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A Program to Prevent Rapid Repeat Pregnancies

Am J Obstet Gynecol; ePub 2017 Jun 14; Stevens, et al

A program to help prevent pregnancies in adolescent mothers helps reduce the rate of rapid repeat teen pregnancy, a recent study found. The Teen Options to Prevent Pregnancy program included 598 adolescent females from 7 obstetrics/genecology clinics and 5 postpartum units of a large hospital system. Each was enrolled at least 28 weeks pregnant or less than 9 weeks postpartum and was randomized to either the Teen Options to Prevent Pregnancy intervention or a usual care control condition. The program recommended monthly sessions between a participant and a registered nurse over 18 months and featured facilitated birth control access through transportation assistance and a part-time contraceptive clinic. The impact of the program on rapid repeat pregnancies at 18 months post-enrollment was evaluated. Researchers found:

  • There was an 18.1% absolute reduction in self-reported repeat pregnancy in the intervention group relative to the control group.
  • There was a 13.7% absolute increase in self-reported long-acting reversible contraception use in the intervention group relative to the control group.
  • There was no evidence of harmful effects of the intervention on sexual risk behaviors.

Citation:

Stevens J, Lutz R, Osuagwu N, Rotz D, Goesling B. A randomized trial of motivational interviewing and facilitated contraceptive access to prevent rapid repeat pregnancy among adolescent mothers. [Published online ahead of print June 14, 2017]. Am J Obstet Gynecol. doi:10.1016/j.ajog.2017.06.010.