Interventions for preventing unintended repeat pregnancies among adolescents

PROTOCOL: Effects of preconception care and periconception interventions on maternal nutritional status and birth outcomes in low‐ and middle‐income countries: A systematic review

“…There are numerous approaches that an intervention to promote birth spacing for women of reproductive age may undertake. Strategies may involve policies or population-based interventions, or a combination of school and community-based approaches (Aslam et al, 2015).…”

“…Strategies may involve policies or population‐based interventions, or a combination of school and community‐based approaches (Aslam et al, ). Much like interventions focusing on delaying pregnancy, strategies that encourage women and couples to employ suitable spacing between births may involve health education, skills building and contraception education and distribution to ensure appropriate and consistent use of contraceptives (Aslam et al, ; Dean et al, ). As per Aslam et al (), these interventions may work by encouraging mothers to pursue educational avenues or work related accomplishments, in order to develop self‐confidence, self‐esteem and autonomy.…”

“…There are numerous approaches that an intervention to promote birth spacing for women of reproductive age may undertake. Strategies may involve policies or population‐based interventions, or a combination of school and community‐based approaches (Aslam et al, ). Much like interventions focusing on delaying pregnancy, strategies that encourage women and couples to employ suitable spacing between births may involve health education, skills building and contraception education and distribution to ensure appropriate and consistent use of contraceptives (Aslam et al, ; Dean et al, ).…”

“…Much like interventions focusing on delaying pregnancy, strategies that encourage women and couples to employ suitable spacing between births may involve health education, skills building and contraception education and distribution to ensure appropriate and consistent use of contraceptives (Aslam et al, ; Dean et al, ). As per Aslam et al (), these interventions may work by encouraging mothers to pursue educational avenues or work related accomplishments, in order to develop self‐confidence, self‐esteem and autonomy. A recent review on birth spacing interventions in low‐, middle‐, and high‐income countries found studies with high quality evidence for a positive impact for repeat pregnancy/birth (Norton, Chandra‐Mouli, & Lane, ).…”

Cochrane Qualitative and Implementation Methods Group guidance series—paper 3: methods for assessing methodological limitations, data extraction and synthesis, and confidence in synthesized qualitative findings

“…Features/factors influencing implementation are examined one by one Using logic models/conceptual framework Factors influencing implementation of lay health worker programmes [44] a School-based behavioural interventions to prevent sexually transmitted infections [59] Contextual features from qualitative research are integrated holistically with findings on effectiveness to develop or refine the logic model Development of framework is flexible and can incorporate stakeholder input when description in published studies is poor Analysing programme theory School feeding programmes for disadvantaged children [54] Interventions to prevent repeat teenage pregnancy [64] a Contextual features from qualitative research are integrated holistically with effectiveness findings to develop and refine programme theory Expertise in programme theory required (e.g.realist evaluation) Testing hypotheses derived using subgroup analysis Promoting positive health behaviours [27] Hypotheses from qualitative synthesis can be tested statistically Requires sufficient numbers of trials to conduct sub-group analysis Features/factors influencing implementation are examined one by one Qualitative comparative analysis.…”