Contraceptive Care for Adolescents

Whitaker, Amy K.; Gilliam, Melissa

doi:10.1097/grf.0b013e31816d713e

Cited by 23 publications

(11 citation statements)

References 38 publications

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“…Poor contraceptive usage is one of the mechanisms that can lead to unplanned pregnancy,13 with the possibility of repeat abortions. LARC has been shown to improve contraceptive use 14.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of peri-abortion counselling in preventing subsequent unplanned pregnancy: a systematic review of randomised controlled trials

Stewart

McCall

McPherson

et al. 2015

J Fam Plann Reprod Health Care

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This review found no evidence of effect resulting from enhanced peri-abortion contraceptive counselling on subsequent unplanned pregnancy rate or the uptake of LARC. However, these findings are limited by the small number of relevant studies available and the marked heterogeneity between published studies. Further, larger-scale RCTs should be undertaken to ensure that there is sufficient power to detect an effect.

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“…Poor contraceptive usage is one of the mechanisms that can lead to unplanned pregnancy,13 with the possibility of repeat abortions. LARC has been shown to improve contraceptive use 14.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of peri-abortion counselling in preventing subsequent unplanned pregnancy: a systematic review of randomised controlled trials

Stewart

McCall

McPherson

et al. 2015

J Fam Plann Reprod Health Care

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“…Correct information on effectiveness, side effects, accurate use, benefits and problems with methods, and follow up is essential to facilitate decision making. Furthermore, people in need of contraception often have question about other issues related to sexuality such as STIs [ 33 ]. Such issues were hardly discussed during the consultations.…”

Section: Discussionmentioning

confidence: 99%

Young peoples’ interface with providers of contraceptive care: a simulated client study in two Ugandan districts

Nalwadda

Mirembe

Byamugisha

et al. 2016

Contracept Reprod Med

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BackgroundYoung people in Uganda have a large unmet need for modern contraception, and the reasons are unclear. This study describes young peoples’ experiences of contraceptive care, client-provider interactions and its aftermath on choice, access and satisfaction.MethodsSimulated client method, with 128 encounters with providers in public and private health care facilities was used. Semi-structured narrative debriefing and a structured questionnaire were used to collect data. Content analysis, descriptive and inferential statistics were applied.ResultsBoth qualitative and quantitative results highlight favorable reception, provider bias, low client satisfaction and reservations about contraceptive methods. Two thirds of the providers choose a contraceptive method for the client. The clients reported satisfaction with contraceptive services in 29 % of the consultations. Privacy was reported to be observed in 42 % and clients felt respectfully treated in 50 % of the consultations. However, most clients would not recommend the visited facility to others. Client-provider interactions revealed contradictory views on methods to use, whether to first have children, and whether to use contraceptives at all. Younger clients seemed to be treated differently than older clients; contraceptives were provided after a prolonged debate. Inaccurate information about contraceptives was provided and costs were high. Providers conveyed potential adverse effects of contraceptives to young people in a way that indicated providers own fears and doubts.ConclusionYoung people are not able to exercise their rights to choose, obtain and use contraceptives when needed. Overall satisfaction with the services was rated low and client- provider interactions were often unfavorable.

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“…Despite all of the above, the first-year typical-use contraceptive failure rate of condoms, about 15%, (21% for the female condom) is unacceptable in a high-risk population. Barrier methods other than condoms, such as the diaphragm and cervical cap, do not protect against STIs and have unacceptably high typical use failure rates (16% to 31%, depending on the method chosen and parity of the user) [30]. While rheumatologists should encourage condom use by sexually-active patients to protect against STIs, a second contraceptive method should also be recommended for highly effective pregnancy protection.…”

Section: Contraceptionmentioning

confidence: 99%

Contraception for adolescents with lupus

et al. 2010

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Sexually active adolescents, including young women with lupus, are at high risk for unplanned pregnancy. Unplanned pregnancy among teens with lupus is associated with an elevated risk of poor maternal and fetal outcomes. The provision of effective contraception is a crucial element of care for a sexually-active young woman with lupus. Unfortunately, providers may be hesitant to prescribe contraception to this group due to concerns about increasing the risk of lupus complications. This article reviews the risks and benefits of currently-available contraceptives for young women with lupus. Providers are encouraged to consider long-term, highly-effective contraception, such as implantables and intrauterine devices, for appropriately selected adolescents with lupus.

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Contraceptive Care for Adolescents

Cited by 23 publications

References 38 publications

Effectiveness of peri-abortion counselling in preventing subsequent unplanned pregnancy: a systematic review of randomised controlled trials

Effectiveness of peri-abortion counselling in preventing subsequent unplanned pregnancy: a systematic review of randomised controlled trials

Young peoples’ interface with providers of contraceptive care: a simulated client study in two Ugandan districts

Contraception for adolescents with lupus

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