Kokanalı Demet, Kuntay Kokanalı Mahmut, Ayhan Sevgi, Cengaver Nagihan, Özakşit Gülnur, Engin-Üstün Yaprak
a Zekai Tahir Burak Woman's Health Education and Research Hospital , Ankara , Turkey.
J Obstet Gynaecol. 2019 Aug;39(6):822-826. doi: 10.1080/01443615.2019.1579176. Epub 2019 Apr 22.
In this retrospective study, we aimed to investigate the contraceptive choices before and after voluntary termination of pregnancy among adolescents. Seventy pregnant adolescents aged 17-19 and undergone voluntary pregnancy termination were included. Counseling about contraceptives was given before the procedure. Contraceptive choices before and after termination of pregnancy were evaluated. Before pregnancy termination, all of the adolescents reported the use of a contraceptive method. The most commonly used method was (37.1%), followed by male condom (34.3%) and the rhythm method (18.6%). The use of oral contraceptive pills (7.1%) and intrauterine devices (IUDs; 2.9%) were very low. Implants and injections were not used. None of the methods used were dual methods (used with the male condom). After the termination procedure, IUD was main choice (54.3%) followed by oral contraceptive pills (31.4%). Four adolescents (5.7%) selected to insert subdermal implants and three adolescents (4.3%) preferred injections. All of these preferred methods were dual methods. The preference of male condom as a single method decreased by about 3%. The rhythm method and were not preferred. As a conclusion, contraceptive choices of adolescents significantly change to more effective methods by sufficient counselling during the termination of an unintended pregnancy. Impact statement Adolescent pregnancies are an important public health problem. The prevention of these pregnancies is important in this respect. However, especially in developing countries, adolescents do not have sufficient knowledge of effective contraceptive methods. The contraceptive choices of adolescents significantly change to more effective methods by appropriate counselling during the termination of unintended pregnancies. An unintended pregnancy termination may be an opportunity to provide appropriate counselling to prevent subsequent pregnancies in adolescents, especially in countries where the sexual and reproductive health or family planning services are inadequately used.
在这项回顾性研究中，我们旨在调查青少年自愿终止妊娠前后的避孕选择。纳入了70名年龄在17 - 19岁且接受过自愿终止妊娠的怀孕青少年。在手术前提供了有关避孕方法的咨询。评估了终止妊娠前后的避孕选择。在终止妊娠前，所有青少年都报告使用了某种避孕方法。最常用的方法是[具体方法未给出]（37.1%），其次是男用避孕套（34.3%）和安全期避孕法（18.6%）。口服避孕药（7.1%）和宫内节育器（IUDs；2.9%）的使用率非常低。未使用植入剂和注射剂。所使用的方法均不是双重方法（与男用避孕套一起使用）。终止手术后，宫内节育器是主要选择（54.3%），其次是口服避孕药（31.4%）。四名青少年（5.7%）选择植入皮下植入剂，三名青少年（4.3%）更喜欢注射剂。所有这些首选方法都是双重方法。男用避孕套作为单一方法的偏好下降了约3%。安全期避孕法和[具体方法未给出]不受青睐。总之，通过在意外妊娠终止期间进行充分的咨询，青少年的避孕选择显著转向更有效的方法。影响声明 青少年怀孕是一个重要的公共卫生问题。在这方面预防这些怀孕很重要。然而，特别是在发展中国家，青少年对有效的避孕方法没有足够的了解。通过在意外妊娠终止期间进行适当的咨询，青少年的避孕选择显著转向更有效的方法。意外妊娠终止可能是一个为预防青少年后续怀孕提供适当咨询的机会，尤其是在性健康和生殖健康或计划生育服务使用不足的国家。
