ArticleBMJ (Clinical research ed.)
Consultation patterns and provision of contraception in general practice before teenage pregnancy: case-control study.
Article in BMJ (Clinical research ed.). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed, 58 citations in OpenAlex.
- Ineffective Pregnancy Prevention During Adolescence: Assisting Healthcare Providers in Portugal With Individualized Risk Assessment.The journal of primary prevention · 2021Article
- Study protocol: Determining what young people with rheumatic disease consider important to research (the Young People's Opinions Underpinning Rheumatology Research - YOURR project).Research involvement and engagement · 2016Article
- Parents are an untapped resource in sex education.BMJ (Clinical research ed.) · 2002Article
- Changing patterns of teenage pregnancy: population based study of small areas.BMJ (Clinical research ed.) · 2001Article
- Contraception in general practice before teenage pregnancy. Inappropriate selection of cases and controls biased study.BMJ (Clinical research ed.) · 2001Article
- Never underestimate the force of reproduction.BMJ (Clinical research ed.)Article
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo determine patterns of consultation in general practice and provision of contraception before teenage pregnancy.
designCase-control study, with retrospective analysis of case notes.
setting14 general practices in Trent region. SUBJECTS: 240 registered patients (cases) with a recorded conception before the age of 20. Three controls per case were matched by age and practice.
main outcome measuresConsultations in general practice and provision of contraception in the 12 months before conception and recorded provision of contraception at any time before conception.
resultsOverall, 223 cases (93%) had consulted a health professional at least once in the year before conception, 171 (71%) had discussed contraception in this time, and 121 (50%) had been prescribed oral contraception. Cases were more likely to have consulted in the year before conception than controls (odds ratio 2. 70, 95% confidence interval 1.56 to 4.66). Most of the difference was owing to consultation for contraception. Overall, 53 cases (22%) resulted in a termination of pregnancy. Cases whose pregnancy ended in a termination were more likely to have received emergency contraception than either their controls (3.21, 1.32 to 7.79) or cases resulting in other outcomes (3.01, 1.06 to 8.51).
conclusionsMost teenagers who became pregnant attended general practice in the year before pregnancy, and many had sought contraceptive advice. The reluctance of teenagers to attend general practice for contraception may be less than previously supposed. The association between provision of emergency contraception and pregnancy ending in termination emphasises the need for continuing follow up of teenagers consulting for this form of contraception.
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