Coard S I, Nitz K, Felice M E
New York University Medical Center, New York 10016, USA.
Adolescence. 2000 Spring;35(137):193-200.
First-time adolescent mothers are at high risk for a repeat pregnancy. The present investigation, part of an ongoing longitudinal study, examined sociodemographic, family, and health factors associated with repeat Pregnancy in a clinic sample of urban, first-time adolescent mothers (ages 13 to 17 years). They were predominantly African-American and from low-income households. Repeat pregnancy within one year and between one and two years postpartum was determined from medical records. Summary statistics, point biserial correlations, and chi-square statistics were used to analyze the data. Results indicated that postpartum contraceptive method was associated with repeat pregnancy at Year 1; contraceptive use, maternal age, history of miscarriages, and postpartum contraceptive method were associated with repeat pregnancy at Year 2. It was concluded that efforts to prevent repeat pregnancies among first-time adolescent mothers should include the continuous monitoring of contraceptive use, as well as the promotion of long-acting contraceptives (e.g., medroxyprogesterone or progesterone implants). Further, counseling should be offered to adolescent mothers with a history offered miscarriages.
首次生育的青春期母亲再次怀孕的风险很高。本调查是一项正在进行的纵向研究的一部分，它在一个城市首次生育的青春期母亲（年龄在13至17岁之间）的门诊样本中，研究了与再次怀孕相关的社会人口统计学、家庭和健康因素。她们主要是非洲裔美国人，来自低收入家庭。根据医疗记录确定产后一年内以及产后一至两年内的再次怀孕情况。使用描述性统计、点二列相关分析和卡方统计分析数据。结果表明，产后避孕方法与第1年的再次怀孕有关；避孕措施的使用、母亲年龄、流产史和产后避孕方法与第2年的再次怀孕有关。得出的结论是，预防首次生育的青春期母亲再次怀孕的工作应包括持续监测避孕措施的使用情况，以及推广长效避孕方法（如甲羟孕酮或孕酮植入剂）。此外，应为有流产史的青春期母亲提供咨询。
