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Eur J Contracept Reprod Health Care. 2016;21(1):4-14. doi: 10.3109/13625187.2015.1082175. Epub 2015 Oct 14.

Contraception for adolescents after abortion.

Author information

1
a Institute for Mother and Child Health Care of Serbia, Republic Family Planning Centre , Belgrade , Serbia.

Abstract

INTRODUCTION:

Preventing repeated unplanned pregnancy among adolescents is still a challenge because many of them fail to use effective contraception after abortion.

OBJECTIVE:

To review currently recommended options of methods and counselling for effective prevention of repeat pregnancies in adolescents.

METHODS:

Review of the literature that was identified through the Medline, ScienceDirect, Google and Popline databases and relevant expert opinions.

RESULTS:

Counselling needs to be adapted to the needs, values and lifestyle of adolescents. The best results are achieved with nondirective or active contraceptive counselling, followed by regular check-ups and cautious and attentive approach in the management of doubts, prejudices and side effects related to the contraceptive chosen. Adolescents should initiate contraception immediately after abortion: the motivation for choosing an efficacious method is highest at that time; resumption of ovulation following induced abortion occurs on average after three weeks; more than half of these girls will resume sexual activity within two weeks after pregnancy termination. Long-acting reversible contraception use during adolescence is safe and most effective. However, achieving a high long-term continuation rate is especially challenging in adolescents; this is due to developmental and environmental characteristics that influence their contraceptive behaviour.

CONCLUSION:

Adolescents should immediately after abortion initiate a reliable contraceptive method, preferably one whose efficacy is not user-dependent. Providing an appropriate health care would contribute to achieving continuity in the prevention of repeat pregnancy.

KEYWORDS:

Adolescent girls; Adolescent pregnancy; Contraception after abortion; Induced abortion

PMID:
26463183
DOI:
10.3109/13625187.2015.1082175
[Indexed for MEDLINE]

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