Clinical Edge

Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions

Pregnancy & Contraception Use Among US Adolescents

Obstet Gynecol; ePub 2017 May; Kaneshiro, et al

The American College of Obstetricians and Gynecologists’ Committee on Adolescent Health Care has issued guidance and recommendations on adolescent pregnancy, contraception, and sexual activity. The College supports access for adolescents to all contraceptive methods approved by the FDA and supports the implementation of successful programs that result in measureable changes in adolescent contraceptive practices and sexual behavior. Among their recommendations and conclusions:

  • Pregnancy in adolescents has decreased largely because adolescents are becoming more effective contraceptive users.
  • Support access for adolescents and young adults to all contraceptive methods approved by the FDA.
  • Because of the safety and effectiveness of long-acting reversible contraceptive (LARC) methods, the College and the American Academy of Pediatrics (AAP) endorse the use of intrauterine devices (IUDs) and implants as contraceptive options for adolescents.
  • The College, the Centers for Disease Control and Prevention (CDC), and AAP also recommend that LARC methods be discussed with pregnant adolescents.
  • For adolescents who choose a LARC method, initiation should be offered immediately after delivery, pregnancy loss, or abortion.
  • Dual method use—pairing condoms with more effective contraceptive methods to protect against sexually transmitted infections (STIs) and unwanted pregnancy—is the ideal contraceptive practice for adolescents.

Citation:

Adolescent pregnancy, contraception, and sexual activity. Committee Opinion No. 699. American College of Obstetricians and Gynecologists. Obstet Gynecol. 2017;129:e142–9.