Evaluation of an integrated services program to prevent subsequent pregnancy and birth among urban teen mothers.

MedStar author(s):
Citation: Social Work in Health Care. 52(7):642-55, 2013.PMID: 23947540Institution: MedStar Washington Hospital CenterDepartment: NursingForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: *Contraception/ut [Utilization] | *Delivery of Health Care, Integrated/og [Organization & Administration] | *Health Promotion/mt [Methods] | *Pregnancy in Adolescence/pc [Prevention & Control] | *Pregnancy, Unplanned | *Social Support | Adolescent | Child | District of Columbia | Female | Humans | Illegitimacy/pc [Prevention & Control] | Pregnancy | Program DevelopmentISSN:
  • 0098-1389
Name of journal: Social work in health careAbstract: This article details the evaluation of a clinical services program for teen mothers in the District of Columbia. The program's primary objectives are to prevent unintended subsequent pregnancy and to promote contraceptive utilization. We calculated contraceptive utilization at 6, 12, 18, and 24 months after delivery, as well as occurrence of subsequent pregnancy and birth. Nearly seven in ten (69.5%) teen mothers used contraception at 24 months after delivery, and 57.1% of contraceptive users elected long-acting reversible contraception. In the 24-month follow-up period, 19.3% experienced at least one subsequent pregnancy and 8.0% experienced a subsequent birth. These results suggest that an integrated clinical services model may contribute to sustained contraceptive use and may prove beneficial in preventing subsequent teen pregnancy and birth.All authors: Berggren E, Letourneau K, Patchen LDigital Object Identifier: Date added to catalog: 2014-04-04
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Journal Article MedStar Authors Catalog Article Available 23947540

This article details the evaluation of a clinical services program for teen mothers in the District of Columbia. The program's primary objectives are to prevent unintended subsequent pregnancy and to promote contraceptive utilization. We calculated contraceptive utilization at 6, 12, 18, and 24 months after delivery, as well as occurrence of subsequent pregnancy and birth. Nearly seven in ten (69.5%) teen mothers used contraception at 24 months after delivery, and 57.1% of contraceptive users elected long-acting reversible contraception. In the 24-month follow-up period, 19.3% experienced at least one subsequent pregnancy and 8.0% experienced a subsequent birth. These results suggest that an integrated clinical services model may contribute to sustained contraceptive use and may prove beneficial in preventing subsequent teen pregnancy and birth.

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