The Prevalence of Postpartum Contraception Use among Teenage Mothers at Vajira Hospital, Thailand The Prevalence of Postpartum Contraception Use among Teenage Mothers

Main Article Content

Chaniporn Nawarat
Leelarapin Chongwatanasawat

Abstract

OBJECTIVES: To determine the prevalence of postpartum contraception use among teenage mothers and to identify the factors influencing both postpartum contraception use and loss to postpartum follow-up at the Faculty of Medicine Vajira Hospital in Thailand.
METHODS: Four hundred and seventy-five participants were randomly selected from 1,060 Thai teenage pregnant that gave birth at the Faculty of Medicine Vajira Hospital between 1 January 2017 and 31 December 2020 and were scheduled postpartum visits. The clinical factors associated with postpartum contraception use and loss to postpartum follow-up were studied using multiple logistic regression analysis.
RESULTS: A total of 451 participants remained after excluding criteria. Of these, 212 participants did not follow-up on their postpartum visits, leaving the limitation to summarize the true prevalence of postpartum contraception use of the total population. However, of the 232 participants who visited postpartum follow-ups, the prevalence of contraceptive use was 95.8%. Married status was the only factor associated with higher postpartum contraceptive use (odds ratio (OR) 12.81 [3.38-48.64]). Age 18 years and older (ORadj1.71 [1.16-2.53]), absence of previous contraceptive use (ORadj1.91 [1.29-2.80]), and total antenatal care visits fewer than 8 (ORadj 1.61 [1.07-2.42]) were significantly related with loss to postpartum follow-ups.
CONCLUSION: The prevalence of contraceptive use was high among teenage mothers who had follow-up postpartum visits. However, this population also had a high loss rate of postpartum visits. Interventions and close monitoring should be considered to evaluated further for effective adolescent reproductive services.

Article Details

How to Cite
Nawarat, C., & Chongwatanasawat, L. (2024). The Prevalence of Postpartum Contraception Use among Teenage Mothers at Vajira Hospital, Thailand: The Prevalence of Postpartum Contraception Use among Teenage Mothers. Vajira Medical Journal : Journal of Urban Medicine, 68(4), e269350. https://doi.org/10.62691/vmj.2024.269350
Section
Original Articles

References

Siegel RS, Brandon AR. Adolescents, pregnancy, and mental health. J Pediatr Adolesc Gynecol 2014;27(3):138-50.

Ntshayintshayi PN, Sehularo LA, Mokgaola IO, Sepeng NV. Exploring the psychosocial challenges faced by pregnant teenagers in Ditsobotla subdistrict. Health SA 2022;27:1880.

Hillis SD, Anda RF, Dube SR, Felitti VJ, Marchbanks PA, Marks JS. The association between adverse childhood experiences and adolescent pregnancy, long-term psychosocial consequences, and fetal death. Pediatrics 2004;113(2):320-7.

Shaw M, Lawlor DA, Najman JM. Teenage children of teenage mothers: psychological, behavioural and health outcomes from an Australian prospective longitudinal study. Soc Sci Med 2006;62(10):2526-39.

World Health Organization. Adolescent pregnancy [internet]. 2024 [updated 2024 Apr 10; cited 2023 Sep 16]. Available from: https://www.who.int/news-room/fact-sheets/detail/adolescent-pregnancy

Sully EA, Biddlecom A, Darroch JE, Riley T, Ashford LS, Lince-Deroche N, et al. Adding it up: investing in sexual and reproductive health 2019 [internet]. 2020 [cited 2023 Sep 16]. Available from: https://www.guttmacher.org/report/adding-it-up-investing-in-sexualreproductive-health-2019

Population Division, Department of Economic and Social Affairs, United Nations. World population prospects 2022 [internet]. 2022 [updated 2022; cited 2023 Sep 16]. Available from: https://population.un.org/wpp/Download/Standard/Fertility

Department of Health. Reproductive health situation in adolescence 2022 [internet]. 2023 [updated 2023 Jul 25; cited 2023 Sep 16]. Available from: https://rh.anamai.moph.go.th/th/cms-of-1/214353

Aungsataporn S, Phaloprakarn C, Tangjitgamol S. Characteristics associated with loss to post-partum follow-up among adolescent mothers. J Obstet Gynaecol Res 2019;45(5):981-86.

Subcommittee of Professional Standard. RTCOG clinical practice guideline prenatal care [internet]. 2023 [updated 2023 Jan 20; cited 2023 Sep 16]. Available from: https://www.rtcog.or.th/content/viewid/276

World Health Organization. WHO recommendations on antenatal care for a positive pregnancy experience [internet]. 2016 [updated 2016 Nov 28; cited 2023 Sep 16]. Available from: https://www.who.int/publications/i/item/97892415499

American Academy of Pediatrics. Guidelines for perinatal care [internet]. 2017 [updated 2017; cited 2023 Sep 16 ]. Available from: https://www.acog.org/clinical-information/physician-faqs/-/media/3a22e153b67446a6b31fb051e469187c.ashx

Egbe TO, Omeichu A, Halle-Ekane GE, Tchente CN, Egbe EN, Oury JF. Prevalence and outcome of teenage hospital births at the Buea Health District, South West Region, Cameroon. Reprod Health 2015;12:118.

Narukhutrpichai P, Khrutmuang D, Chattrapiban T. The obstetrics and neonatal outcomes of teenage pregnancy in Naresuan University Hospital. J Med Assoc Thai 2016;99(4):361-7.

Nyarko SH. Prevalence and correlates of contraceptive use among female adolescents in Ghana. BMC Womens Health 2015;15:60.

Dee DL, Pazol K, Cox S, Smith RA, Bower K, Kapaya M, et al. Trends in repeat births and use of postpartum contraception among teens - United States, 2004-2015. MMWR Morb Mortal Wkly Rep 2017;66(16):422-6.

Muyama DL, Musaba MW, Opito R, Soita DJ, Wandabwa JN, Amongin D. Determinants of postpartum contraception use among teenage mothers in Eastern Uganda: a cross-sectional study. Open Access J Contracept 2020;11:187-95.

Anupma A, Sarkar A, Sharma P, Jindal S, Sharma JC. Status of contraceptive use for birth spacing after a teenage pregnancy: where do we stand? Cureus 2023;15(5):e38563.

Haider S, Stoffel C, Dude A. Adolescent contraception use after pregnancy, an opportunity for improvement. J Pediatr Adolesc Gynecol 2018;31(4):388-93.

Daniel WW. Biostatistics; a foundation for analysis in the health sciences. 6th ed. John Wiley&Sons; 1995.

Pitisuttutham P. Textbook of clinical research. 4th ed. Bangkok: Pimlak; 2018.

Maravilla JC, Betts KS, Couto E Cruz C, Alati R. Factors influencing repeated teenage pregnancy: a review and meta-analysis. Am J Obstet Gynecol 2017;217(5):527-45.

Rigsby DC, Macones GA, Driscoll DA. Risk factors for rapid repeat pregnancy among adolescent mothers: a review of the literature. J Pediatr Adolesc Gynecol 1998;11(3):115-26.

Huangthong M, Deoisres W, Suppaseemanon W. The factors related to rapid repeat pregnancy among teenage pregnant women. J Phrapokklao Nurs Coll 2019;30(1):161-72.

Nowik CM, Pudwell J, Smith GN. Evaluating the postpartum maternal health clinic: how patient characteristics predict follow-up. J Obstet Gynaecol Can 2016;38(10):930-5.

Wilcox A, Levi EE, Garrett JM. Predictors of non-attendance to the postpartum follow-up visit. Matern Child Health J 2016;20 Suppl 1:22-7.

DiBari JN, Yu SM, Chao SM, Lu MC. Use of postpartum care: predictors and barriers. J Pregnancy 2014;2014:530769.

Baldwin MK, Hart KD, Rodriguez MI. Predictors for follow-up among postpartum patients enrolled in a clinical trial. Contraception 2018;98(3):228-31.

Einav S, Tankel J. The unseen pandemic: treatment delays and loss to follow-up due to fear of COVID. J Anesth Analg Crit Care 2022;2(1):5.