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Teenagers´ Struggles with Contraceptive Use: What improvements can adults make?
Linköping University, Department of Clinical and Experimental Medicine, Obstetrics and gynecology . Linköping University, Faculty of Health Sciences.
University of Örebro.
Linköping University, Department of Clinical and Experimental Medicine, Obstetrics and gynecology . Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Centre of Paediatrics and Gynecology and Obstetrics, Department of Gynecology and Obstetrics in Linköping.
2010 (English)In: EUROPEAN JOURNAL OF CONTRACEPTION AND REPRODUCTIVE HEALTH CARE, ISSN 1362-5187, Vol. 15, no 4, 271-279 p.Article in journal (Refereed) Published
Abstract [en]

Objective: To study experiences with contraceptives of teenagers at an out-patient abortion clinic and to explore the reasons behind their choices.

Methods: Twelve teenagers who had applied for induced abortion were interviewed three to four weeks after abortion. The interviews comprised open questions about contraceptive experiences focusing on hindrance for contraceptive use. Qualitative content analysis was used.

Results: One theme was identified: Struggling with feelings of uncertainty and patterns of behaviour. Three categories emerged from the analysis. Uncertainty dealt with decisions and behaviours that varied with time and between the different individuals. Influences on contraceptive use dealt with the persons that the participants had discussed contraceptives with, how they acquired knowledge about contraceptive use and the nature of their behaviour. Anxiety dealt with the side effects of contraception and feelings of fear related to contraceptive use.

Conclusion: The participants had feelings of uncertainty, anxiety and fear towards contraceptive use which led to non use and inconsistent use. Guidance from health care providers and access to youth clinics varied and was not satisfactory. Parents were supportive of contraceptive use but not active in the process of getting their child to start using it. Friends and the Internet were the main sources for acquiring information.

Place, publisher, year, edition, pages
Informa Healthcare , 2010. Vol. 15, no 4, 271-279 p.
Keyword [en]
Contraception, Abortion, Contraceptive counselling, Contraceptive failure, Teenagers, Qualitative content analysis
Keyword [sv]
Tonåringar, oplanerade graviditeter, preventivmedel, abort, innehållsanalys
National Category
Obstetrics, Gynecology and Reproductive Medicine
Identifiers
URN: urn:nbn:se:liu:diva-56477DOI: 10.3109/13625187.2010.493623ISI: 000280900400007OAI: oai:DiVA.org:liu-56477DiVA: diva2:319576
Projects
Doktorsavhandling
Available from: 2010-05-18 Created: 2010-05-18 Last updated: 2011-01-12
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.
Series
Linköping University Medical Dissertations, ISSN 0345-0082 ; 1179
Keyword
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
Identifiers
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)
Opponent
Supervisors
Available from: 2010-05-20 Created: 2010-05-18 Last updated: 2010-05-20Bibliographically approved

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Falk, GabriellaBrynhildsen, Jan

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Obstetrics and gynecology Faculty of Health SciencesDepartment of Gynecology and Obstetrics in Linköping
Obstetrics, Gynecology and Reproductive Medicine

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