| Infant feeding and contraceptive practices among adolescents with a high teen pregnancy rate: a 3-year retrospective study. | |
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MedLine Citation:
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PMID: 20799897 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
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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. |
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Authors:
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Tracy L Glass; Keelie Tucker; Robert Stewart; Teresa E Baker; Robert P Kauffman |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of women's health (2002) Volume: 19 ISSN: 1931-843X ISO Abbreviation: J Womens Health (Larchmt) Publication Date: 2010 Sep |
Date Detail:
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Created Date: 2010-09-06 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101159262 Medline TA: J Womens Health (Larchmt) Country: United States |
Other Details:
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Languages: eng Pagination: 1659-63 Citation Subset: IM |
Affiliation:
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Department of Obstetrics and Gynecology, Texas Tech University Health Sciences Center at Amarillo, Amarillo, Texas 79106, USA. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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