Document Detail

Infant feeding and contraceptive practices among adolescents with a high teen pregnancy rate: a 3-year retrospective study.
MedLine Citation:
PMID:  20799897     Owner:  NLM     Status:  In-Process    
BACKGROUND: Adolescents consistently demonstrate the lowest rates of breastfeeding among women of reproductive age despite well-documented benefits of breastfeeding. In Amarillo, Texas, a medium-sized community with a perennially high teen pregnancy rate, we sought (1) to determine breastfeedings practices among adolescent females immediately after delivery and again at 6 weeks and (2) to identify contraceptive choices among the same teen population.
METHODS: This was a retrospective chart review focused on adolescents between the ages of 13 and 18 coming to a university-based obstetrical service between January 1, 2006, and December 31, 2008. Data on breastfeeding and contraceptive practices were analyzed.
RESULTS: Five hundred forty-three cases were analyzed. At hospital discharge, 59.3% initiated breastfeeding, but this dropped to 22.2% at the 6-week postpartum appointment. Over 27% of all study subjects failed to appear for postpartum evaluation. Multiparity was the only outcome variable associated with failure to initiate breastfeeding. Depot-medroxyprogesterone acetate, the levonorgestrel intrauterine device (IUD), and combination oral contraceptives were the most popular contraceptive choices, but 16% elected to forego any form of contraception at the postpartum visit.
CONCLUSIONS: Adolescent women living in an area of Texas with a high teen pregnancy rate reported relatively low breastfeeding rates immediately postpartum, with a >50% decrease in breastfeeding in any form by 6 weeks postpartum. A substantial number failed to initiate any form of contraception at the postpartum visit. These findings support the critical need for additional breastfeeding support and contraceptive education in this at-risk adolescent population.
Tracy L Glass; Keelie Tucker; Robert Stewart; Teresa E Baker; Robert P Kauffman
Related Documents :
2984617 - A comparative clinical trial of the contraceptive sponge and neo sampoon tablets.
3665487 - Iud complications in perspective.
7351927 - Effects of pregnancy and contraceptive steroids on gallbladder function.
16448947 - Microbicidal spermicide or spermicidal microbicide?
15982947 - The potential of comprehensive sex education in china: findings from suburban shanghai.
2253587 - Transient hypothyroidism in infants born to mothers with chronic thyroiditis--a nationw...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of women's health (2002)     Volume:  19     ISSN:  1931-843X     ISO Abbreviation:  J Womens Health (Larchmt)     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-09-06     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101159262     Medline TA:  J Womens Health (Larchmt)     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1659-63     Citation Subset:  IM    
Department of Obstetrics and Gynecology, Texas Tech University Health Sciences Center at Amarillo, Amarillo, Texas 79106, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  The effect of community-based support services on clinical efficacy and health-related quality of li...
Next Document:  Cholesteryl ester transfer protein Taq1B polymorphism in an angiographically assessed Turkish popula...