Placement of long-acting reversible contraception for minors who are mothers should not require parental consent

2021 ◽  
pp. medethics-2020-106225
Author(s):  
Savannah Kaszubinski
Keyword(s):  
Adolescent Mothers ◽  
Teenage Pregnancy ◽  
Parental Consent ◽  
Repeat Pregnancy ◽  
Rapid Repeat Pregnancy ◽  
Health Goal ◽  
Public Health Goal ◽  
The Usa ◽  
Long Acting ◽  
Legal Barriers

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.

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 ◽  
...  
Keyword(s):  
Contraceptive Use ◽  
Repeat Pregnancy ◽  
Rapid Repeat Pregnancy ◽  
Adolescent Patients ◽  
Long Acting

Early Contraception Initiation in First Time Adolescent Mothers: Does it Decrease Rapid Repeat Pregnancy?

2012 ◽  
Vol 25 (2) ◽  
pp. e52
Author(s):  
Lauren F. Damle ◽  
Anna K. McEvoy ◽  
Amir Gohari ◽  
Sameer Y. Desale ◽  
Loral Patchen ◽  
...  
Keyword(s):  
Adolescent Mothers ◽  
Repeat Pregnancy ◽  
Rapid Repeat Pregnancy ◽  
First Time

scholarly journals Association between depressive symptoms and psychosocial factors and perception of maternal self-efficacy in teenage mothers

Salud Mental ◽  
2017 ◽  
Vol 40 (5) ◽  
pp. 201-208
Author(s):  
Ma Asunción Lara ◽  
◽  
Pamela Patiño ◽  
Laura Navarrete ◽  
Zaira Hernández ◽  
...  
Keyword(s):  
Social Support ◽  
Depressive Symptoms ◽  
Adolescent Mothers ◽  
Self Efficacy ◽  
Teenage Pregnancy ◽  
Post Partum ◽  
Depression Scale ◽  
Epidemiologic Studies ◽  
Bivariate Analysis ◽  
Cross Sectional

Introduction. Teenage pregnancy is a national health priority. Having to deal with pregnancy during adolescence can cause the mother, at an already vulnerable age, to doubt her maternal capacity to cope with a challenge of this magnitude. The teenage mother’s assessment of her maternal self-efficacy is associated with her performance, in other words, the way she relates and responds to the needs of her infant, which has major implications for the latter’s development. Objective. To study the association between personal (depressive symptoms, self-esteem) and environmental characteristics (social support, partner satisfaction) and those of the infant (problems with infant care, the infants’s temperament) and the perception of maternal self-efficacy (PME) in adolescent mothers. Method. Cross-sectional study. The following instruments were applied: Center for Epidemiologic Studies Depression Scale (CES-D), Post-partum Depression Predictors Inventory-Revised (PDPI-R), and Maternal Efficacy Questionnaire to 120 mothers under 20 during the first six months postpartum. Bivariate lineal regression and hierarchical linear regression analyses were used for the data analysis. Results. When adjusting for other variables, symptoms of depression and difficult infant temperament were associated with lower PME. Social support was only associated with increased PME in the bivariate analysis. Discussion and conclusion. These findings contribute to the limited literature on the subject and provide elements for designing strategies to improve adolescent mothers’ PME to encourage behaviors that are more relevant and sensitive to infants’ physical and emotional needs.

scholarly journals Overview on Cigarettes and Other Tobacco Products Act and its implementation: current update

2020 ◽  
Vol 8 (1) ◽  
pp. 463
Author(s):  
Dhwanit Thakore ◽  
Mahesh Chavda ◽  
Girish Parmar ◽  
Tejal Sheth
Keyword(s):  
Public Health ◽  
Tobacco Control ◽  
Tobacco Use ◽  
Control Measures ◽  
Public Health Issue ◽  
Tobacco Products ◽  
Health Goal ◽  
The Status ◽  
Public Health Goal ◽  
Almost All

Tobacco use- a major public health issue in India has an enormous effect on the lower SES population. . There is an evident link between tobacco use or consumption and poverty. The widespread use of almost all forms of tobacco among the Indian population can be attributed to the social and cultural acceptance in the country. Cigarette and Other Tobacco Products Act, 2003 (COTPA) is the legislation that regulates tobacco in India. The prime objective of this review is to compile the literature with information about the laws regulating tobacco use and the status of implementation of tobacco control provisions covered under COTPA. Since effective tobacco control measures involve multi-stakeholders i.e public health, law, trade and commerce, industry, consumer, human rights and child development, coordinated efforts are required to successful enforcement. The outcome of the current literature is bridging the gaps to make the tobacco control a very important public health goal and thereby protect the population from the consequent morbidity and mortality due to tobacco use.

scholarly journals The relationship between area deprivation and prescription of long-acting reversible contraception in women of reproductive age in Lothian, Scotland, UK

2017 ◽  
Vol 43 (4) ◽  
pp. 281-288 ◽  
Author(s):  
Catherine Rachel Morgan ◽  
Hanhua Liu
Keyword(s):  
Teenage Pregnancy ◽  
Unplanned Pregnancy ◽  
Cost Effective ◽  
Reproductive Age ◽  
Electronic Prescribing ◽  
Area Deprivation ◽  
Health Clinics ◽  
Long Acting ◽  
To Receive ◽  
The Relationship

BackgroundReducing unplanned pregnancy in Scotland is a key government objective. Long-acting reversible contraception (LARC) is a cost-effective way to reduce unintended pregnancy. Abortion and teenage pregnancy rates are highest in the most deprived areas. One possible explanation could be contraceptive prescribing inequality. This study examined the relationship between area deprivation measured by the Scottish Index of Multiple Deprivation and LARC prescription.MethodsUsing Scottish electronic prescribing data from primary care and sexual and reproductive health clinics, this study analysed female Lothian residents with a valid postcode aged 16–49 years who received a contraceptive prescription from 1 April 2012 to 31 March 2014. Prescription of LARC (intrauterine, implant or injectable contraceptive) compared with non-LARC (oral pill, patch, ring or diaphragm) was examined. Logistic regression was performed adjusting for age group and prescription location.ResultsA total of 90 150 women were included; 21.1% of prescriptions were LARC and 15.3% vLARC (intrauterine method or implant). Women residing in the most deprived quintile (Q1) and prescribed contraception received a significantly higher proportion of LARC than quintiles 2–5 (Q2–5). Odds ratios compared with Q1 were: Q2 0.86, Q3 0.77, Q4 0.59 and Q5 0.51. Women in quintile 1 were also significantly more likely to receive vLARC than quintiles 2–5.ConclusionWomen in the most deprived quintile in Lothian who are prescribed contraception are significantly more likely to receive LARC and vLARC compared with women in less deprived quintiles.

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