Reducing Risk for Rapid Repeat Pregnancy in Adolescents

Immediate postpartum implant placement dramatically lowered incidence of repeat pregnancy.

Despite recognition of the hardships created by rapid repeat teen pregnancy, prevention remains challenging. In this prospective cohort study, investigators compared rates of repeat pregnancy within 12 months after delivery among 171 adolescent mothers who underwent immediate postpartum implant placement (before hospital discharge) and 225 who pursued other contraceptive strategies.

The comparison group included 3 adolescents who underwent tubal ligation and 86 who used intrauterine devices or implants within 1 year of giving birth; 42.7% had some form of long-acting contraception in place within 6 months of delivery. Nonetheless, adolescents who did not receive immediate postpartum implants had 5 times the risk for pregnancy within 12 month…

Reviewing Author

Eleanor Bimla Schwarz, MD, MS

Disclosures

Consultant/Advisory BoardPlanned Parenthood Federation of America

Grant/Research SupportSociety of Family Planning; California Department of Public Health Tobacco Control Program

Editorial BoardsContraception; Journal of General Internal Medicine

Leadership Positions in Professional SocietiesCouncil Member, Society of General Internal Medicine