Postpartum Contraception in Adolescents: Data From a Single Tertiary Clinic in Southeast of Turkey

Abstract

Aim:We aimed to evaluate the postpartum contraception preferences of adolescent women in this study.Material and Method:This descriptive study was prepared after a retrospective analysis of file records of primigravida women who had given birth at the Adiyaman University School of Medicine Training and Research Hospital Department of Obstetric and Gynecology between January 2010 and June 2012. More than 12 months had passed after birth. The adolescents who were included in the study and the control group women were called by phone and invited to our clinic. A total of 506 adolescents and 1,046 control group women came to the clinic and were evaluated. The control group was formed of women between the age of 20-35 years who gave given birth in our clinic during the same period and were randomly selected. Postpartum obstetric history, contraception methods and data of these patients were recorded.Results:The mean age was 18.3±0.4 years and 28.2±4.9 years in the adolescent group and control group respectively. No contraception other than lactation amenorrhea was used by 256 women of the adolescent group (50.6%) and 345 women of the control group (33%). The most commonly used contraceptive method in both groups other than lactation amenorrhea was condoms (160 women (64%) and 230 women (32.8%) respectively). The annual contraceptive failure rate was 3.95% in the adolescent group and 1.72% in the control group. The highest failure rate was with lactation amenorrhea in both groups.Discussion:Adolescent women mostly use contraceptive methods with low reliability such as lactation amenorrhea and the calendar method in the postpartum period. Providing adequate contraceptive education is therefore important. On the other hand, starting such training starting in the early postnatal period will prevent recurring adolescent pregnancies with a short pregnancy interval.

Lactational amenorrhoea among adolescent girls in low-income and middle-income countries: a systematic scoping review

“…The study on use of LAM as a family planning method with the most recent data was conducted in Turkey in 2010-2012. 48 It found that 50.6% of those 10-19 years old were using lactational amenorrhoea as a family planning method compared with 33% among women 20-35 years. 48 LAM was the most preferred method of contraception in this study (no quantitative indicators were provided to support this statement).…”

“…48 It found that 50.6% of those 10-19 years old were using lactational amenorrhoea as a family planning method compared with 33% among women 20-35 years. 48 LAM was the most preferred method of contraception in this study (no quantitative indicators were provided to support this statement). 48 Contraceptive failure in the adolescent age group was 2.37% in the first year post partum (12 unintended pregnancies among 506 adolescents in sample), compared with 2.0% in older age group.…”

Tersiyer Bir Merkezde Doğum Yapan Adolesan, Reprodüktif ve İleri Yaş Gebelerde Obstetrik ve Neonatal Sonuçların Karşılaştırılması

“…Adolesan yaş grubu gebelerin yaş ortalaması 17.12±1.07(14-18), ileri yaş grubu gebelerin yaş ortalaması 41.46±2.16(39-50) kontrol grubunun yaş ortalaması 28.88±6.02 (19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34)(35)(36)(37)(38), olarak saptandı. Adolesan yaş gebelerin büyük çoğunluğu nullipar (1-3) iken ileri yaş gebelerin tamamı multipar (2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14) idi. Gravida açısından değerlendirildiğinde en yüksek değer ileri yaş grubunda olduğu gözlendi.…”

“…Hospitalizasyon süresi en uzun ileri yaş grubu gebelerde izlendi. Adolesan ve reprudüktif yaş grubu gebelerde adolesan yaş gebelerin büyük çoğunluğu nullipar (1-3) iken ileri yaş gebelerin tamamı multipar (2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14) idi. 1.ve 5.Apgar skorları açısından gruplar arasında anlamlı bir farklılık saptanmadı (p=0.077, p=0.087).…”

“…Adolesan gebelik başta gelişmekte olan ülkeler olmak üzere gelişmiş ülkelerinde sorunudur. Gelişmiş ülkelerde evlilik öncesi cinsel birliktelik ve sonrasında oluşan planlı yada plansız gebelikler daha sık görülürken Türkiye gibi gelişmekte olan ülkelerde kültürel yapı ve geleneklerden dolayı aynı zamanda dü-şük gelir ve eğitim seviyesine bağlı olarak erken yaş evlilikleri sıkça görülmektedir (2)(3)(4).…”