Document Detail


Use of the Copper T380A intrauterine device by adolescent mothers: continuation and method failure.
MedLine Citation:
PMID:  20869276     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
STUDY OBJECTIVE: This report contributes to limited empirical data regarding use of the Copper T380A intrauterine device among adolescent mothers.
DESIGN: We conducted a retrospective case series of adolescent mothers aged 15 to 21 years whose index delivery occurred before age 18 and met study inclusion criteria.
SETTING: All adolescent mothers received obstetrics and gynecology care at one urban clinical site in Washington, DC.
PARTICIPANTS: All participated in a teen secondary pregnancy prevention program from April 2002 to November 2008 and used the Copper T380A intrauterine device.
MAIN OUTCOME MEASURES: We abstracted data to evaluate intrauterine device utilization, expulsion, removal, and pregnancy diagnosis.
RESULTS: Thirty-nine adolescent mothers met inclusion criteria. Six patients had partial or complete expulsion (15%; 95% CI, 6-29), and 10 requested removal (26%; 95% CI, 14-41) within 24 months of placement. Four users (10%; 95% CI, 3-23) became pregnant. Three had an intrauterine device in place at time of conception, while one became pregnant due to unrecognized device expulsion.
CONCLUSIONS: In this case series, many adolescent mothers discontinued Copper T380A use within two years of placement. The numbers of patients were too limited to provide stable estimates of contraceptive effectiveness. Larger comparative studies will further evaluate both effectiveness and acceptability of this device among teen mothers.
Authors:
Loral Patchen; Erica K Berggren
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't     Date:  2010-09-24
Journal Detail:
Title:  Journal of pediatric and adolescent gynecology     Volume:  24     ISSN:  1873-4332     ISO Abbreviation:  J Pediatr Adolesc Gynecol     Publication Date:  2011 Apr 
Date Detail:
Created Date:  2011-03-07     Completed Date:  2011-07-27     Revised Date:  2013-07-03    
Medline Journal Info:
Nlm Unique ID:  9610774     Medline TA:  J Pediatr Adolesc Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  71-3     Citation Subset:  IM    
Copyright Information:
Copyright © 2011 North American Society for Pediatric and Adolescent Gynecology. Published by Elsevier Inc. All rights reserved.
Affiliation:
Washington Hospital Center, Washington, DC, USA. Loral.Patchen@Medstar.net
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Device Removal*
Female
Humans
Intrauterine Device Expulsion*
Intrauterine Devices, Copper*
Mothers
Pregnancy
Retrospective Studies
Young Adult
Grant Support
ID/Acronym/Agency:
1 T32 HD40672-01/HD/NICHD NIH HHS; 2U01HD044253-04/HD/NICHD NIH HHS; T32 HD040672-01/HD/NICHD NIH HHS
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