32. Back to the Hospital: Long Acting Contraceptive use and Rapid Repeat Pregnancy in Adolescent Patients

2020 ◽  
Vol 33 (2) ◽  
pp. 191
Author(s):  
Karina Leyva-Gutiérrez ◽  
Eduardo Nava-Guerrero ◽  
Alejandra Salcedo-Gonzalez ◽  
Mariana Moncada-Madrazo ◽  
Mayra Hernandez-Ramírez ◽  
...  
2021 ◽  
pp. medethics-2020-106225
Author(s):  
Savannah Kaszubinski

Decreasing unintended teenage pregnancy, especially repeat teenage pregnancy, is an important public health goal. Unfortunately, legal barriers in the USA impede this goal as all minors are unable to consent for birth control in 24 states, and only 10 of those states allow consent after the minor has given birth according to state statutory law. Placement of long-acting reversible contraception (LARC) is one of the most effective methods of preventing rapid repeat pregnancies. However, restrictions are placed on adolescents who may not have the option of parental consent if the parents are unwilling, or not present, to give consent. A predicament arises when healthcare professionals are willing to place the contraceptive for the patient, but cannot due to the restrictions and guidelines outlined by each state. Even though these adolescents are legally viewed as minors, adolescent mothers should be able to consent to the placement of LARC. Notably, adolescents have the legal ability to give consent for the healthcare of their child starting in the prenatal period. I argue that this ability should be extended to include adolescent consent for their own healthcare. Additionally, the procedure to place LARC is relatively low risk and highly effective, which is an opportune situation to allow minors to consent. Allowing adolescents to consent to LARC after delivery is a simple and effective way to decrease rapid repeat pregnancy rates in the USA.


2012 ◽  
Vol 50 (2) ◽  
pp. S78-S79
Author(s):  
Joanne E. Cox ◽  
Talia Engelhart ◽  
Amy Snyder ◽  
Peter Forbes ◽  
Paul Arandia ◽  
...  

2017 ◽  
Vol 53 (1) ◽  
pp. 162-169 ◽  
Author(s):  
Amy M. Loree ◽  
Aileen Gariepy ◽  
Jennifer Prah Ruger ◽  
Kimberly A. Yonkers

Author(s):  
Shandhini Raidoo ◽  
Marit Pearlman Shapiro ◽  
Bliss Kaneshiro

AbstractAdolescents are at risk for unwanted pregnancy when they become sexually active, and contraception is an important part of mitigating this risk. Use of contraceptive methods, and long-acting reversible contraceptive methods such as implants and intrauterine devices in particular, has increased among adolescents. Although sexual activity has declined and contraceptive use has increased among adolescents in the United States in recent years, the unintended pregnancy rate remains high. All of the currently available contraceptive methods are safe and effective for adolescents to use; however, adolescents may have specific concerns about side effect profiles and unscheduled bleeding that should be addressed during contraceptive counseling. Healthcare providers should prioritize adolescents' needs and preferences when approaching contraceptive counseling, and also consider the unique access and confidentiality issues that adolescents face when accessing contraception.


Demography ◽  
2021 ◽  
Author(s):  
Julia A. Behrman ◽  
Michelle A. Eilers ◽  
Isabel H. McLoughlin Brooks ◽  
Abigail Weitzman

Abstract This research note presents a multisited analysis of migration and contraceptive use by standardizing and integrating a sample of African migrants in France from six West and Central African countries in the Trajectoires et Origines survey with a sample of women living in the same six African countries in the Demographic and Health Surveys. Descriptive analyses indicate that the contraceptive use of migrants more closely aligns with that of native French women than with that of women from origin countries. In particular, migrants report dramatically higher use of long-acting reversible contraceptives and short-acting hormonal methods and lower use of traditional methods than do women in the countries of origin. Although migrants differ from women in the countries of origin on observed characteristics, including education and family background, reweighting women in the origin countries to resemble migrants on these characteristics does little to explain differences in contraceptive use between the groups. Given that contraceptive use is an important proximate determinant of fertility, our results suggest that contraceptive use should feature more prominently in the dominant demographic paradigms of migrant fertility.


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