Department of Pediatrics
Medical Subject Headings
Adolescent; African Americans; Comprehensive Health Care; European Continental Ancestry Group; Family; Family Planning Services; Female; Health Knowledge, Attitudes, Practice; *Health Status; Humans; Infant, Newborn; Pregnancy; Pregnancy in Adolescence; Recurrence; Risk Factors; *Socioeconomic Factors; *Urban Population
First-time adolescent mothers are at high risk for a repeat pregnancy. The present investigation, part of an ongoing longitudinal study, examined sociodemographic, family, and health factors associated with repeat Pregnancy in a clinic sample of urban, first-time adolescent mothers (ages 13 to 17 years). They were predominantly African-American and from low-income households. Repeat pregnancy within one year and between one and two years postpartum was determined from medical records. Summary statistics, point biserial correlations, and chi-square statistics were used to analyze the data. Results indicated that postpartum contraceptive method was associated with repeat pregnancy at Year 1; contraceptive use, maternal age, history of miscarriages, and postpartum contraceptive method were associated with repeat pregnancy at Year 2. It was concluded that efforts to prevent repeat pregnancies among first-time adolescent mothers should include the continuous monitoring of contraceptive use, as well as the promotion of long-acting contraceptives (e.g., medroxyprogesterone or progesterone implants). Further, counseling should be offered to adolescent mothers with a history offered miscarriages.
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Citation: Adolescence. 2000 Spring;35(137):193-200. Link to article on publisher's website