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Am J Obstet Gynecol. 2012 Jan;206(1):40.e1-7. doi: 10.1016/j.ajog.2011.06.094. Epub 2011 Jul 13.

Factors influencing uptake of intrauterine devices among postpartum adolescents: a qualitative study.

Author information

  • 1Division of Family Planning and Contraceptive Research, Department of Obstetrics and Gynecology, Pritzker School of Medicine, University of Chicago, IL 60637, USA.

Abstract

OBJECTIVE:

We assessed barriers and facilitators to uptake of the intrauterine device (IUD) among primiparous African American adolescent mothers.

STUDY DESIGN:

Twenty participants who expressed IUD desire completed 4-5 qualitative interviews during the first postpartum year as part of a larger longitudinal study. Transcripts were analyzed for salient themes using a grounded theory approach to content analysis.

RESULTS:

Twelve participants did not obtain IUDs and instead used condoms, used no method, or intermittently used hormonal methods, resulting in 3 repeat pregnancies. Outdated IUD eligibility requirements, long wait times, lack of insurance coverage, and fear of IUD-related side effects precluded or delayed uptake. Facilitators to IUD uptake included strong recommendations from providers or family members, planning for IUD during pregnancy, and perceived reproductive autonomy.

CONCLUSION:

Postpartum adolescents may reduce their risk of rapid repeat pregnancy by using IUDs. Providers and members of adolescents' support networks can be instrumental in method adoption.

Copyright © 2012 Mosby, Inc. All rights reserved.

PMID:
21903193
[PubMed - indexed for MEDLINE]
PMCID:
PMC3237760
Free PMC Article

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