Rapid repeat pregnancy in adolescents: do immediate postpartum contraceptive implants make a difference? - 24/05/12
, Jeanelle L. Sheeder, MSPH, PhD, Stephanie B. Teal, MD, MPH
Reprints: Kristina Tocce, MD, MPH, 12631 E 17th Ave., Room 4006, Aurora, CO 80045Résumé |
Objective |
The purpose of this study was to determine contraceptive continuation and repeat pregnancy rates in adolescents who are offered immediate postpartum etonogestrel implant (IPI) insertion.
Study Design |
Participants in an adolescent prenatal-postnatal program were enrolled in a prospective observational study of IPI insertion (IPI group, 171) vs other methods (control group, 225). Contraceptive continuation and repeat pregnancies were determined.
Results |
Implant continuation at 6 months was 96.9% (156/161 participants); at 12 months, the continuation rate was 86.3% (132/153 participants). At 6 months, 9.9% of the control participants were pregnant (21/213); there were no IPI pregnancies. By 12 months, 18.6% of control participants (38/204) experienced pregnancy vs 2.6% of IPI recipients (4/153; relative risk, 5.0; 95% confidence interval [CI], 1.9–12.7). Repeat pregnancy at 12 months was predicted by not receiving IPI insertion (odds ratio, 8.0; 95% CI, 2.8–23.0) and having >1 child (odds ratio, 2.1; 95% CI, 1.1–4.3; P = .03).
Conclusion |
IPI placement in adolescents has excellent continuation 1 year after delivery; rapid repeat pregnancy is significantly decreased compared with control participants.
Le texte complet de cet article est disponible en PDF.Key words : adolescent, etonogestrel implant, immediate postpartum implantation, rapid repeat pregnancy
Plan
| Supported by the American College of Obstetricians and Gynecologists–Bayer Research Award in Contraception and the Colorado Initiative to Reduce Unintended Pregnancy. |
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| K.T. and S.B.T. have been trainers for the Merck Implanon Clinical Training Program; S.B.T. has served as a consultant for Bayer Healthcare. J.L.S. reports no conflict of interest. |
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| Cite this article as: Tocce KM, Sheeder JL, Teal SB. Rapid repeat pregnancy in adolescents: do immediate postpartum contraceptive implants make a difference? Am J Obstet Gynecol 2012;206:481.e1-7. |
Vol 206 - N° 6
P. 481.e1-481.e7 - juin 2012 Retour au numéro
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