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Teenage mothers - a high-risk group for new unintended pregnancies
Linköping University, Faculty of Health Sciences. Linköping University, Department of Molecular and Clinical Medicine, Obstetrics and gynecology. Östergötlands Läns Landsting, Centre of Paediatrics and Gynecology and Obstetrics, Department of Gynecology and Obstetrics in Linköping.
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2006 (English)In: Contraception, ISSN 0010-7824, Vol. 74, no 6, 471-475 p.Article in journal (Refereed) Published
Abstract [en]

Introduction: One of the targets of national health programs is to prevent unintended pregnancies, especially among teenagers. It is well established that these often lead to abortion. Preventive programs aimed at decreasing abortion rates should identify target groups at risk for unintended pregnancies. Purpose: This study was conducted to determine whether young mothers under 20 years of age constitute a group at risk for new unintended pregnancies. Methods: A retrospective cohort study comprising teenagers giving birth to their first child from 1996 to 2000 was performed at Örebro University Hospital, Sweden. Data were collected from antenatal and medical records with particular regard to compliance with the postpartum visit and to whether a contraceptive method was prescribed. Information concerning repeat pregnancies during the 12 months after delivery was obtained. Results: A total of 250 deliveries were recorded, 70% of the mothers attended the postpartum visit, and 71% received contraceptive prescriptions. At the 12-month follow-up, 56 (25%) had a new pregnancy, and of those, 20 (36%) had a legal abortion, making the abortion rate fivefold higher than expected in this age group. Conclusion: This study shows that teenagers giving birth constitute a high-risk group for future unintended pregnancies and legal abortion. © 2006 Elsevier Inc. All rights reserved.

Place, publisher, year, edition, pages
2006. Vol. 74, no 6, 471-475 p.
National Category
Medical and Health Sciences
URN: urn:nbn:se:liu:diva-37186DOI: 10.1016/j.contraception.2006.07.014Local ID: 33893OAI: diva2:258035
Available from: 2009-10-10 Created: 2009-10-10 Last updated: 2011-01-11
In thesis
1. Teenagers´unintended pregnancies and contraception
Open this publication in new window or tab >>Teenagers´unintended pregnancies and contraception
2010 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Teenage pregnancies are often not intended, and there is a high risk that unintended pregnancies will lead to abortion. The wide-spread availability of Youth Clinics, the subsidizing of contraceptives and the introduction of new and effective contraceptives have failed to lower the abortion rates. The aim of this thesis was to study possible risk groups and to highlight underlying reasons for contraceptive failure.

Methods: Study I and II were quantitative studies with the aims of investigating whether teenagers who sought emergency contraception (Paper I) and teenage mothers (Paper II) were at risk for new unintended pregnancies during a 12-month follow-up period.

Study III and IV were qualitative studies. The aim in study III was to see how contraceptive use was documented in medical records (MRs) concerning teenagers who had attended for induced abortion. In study IV the aim was to find out reasons for non- use or inconsistent use of contraceptives among teenagers attending for abortion.

Results: In study I and II data were collected from medical and antenatal records. The results showed that both groups, despite contraceptive counselling, were at high risk for new unintended pregnancies leading to abortion. Attendance at the postpartum visit was low and 24% of the teenage mothers did not receive any recommendation about using a particular contraceptive method. Within 12 months 25% had a new pregnancy and of these one third led to legal abortion.

In Study III two themes were generated from the analysis of the MRs; ‘Contraceptive methods previously used’ and ‘Plan for future contraceptive use’. All MRs did not contain information about contraceptive use. In study IV one theme was generated from the analysis of the interview text: ‘Struggling with feelings of uncertainty and patterns of behaviour’.

Conclusion: Teenagers using emergency contraceptive pills and teenage mothers were at high risk for unintended pregnancies. Contraceptive failure in teenagers who have had an abortion may be due to in part to the absence of contraceptive counselling at abortion visits and in part to problems with contraceptive use due to insufficient knowledge and not knowing what do when side-effects occurs.


Place, publisher, year, edition, pages
Linköping: Linköping University Electronic Press, 2010. 83 p.
Linköping University Medical Dissertations, ISSN 0345-0082 ; 1179
Teenagers, unintended pregnancies, legal abortion, contraceptive counselling, postpartum visit, Chlamydia trachomatis, Tonåringar, oplanerade graviditeter, preventivmedel, preventivmedelsrådgivning, abort, kvalitativ innehållsanalys, Teenagers, adolescents, unintended pregnancies, contraception, contraceptive counselling, induced abortion, qualitative content analysis
National Category
Obstetrics, Gynecology and Reproductive Medicine
urn:nbn:se:liu:diva-56478 (URN)978-91-7393-413-8 (ISBN)
Public defence
2010-05-28, Berzeliussalen, Campus US, Linköpings universitet, Linköping, 13:00 (Swedish)
Available from: 2010-05-20 Created: 2010-05-18 Last updated: 2010-05-20Bibliographically approved

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Falk, Gabriella
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Faculty of Health SciencesObstetrics and gynecologyDepartment of Gynecology and Obstetrics in Linköping
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Medical and Health Sciences

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