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Young women requesting emergency contraception are, despite contraceptive counseling, a high risk group for new unintended pregnancies
Department of Obstetrics and Gynecology, Örebro Medical Centre Hospital, Örebro, Sweden.
Department of Dermatology and Venereology, Örebro Medical Centre Hospital, Örebro, Sweden.ORCID iD: 0000-0001-8336-9767
Department of Obstetrics and Gynecology, Örebro Medical Centre Hospital, Örebro, Sweden.
Department of Obstetrics and Gynecology, Sahlgrenska University Hospital, Göteborg, Sweden.
2001 (English)In: Contraception, ISSN 0010-7824, Vol. 64, no 1, 23-27 p.Article in journal (Refereed) Published
Abstract [en]

Since its introduction in Sweden in 1994, emergency contraception has become a welcome addition to the campaign against unwanted pregnancy. In addition to an unplanned pregnancy, unprotected sexual intercourse may also involve the risk of contracting sexually transmitted diseases (STD). The aim of this study was to assess the short- and long-term risk of unintended pregnancy and to determine the frequency of chlamydia infections in women receiving emergency contraception. Between September 1998 and February 1999 young women aged 15-25 years had the opportunity to obtain emergency contraception (Yuzpe method) at a youth clinic in the city of Orebro where the opening hours were extended to include Saturdays and Sundays. A follow-up visit 3 weeks after treatment, which included contraceptive counseling, was offered to all participants. At both visits, a pregnancy test and a chlamydia test were performed, and the women completed a questionnaire. After the initial visit, the young women where monitored for new pregnancies during the following 12 months. One pregnancy occurred in the 134 young women who received emergency contraception during the study period. None of the women had a positive chlamydia test. Of those requesting emergency contraception, 54% did so because no contraception was used, 32% because of a ruptured condom, 11% because of missed oral contraceptives (OC), and 5% had mixed reasons. At long-term follow-up 1 year after the initial visit, 10 of the 134 young women had experienced an unplanned pregnancy that terminated in legal abortion in 9 women. All these women had either started and terminated OC or had never commenced the prescribed OC. Young women who request emergency contraception are, despite a planned follow-up with contraceptive counseling, a high risk group for new unintended pregnancies. In Sweden they do not seem to be a high risk group for STD.

Place, publisher, year, edition, pages
2001. Vol. 64, no 1, 23-27 p.
National Category
Medical and Health Sciences
URN: urn:nbn:se:liu:diva-52308DOI: 10.1016/S0010-7824(01)00225-6PubMedID: 11535209OAI: diva2:281284
Available from: 2009-12-15 Created: 2009-12-15 Last updated: 2015-09-22
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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