Postpartum adolescents' contraceptive counselling preferences.

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    • Abstract:
      Objectives:The optimal approach for provision and timing of postpartum contraceptive counselling for adolescents has not been established. To reduce repeat pregnancies from current USA levels of nearly 20%, a better understanding is needed of postpartum adolescent females’ preferences regarding contraceptive counselling and delivery. Methods:Semi-structured interviews with 30 USA postpartum teens (97% Black) explored pregnancy prevention and contraceptive counselling. Transcripts were independently coded by two researchers and inter-rater reliability calculated using Kappa coefficients. With a standard content analysis approach, common themes were identified, coded and summarized. Results:Findings indicated pregnancy prevention was important – two thirds of subjects reported becoming pregnant ‘too soon’, almost all did not desire another child for at least 6 years and most indicated that pregnancy prevention was either ‘very’ or ‘extremely’ important right now. The subjects described doctors and their prenatal clinic as their most accurate sources of contraception information, but stated that doctors and parents were the most helpful sources. All were comfortable discussing contraception with providers and had a desire for shared decision making. While many had received written materials, most preferred in-person contraceptive counselling. Optimally, participants suggested that contraceptive counselling would be provided by a physician, begin antepartum and almost all preferred to leave the hospital with their chosen method of contraception. Conclusions:Pregnancy prevention is important for postpartum adolescents as most desired to delay future childbearing. In-person contraceptive counselling should begin in the antepartum period and include provision of contraception prior to discharge. [ABSTRACT FROM PUBLISHER]
    • Abstract:
      目的:为青少年提供产后避孕咨询的最佳方法和时机尚未确定。为了降低美国反复怀孕的水平(目前接近20%), 需要更好地了解产后青少年女性关于避孕咨询和分娩的倾向性。 方法:对30名美国产后青少年(97%是黑种人)进行半结构化访谈, 探究她们的妊娠预防措施和避孕咨询。笔录由两名研究员独立记录, 评分者间的可靠性可用Kappa系数计算。通过标准问题分析法对相同主题进行了确定、记录和总结。 结果:调查结果提示妊娠的预防非常重要——2/3的受试者陈述怀孕"太快", 几乎所有受试者至少6年内不希望再要孩子, 这提示目前妊娠的预防"非常"或"极其"重要。受试者把医生们和他们的产前门诊描述为关于避孕信息最准确的来源, 但医生和家长是最有用的来源。所有受试者能够与咨询者愉快地讨论避孕问题, 且有共同决策的愿望。参加者认为医生应在产后开始提供避孕咨询, 且几乎所有受试者希望在离开医院时已选择好避孕方法。 结论:由于大多数产后青少年希望延迟生育, 妊娠的预防对她们来说很重要。个人避孕咨询应在产后开始, 包括出院前提供避孕措施。 [ABSTRACT FROM AUTHOR]
    • Abstract:
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