| Implanon as a contraceptive choice for teenage mothers: a comparison of contraceptive choices, acceptability and repeat pregnancy. | |
| | |
MedLine Citation:
|
PMID: 20399949 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
BACKGROUND: This study was conducted to compare the incidence of repeat teenage pregnancy over a 24-month period postpartum among users of Implanon, the combined oral contraceptive pill (COCP) or depot medroxyprogesterone acetate (DMPA) and barrier methods or nothing (barrier/none). Contraceptive continuation rates 24 months postpartum for Implanon and COCP/DMPA were also compared. STUDY DESIGN: A prospective cohort study was conducted. Comparison groups were postpartum teenagers (12-18 years old) who self-selected Implanon (n=73), COCP/DMPA (n=40) and barrier/none (n=24). Questionnaires were used to gather data at recruitment and postpartum at 6 weeks and then 3 monthly intervals for 2 years. RESULTS: At 24 months postpartum, 48 (35%) teenagers had conceived. Implanon users became pregnant later than other contraceptive groups (p=.022), with mean time to first repeat pregnancy of 23.8 months [95% confidence interval (CI), 22.2-25.5], compared to 18.1 months (95% CI, 15.1-20.7) for COCP/DMPA and 17.6 months (95% CI, 14.0-21.3) for barrier/none. Implanon users were more likely to continue their use at 24 months than COCP/DMPA (p<.001) users. The mean duration for Implanon users was 18.7 months (95% CI, 17.0-20.3) compared to 11.9 months (95% CI, 9.5-14.3) for COCP/DMPA. CONCLUSION: Teenagers who choose Implanon are significantly less likely to become pregnant and were found to continue with this method of contraception 24 months postpartum compared to those who choose COCP or DMPA and barrier methods or nothing. |
| | |
Authors:
|
Lucy N Lewis; Dorota A Doherty; Martha Hickey; S Rachel Skinner |
Related Documents
:
|
12618259 - Safety and acceptability of post-abortal iud insertion and the importance of counseling. 20502299 - Ectopic pregnancy and emergency contraceptive pills: a systematic review. 3887959 - Bacterial flora of airline headset devices. 6758839 - Early postpartum insertion of the multiload cu250 intrauterine device. 3329079 - A comparative study of norinyl 1/35 versus norinyl 1/50 in belgrade, yugoslavia. 10693729 - Postfertilization effects of oral contraceptives and their relationship to informed con... 19110299 - Maternal mixed connective tissue disease and offspring with chondrodysplasia punctata. 10591359 - Cochlear microphonics for hearing preservation in vestibular schwannoma surgery. 12422909 - Predictive value of transvaginal cervical length in triplet pregnancies for spontaneous... |
Publication Detail:
|
Type: Comparative Study; Journal Article; Research Support, Non-U.S. Gov't Date: 2010-01-15 |
Journal Detail:
|
Title: Contraception Volume: 81 ISSN: 1879-0518 ISO Abbreviation: Contraception Publication Date: 2010 May |
Date Detail:
|
Created Date: 2010-04-19 Completed Date: 2010-07-29 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 0234361 Medline TA: Contraception Country: United States |
Other Details:
|
Languages: eng Pagination: 421-6 Citation Subset: IM |
Affiliation:
|
School of Paediatrics and Child Health, University of Western Australia, Western Australia, Australia. llewis@meddent.uwa.edu.au |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adolescent Contraceptive Agents, Female / administration & dosage Contraceptives, Oral, Combined / administration & dosage* Desogestrel / administration & dosage* Female Humans Medroxyprogesterone Acetate / administration & dosage Patient Acceptance of Health Care* Pregnancy Pregnancy in Adolescence / prevention & control* Prospective Studies |
| Chemical | |
Reg. No./Substance:
|
0/Contraceptive Agents, Female; 0/Contraceptives, Oral, Combined; 54024-22-5/Desogestrel; 54048-10-1/3-keto-desogestrel; 71-58-9/Medroxyprogesterone Acetate |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Contraceptive efficacy of emergency contraception with levonorgestrel given before or after ovulatio...
Next Document: Factors associated with contraceptive nonuse among US women ages 35-44 years at risk of unwanted pre...