequency of IUD insertion before the group intervention in our service was 11% and the DPMA use was 71%. Conclusion: The group intervention with educational purpose during prenatal care increased the LARCs rate insertion in adolescents from 11% to 42%. LARCs is the best choice for the adolescent population and we need effective public policies to increase the access and the information about the LARCs by the teenagers.
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