Preventing repeated unplanned
pregnancy among adolescents is still a challenge because many of them fail to
use effective contraception after abortion.
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.
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.
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.
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By:
- 1 Institute for Mother and Child Health Care of Serbia, Republic Family Planning Centre , Belgrade , Serbia.
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