Contraceptive practices and pregnancy intendedness among pregnant adolescents

Wakul Lanjakornsiripan, Siriruthai Amnatbuddee, Kanok Seejorn, Yuthapong Werawatakul, Pilaiwan Kleebkaow, Ratana Komwilaisak, Sanguanchoke Luanratanakorn Department of Obstetrics and Gynaecology, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand Background: Adolescent pregnancy is a m...

Full description

Bibliographic Details
Main Authors: Lanjakornsiripan W, Amnatbuddee S, Seejorn K, Werawatakul Y, Kleebkaow P, Komwilaisak R, Luanratanakorn S
Format: Article
Language:English
Published: Dove Medical Press 2015-03-01
Series:International Journal of Women's Health
Online Access:http://www.dovepress.com/contraceptive-practices-and-pregnancy-intendedness-among-pregnant-adol-peer-reviewed-article-IJWH
_version_ 1828213577335439360
author Lanjakornsiripan W
Amnatbuddee S
Seejorn K
Werawatakul Y
Kleebkaow P
Komwilaisak R
Luanratanakorn S
author_facet Lanjakornsiripan W
Amnatbuddee S
Seejorn K
Werawatakul Y
Kleebkaow P
Komwilaisak R
Luanratanakorn S
author_sort Lanjakornsiripan W
collection DOAJ
description Wakul Lanjakornsiripan, Siriruthai Amnatbuddee, Kanok Seejorn, Yuthapong Werawatakul, Pilaiwan Kleebkaow, Ratana Komwilaisak, Sanguanchoke Luanratanakorn Department of Obstetrics and Gynaecology, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand Background: Adolescent pregnancy is a major health problem in many developing countries.Objective: To assess contraceptive practices and pregnancy intendedness in pregnant adolescents.Materials and methods: This study was prospectively conducted from September 2013 to June 2014. All consecutively pregnant women between 15 and 19 years old attending the Antenatal Clinic at Srinagarind Hospital and the Khon Kaen Branch of the Planned Parenthood Association of Thailand were invited for participation. Face-to-face interviews by trained interviewers using standardized questionnaires were carried out. Logistic regression was used to determine an adjusted odds ratio (aOR) and 95% confidence interval (CI) of independent predictors.Results: Two hundred participants were enrolled. Mean age was 17.2 years. One hundred and eighteen (59.0%) were currently in school. Seventy-five (37.5%) participants had never used any contraceptive methods. Of the 125 participants who had ever used contraception, regular use of contraceptives was reported in only 21 participants (16.8%). Only two participants (1.0%) had ever used an intrauterine device or implant. Participants’ age was a significant independent factor associated with non-use of contraceptives (aOR, 6.42; 95% CI, 2.94–14.04). Of the 200 participants, 132 (66.0%) declared that the pregnancy was unintended. Significant independent factors predicting unintended pregnancy were educational status (aOR, 6.17; 95% CI, 3.27–13.75) and participants’ age (aOR, 5.76; 95% CI, 2.42–13.70).Conclusion: Non-use and use of contraceptive methods with high failure rates were major reasons leading to adolescent pregnancies. Participants’ age was an independent factor predicting non-use of contraceptives. Educational status and age of the participants were significant factors predicting unintended pregnancy. Keywords: contraception, unintended pregnancy, teenage pregnancy
first_indexed 2024-04-12T14:52:30Z
format Article
id doaj.art-581c6340eb7c421eb097fc5efeab39fb
institution Directory Open Access Journal
issn 1179-1411
language English
last_indexed 2024-04-12T14:52:30Z
publishDate 2015-03-01
publisher Dove Medical Press
record_format Article
series International Journal of Women's Health
spelling doaj.art-581c6340eb7c421eb097fc5efeab39fb2022-12-22T03:28:24ZengDove Medical PressInternational Journal of Women's Health1179-14112015-03-012015default31532020951Contraceptive practices and pregnancy intendedness among pregnant adolescentsLanjakornsiripan WAmnatbuddee SSeejorn KWerawatakul YKleebkaow PKomwilaisak RLuanratanakorn SWakul Lanjakornsiripan, Siriruthai Amnatbuddee, Kanok Seejorn, Yuthapong Werawatakul, Pilaiwan Kleebkaow, Ratana Komwilaisak, Sanguanchoke Luanratanakorn Department of Obstetrics and Gynaecology, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand Background: Adolescent pregnancy is a major health problem in many developing countries.Objective: To assess contraceptive practices and pregnancy intendedness in pregnant adolescents.Materials and methods: This study was prospectively conducted from September 2013 to June 2014. All consecutively pregnant women between 15 and 19 years old attending the Antenatal Clinic at Srinagarind Hospital and the Khon Kaen Branch of the Planned Parenthood Association of Thailand were invited for participation. Face-to-face interviews by trained interviewers using standardized questionnaires were carried out. Logistic regression was used to determine an adjusted odds ratio (aOR) and 95% confidence interval (CI) of independent predictors.Results: Two hundred participants were enrolled. Mean age was 17.2 years. One hundred and eighteen (59.0%) were currently in school. Seventy-five (37.5%) participants had never used any contraceptive methods. Of the 125 participants who had ever used contraception, regular use of contraceptives was reported in only 21 participants (16.8%). Only two participants (1.0%) had ever used an intrauterine device or implant. Participants’ age was a significant independent factor associated with non-use of contraceptives (aOR, 6.42; 95% CI, 2.94–14.04). Of the 200 participants, 132 (66.0%) declared that the pregnancy was unintended. Significant independent factors predicting unintended pregnancy were educational status (aOR, 6.17; 95% CI, 3.27–13.75) and participants’ age (aOR, 5.76; 95% CI, 2.42–13.70).Conclusion: Non-use and use of contraceptive methods with high failure rates were major reasons leading to adolescent pregnancies. Participants’ age was an independent factor predicting non-use of contraceptives. Educational status and age of the participants were significant factors predicting unintended pregnancy. Keywords: contraception, unintended pregnancy, teenage pregnancyhttp://www.dovepress.com/contraceptive-practices-and-pregnancy-intendedness-among-pregnant-adol-peer-reviewed-article-IJWH
spellingShingle Lanjakornsiripan W
Amnatbuddee S
Seejorn K
Werawatakul Y
Kleebkaow P
Komwilaisak R
Luanratanakorn S
Contraceptive practices and pregnancy intendedness among pregnant adolescents
International Journal of Women's Health
title Contraceptive practices and pregnancy intendedness among pregnant adolescents
title_full Contraceptive practices and pregnancy intendedness among pregnant adolescents
title_fullStr Contraceptive practices and pregnancy intendedness among pregnant adolescents
title_full_unstemmed Contraceptive practices and pregnancy intendedness among pregnant adolescents
title_short Contraceptive practices and pregnancy intendedness among pregnant adolescents
title_sort contraceptive practices and pregnancy intendedness among pregnant adolescents
url http://www.dovepress.com/contraceptive-practices-and-pregnancy-intendedness-among-pregnant-adol-peer-reviewed-article-IJWH
work_keys_str_mv AT lanjakornsiripanw contraceptivepracticesandpregnancyintendednessamongpregnantadolescents
AT amnatbuddees contraceptivepracticesandpregnancyintendednessamongpregnantadolescents
AT seejornk contraceptivepracticesandpregnancyintendednessamongpregnantadolescents
AT werawatakuly contraceptivepracticesandpregnancyintendednessamongpregnantadolescents
AT kleebkaowp contraceptivepracticesandpregnancyintendednessamongpregnantadolescents
AT komwilaisakr contraceptivepracticesandpregnancyintendednessamongpregnantadolescents
AT luanratanakorns contraceptivepracticesandpregnancyintendednessamongpregnantadolescents