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International Journal of Adolescent Medicine and Health

Editor-in-Chief: Merrick, Joav

Editorial Board: Birch, Diana ML / Blum, Robert W. / Greydanus, MD, Dr. HC (Athens), Donald E. / Hardoff, Daniel / Kerr, Mike / Levy, Howard B / Morad, Mohammed / Omar, Hatim A. / de Paul, Joaquin / Rydelius, Per-Anders / Shek, Daniel T.L. / Sher, Leo / Silber, Tomas J. / Towns, Susan / Urkin, Jacob / Verhofstadt-Deneve, Leni / Zeltzer, Lonnie / Tenenbaum, Ariel

CiteScore 2018: 0.79

SCImago Journal Rank (SJR) 2018: 0.350
Source Normalized Impact per Paper (SNIP) 2018: 0.476

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A brief study on the knowledge and choice of contraception methods in married adolescent girls

Raziye Dut
  • Corresponding author
  • Department of Pediatric, Istanbul Training and Research Hospital, Telsiz mah. Balıklı Kazlıçeşme Yolu Cd. No:1, 34020 Zeytinburnu, İstanbul, Turkey
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/ Ragıp Atakan Al
  • Department of Gynecology and Obstetrics, Ataturk University, Yakutiye Training and Research Hospital, Erzurum, Turkey
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Published Online: 2019-04-12 | DOI: https://doi.org/10.1515/ijamh-2018-0091



The fertility rate is 0.25% for 15–19-year-old girls and 16% for 19-year-old girls who are mothers or pregnant with their first child. Fifty-two percent of married adolescents did not have affective contraception. To encourage using the right contraceptive methods in married adolescents, it is essential to examine the behaviors of this group, the level of contraceptive knowledge and the choices they make regarding contraceptive use.

Materials and methods

One hundred and ten married adolescent females, less than 20 years of age, who visited a gynecology and obstetrics clinic between January 2015 and October 2016 were enrolled in this prospective study.


Of them 96.4% were unemployed. At the time of the study, 70% of them were pregnant. Of these pregnancies, 46.4% was a first, 19.1% a second and 8.2% a third pregnancy. The abortion rate in this study was 18.3%, and stillbirth was 2.8%. The interval between pregnancies was 20.9 months. The unplanned pregnancy rate was 45.5% and 37.3% of these unplanned pregnancies resulted in at least one healthy child. The most common contraceptive method was the use of condoms (10.9%). Changes in contraceptive methods resulted in pregnancy in 66.7% of the cases. Although 20.9% of the husbands in the study used contraceptive methods, 40.9% of them felt that their husbands should be using contraception. Of the participants 43.5% received their knowledge regarding family planning and contraceptive methods from local health clinics.


Teen marriage, pregnancy and teen parents result in socio-economic and educational difficulties. It is essential to support the adolescent parents using affective contraceptive methods and adolescent-friendly health clinics.

Keywords: adolescent; contraception; knowledge; marriage


  • [1]

    Borovac-Pinheiro A, Surita FG, D’Annibale A, Pacagnella RC, Pinto ES. Adolescent contraception before and after pregnancy-choices and challenges for the future. Rev Bras Ginecol Obstet. 2016;38(11):545–51.CrossrefPubMedWeb of ScienceGoogle Scholar

  • [2]

    Santelli JS, Lindberg LD, Finer LB, Singh S. Explaining recent declines in adolescent pregnancy in the United States: the contribution of abstinence and improved contraceptive use. Am J Public Health. 2007;97(1):150–6.Web of SciencePubMedCrossrefGoogle Scholar

  • [3]

    Fleming N, O’Driscoll T, Becker G, Spitzer RF, Committee C, Allen L, et al. Adolescent pregnancy guidelines. J Obstet Gynaecol Can. 2015;37(8):740–59.CrossrefPubMedGoogle Scholar

  • [4]

    Ott MA, Sucato GS, Committee on A. Contraception for adolescents. Pediatrics. 2014;134(4):e1257–81.CrossrefPubMedGoogle Scholar

  • [5]

    Lindberg L, Santelli J, Desai S. Understanding the decline in adolescent fertility in the United States, 2007–2012. J Adolesc Health. 2016;59(5):577–83.CrossrefPubMedWeb of ScienceGoogle Scholar

  • [6]

    Unicef. Monitoring the situation of children and women, 2017.Google Scholar

  • [7]

    Committee on A. Contraception for adolescents. Pediatrics. 2014;134(4):e1244–56.PubMedGoogle Scholar

  • [8]

    Turkish National Statistic Institute (TNSI). Birth Statistics, 2001–2015, 2015 .Google Scholar

  • [9]

    Martin JA, Hamilton BE, Osterman MJ, Driscoll AK, Mathews TJ. Births: final data for 2015. Natl Vital Stat Rep. 2017;66(1):1.Google Scholar

  • [10]

    Organization WH. Department of making pregnancy safer. MPS Notes. 2008;1:1–4.Google Scholar

  • [11]

    Yu SH, Mason J, Crum J, Cappa C, Hotchkiss DR. Differential effects of young maternal age on child growth. Glob Health Action. 2016;9:31171.CrossrefPubMedWeb of ScienceGoogle Scholar

  • [12]

    2013 Population and health survey of Turkey. Hacettepe University Institute of Population Studies. 2014, 75–94.Google Scholar

  • [13]

    Barfield WD, Warner L, Kappeler E. Why we need evidence-based, community-wide approaches for prevention of teen pregnancy. J Adolesc Health. 2017;60(3S):S3–6.CrossrefPubMedWeb of ScienceGoogle Scholar

  • [14]

    Blanc AK, Tsui AO, Croft TN, Trevitt JL. Patterns and trends in adolescents’ contraceptive use and discontinuation in developing countries and comparisons with adult women. Int Perspect Sex Reprod Health. 2009;35(2):63–71.PubMedWeb of ScienceCrossrefGoogle Scholar

  • [15]

    Jejeebhoy SJ, Santhya KG, Zavier AJ. Demand for contraception to delay first pregnancy among young married women in India. Stud Fam Plann. 2014;45(2):183–201.Web of SciencePubMedCrossrefGoogle Scholar

  • [16]

    Centers for Disease C, Prevention. Vital signs: repeat births among teens – United States, 2007–2010. MMWR Morb Mortal Wkly Rep. 2013;62(13):249–55.PubMedGoogle Scholar

  • [17]

    Shahabuddin AS, Nostlinger C, Delvaux T, Sarker M, Bardaji A, Brouwere VD, et al. What influences adolescent girls’ decision-making regarding contraceptive methods use and childbearing? A qualitative exploratory study in Rangpur district, Bangladesh. PLoS One. 2016;11(6):e0157664.PubMedWeb of ScienceGoogle Scholar

About the article

Received: 2018-05-08

Accepted: 2018-07-25

Published Online: 2019-04-12

Citation Information: International Journal of Adolescent Medicine and Health, 20180091, ISSN (Online) 2191-0278, DOI: https://doi.org/10.1515/ijamh-2018-0091.

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