ArticleJournal of pediatric and adolescent gynecology2022
Postpartum Contraceptive Decision-Making of Parous Teens-A Qualitative Study.
Article in Journal of pediatric and adolescent gynecology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
What it found
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
6 citing papers in PubMed.
- Understanding healthcare autonomy among adolescents and young adults in the United States: a scoping review.Frontiers in health services · 2025Review
- Cocreating First Steps, a Toolkit to Improve Adolescent Sexual and Reproductive Health Services: Qualitative Human-Centered Design Study With Hispanic and Black Adolescent Mothers in New York City.JMIR pediatrics and parenting · 2024Article
- A Scoping Review of Patient-Centered Perinatal Contraceptive Counseling.Maternal and child health journal · 2024Article
- Prevalence and factors associated with contraceptive use among sexually active adolescent girls in 25 sub-Saharan African countries.PloS one · 2024Article
- Knowledge, attitude and practice of puerperal adolescents after an educational intervention on the mini contraceptive pill.Revista latino-americana de enfermagem · 2024Article
- Shared Decision-Making: The Way Forward for Postpartum Contraceptive Counseling.Open access journal of contraception · 2022Review
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
STUDY
objectiveApproximately 25% of teens in the United States will become pregnant before the age of 18, and within 2 years, more than 31% will have a repeat pregnancy. Acknowledging that some adolescents might seek or be ambivalent toward rapid repeat pregnancy, compared with their counterparts, not using a long-acting reversible contraception method increases a teen's risk of another pregnancy in 2 years by more than 35 times. We seek to better understand the influences and factors surrounding adolescent postpartum contraceptive decision-making following the index delivery.
designWe completed a qualitative study via focused, semistructured interviews during an inpatient postpartum course. The interview guide was modeled after those used in other studies of adolescent contraceptive decision-making, beta tested, and developed iteratively. Interviews were completed, transcribed, coded, and analyzed with the assistance of Dedoose.
settingThe study was conducted at MetroHealth Medical Center in Cleveland, Ohio.
participantsParous adolescents aged 13-19
resultsWe performed 12 interviews prior to reaching theoretical saturation. Themes were identified related to the participants' prior experiences with contraception and prior and current pregnancies. The participants' contraceptive choices were influenced by personal relationships, varying levels of autonomy, misperceptions, and changing contraceptive needs.
conclusionsWe found that adolescents' contraceptive decision-making was influenced by their social networks and community, including their parents and friends. Mothers played a key role as adolescents transitioned to gaining more autonomy over their reproductive decisions. Providers should consistently present adolescents with comprehensive contraceptive options as a component of preventive health care.
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Registered trials
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