Depo Now: Preventing Unintended Pregnancies among Adolescents and Young Adults
Journal of Adolescent HealthPublished 20 December 2006
Vaughn I. Rickert, Lorraine Tiezzi, Judy Lipshutz, Jacquelyn León, Roger Vaughan, Carolyn Westhoff
Citations71
SJR quartileQ1
SJR score1.86
SNIP1.62
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TL;DR
Immediate administration of DMPA is associated with improved adherence to DMPA continuation and fewer pregnancies.
Abstract
Immediate administration of DMPA is associated with improved adherence to DMPA continuation and fewer pregnancies.
Keywords
MedicineHealth Professions
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168 Citations1990MB Bracken
The technique of meta-analysis was used to derive typical estimates of the risk of congenital malformations from oral contraceptive exposure in early pregnancy, and there is no lack of an association between OCs and birth defects in prospective studies.
New England Journal of MedicineThe Use of Levonorgestrel Implants (Norplant) for Contraception in Adolescent Mothers
157 Citations1994Margaret Polaneczky, Gail B. Slap +3 more
Postpartum adolescents who chose a contraceptive method at an urban teaching hospital between September 1991 and July 1992 chose Norplant, and the factors significantly associated with the choice of Norplant were older age, multiparity, and previous use of oral contraceptives.
American Journal of Obstetrics and GynecologyLong-acting injectable contraception with depot medroxyprogesterone acetate
112 Citations1994Andrew M. Kaunitz
Long-term DMPA use reduces menstrual blood loss, has been associated with a decreased incidence of candidal vulvovaginitis and pelvic inflammatory disease, and dramatically lowers the risk of endometrial cancer.
ContraceptionQuick Start
110 Citations2002Carolyn Westhoff, Jennifer Kerns +4 more
Women who swallowed the first OC in the clinic were more likely to continue the OC until the second package than women who planned to start the OC later, and factors associated with short-term continuation were partner's knowledge of planned OC use, older age, and participant's agreement that she would be very unhappy about becoming pregnant in the next 6 months.
American Journal of Obstetrics and GynecologyDouble-blinded randomized controlled trial of estrogen supplementation in adolescent girls who receive depot medroxyprogesterone acetate for contraception
88 Citations2005Barbara A. Cromer, Rina Lazebnik +5 more
The results suggest that estrogen supplementation is protective of bone in adolescent girls who receive depot medroxyprogesterone acetate injections.
Family Planning PerspectivesOral Contraceptive Pill Use After an Initial Visit to a Family Planning Clinic
86 Citations1991Deborah Oakley, Susan M. Sereika +1 more
A retrospective study of 1,311 women making initial family planning visits to metropolitan-area health department clinics found that many women switch methods or discontinue use in the first year following the clinic visits.
Journal of Pediatric and Adolescent GynecologyComparison of continuation rates for hormonal contraception among adolescents
82 Citations1999Amanda Zibners, Barbara A. Cromer +1 more
Continuation rates for levonorgestrel implants were significantly higher than those for DMPA and OCPs, the latter group having the lowest continuation rates.
Obstetrics and GynecologyPostpartum contraceptive use among adolescent mothers
70 Citations2000Claire Templeman
Adolescent mothers using depot medroxyprogesterone acetate injection for contraception have a higher method continuation rate and a lower incidence of repeat pregnancy at 12 months postpartum than those selecting OCs during the same period.
Journal of Pediatric and Adolescent GynecologyWill the Pill Make Me Sterile? Addressing Reproductive Health Concerns and Strategies to Improve Adherence to Hormonal Contraceptive Regimens in Adolescent Girls
60 Citations2001Liana R. Clark
This paper is designed to help clinicians understand the relationship between hormonal contraceptive side effects and the potential development of general and reproductive health concerns that can impact on adherence to hormonal contraception by understanding the concerns raised by young women.
Journal of Pediatric and Adolescent GynecologyPhysical Findings and Symptoms of Depot Medroxyprogesterone Acetate Use in Adolescent Females
55 Citations1997Steven C. Matson, K. Henderson +1 more
Despite the documented side effects, DMPA is an effective, acceptable contraceptive for some adolescent females who are at high risk for pregnancy and who are either satisfied or very satisfied with DMPA as a method of contraception.
Obstetrics and GynecologyAdolescents and the Contraceptive Pill: The Impact of Beliefs on Intentions and Use
55 Citations1996Peter J. Moore
Female adolescents' beliefs about the contraceptive pill predicted their initial intentions to use the pill and their actual pill use over the course of a year, and abortion appears to be a backup to pill use rather than a substitute.
Obstetrics and GynecologyCompliance With Contraceptives and Other Treatments
52 Citations1996JA Cramer
Some of the issues unique to compliance with oral contraceptives are defined, and some comparisons with other preventive and therapeutic treatments are made to suggest alternative methods that do not require daily compliance.
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50 Citations1996Margaret Polaneczky, Michael M. Guarnaccia +2 more
Fertility and SterilityBleeding patterns after immediate vs. conventional oral contraceptive initiation: a randomized, controlled trial
48 Citations2003Carolyn Westhoff, Chelsea Morroni +2 more
Immediate start of OCs does not induce bleeding patterns different from conventional starting regimens, and concern about adverse bleeding patterns should not be considered a justification for instructing women to wait until menses before starting OCs.
ContraceptionPregnancies diagnosed during Depo-Provera use
43 Citations2002Lynn Borgatta, A. Murthy +3 more
Although pregnancy during Depo-Provera use is rare, it does occur, and these pregnancies are frequently unrecognized until beyond first trimester.
American Journal of Obstetrics and GynecologyLong-acting injectable contraception with depot medroxyprogesterone acetate
41 Citations1994M. Andrew, M.D. Kaunitz
Archives of Pediatrics and Adolescent MedicineDepot Medroxyprogesterone Acetate Use in Inner-city, Minority Adolescents
37 Citations1999Sylvia W. Lim, Jessica Rieder +2 more
It is suggested that depot medroxyprogesterone acetate does not function as a long-term method for most inner-city adolescents, and was more likely if age at first intercourse was younger than 13 years (P = .04).
Obstetrics and Gynecology Clinics of North AmericaUpdate on adolescent contraception
35 Citations2000Geri Hewitt, Barbara A. Cromer
Norplant continues to be the only subdermal contraceptive implant marketed in the United States, and it provides safe and effective contraception and has the best continuation rate of all types of hormonal contraception.
ContraceptionA prospective study of immediate initiation of depo medroxyprogesterone acetate contraceptive injection
31 Citations2005Rodlescia Sneed, Carolyn Westhoff +2 more
A protocol for immediate DMPA initiation among 149 women who presented on cycle day 8 or later was evaluated, and factors associated with returning for repeat injection included satisfaction with DMPA, older age and finding it easy to return for the follow-up pregnancy test visit.
Journal of Pediatric and Adolescent GynecologyHigh-Risk Teen Compliance with Prescription Contraception
24 Citations2002Therese Zink, Theresa I. Shireman +2 more
Billing/pharmacy claims analysis is a useful tool for identifying teens at risk for pregnancy in order to target and evaluate interventions or to benchmark care provided to adolescents.
Seminars in Reproductive MedicineSuccessful Use of Oral Contraceptives
23 Citations2001Anne E. Burke, Paul D. Blumenthal
Because compliance poses difficulties for many women and noncompliance results in reduced efficacy, counseling must address content points relevant to proper, consistent use, and as unexpected side effects often cause frustration and method discontinuation, counseling should anticipate their occurrence.
Journal of Adolescent HealthDepot medroxyprogesterone acetate (Depo-Provera) and levonorgestrel (Norplant) use in adolescents among clinicians in Northern Europe and the United States
20 Citations1998Barbara A. Cromer, Kristina Berg‐Kelly +3 more
Clinicians in the United States and Great Britain display more enthusiasm toward the use of the long-term progestins in adolescents than do clinicians in Sweden or The Netherlands.
ContraceptionEffective use of hormonal contraceptives
17 Citations2005Kathryn M. Curtis, Camaryn E. Chrisman +2 more
Examination of evidence regarding when during the menstrual cycle a woman can initiate combined oral contraceptive use and what can be done if a woman misses COCs suggested that taking hormonally active pills for 7 consecutive days prevents normal ovulation.
Journal of Pediatric and Adolescent GynecologyAssessment of oral contraceptive pill continuation in young women
16 Citations1999Mariam R. Chacko, Claudia A. Kozinetz +1 more
In an urban hospital based clinic, the OCP continuation rate after the initial visit was poor and methods to improve OCPContinuation in this setting should be implemented.
ContraceptionImmediate monthly combination contraception to facilitate initiation of the depot medroxyprogesterone acetate contraceptive injection
11 Citations2004Chelsea Morroni, Morgan E. Grams +2 more
This study evaluated bridge preferences and DMPA initiation among 150 women requesting DMPA who were ineligible for their first injection at the time of clinic visit due to menstrual cycle day, and found that 90% rejected the standard protocol of waiting with condoms or abstinence in favor of a hormonal bridge method.
Journal of Pediatric and Adolescent GynecologyAdolescents' compliance with return visits for depot medroxyprogesterone initiation
7 Citations2003Chris L. Ohlemeyer
Protocols requiring a second visit for initiation of DMPA serve as a barrier to contraceptive care.