185413 Timing the next pregnancy - A Decision-Making Model for Adolescent Parents

Monday, October 27, 2008

Elvira Beracochea, MD, MPH , MIDEGO, Fairfax, VA
Hayfa Elamin, MD, MPH , MIDEGO, Fairfax, VA
Ugo Edu , MIDEGO, Fairfax, VA
The global evidence about the dangers for the mother and child after a short birth interval shows increased risk for adolescent mothers. Adolescent parents usually lack social support and are globally unprepared and unaware of the information that would help them make the right decision about when to have sex and when to conceive. They also lack the skills to make decisions on their own and with a partner regarding relationships, conception, contraception, as well as other adult matters such as job, career, money management, etc. Uninformed decisions put adolescent mothers at increased risk of dying, and of having their pregnancy end in a premature birth or neonatal death. This presentation will explore various programs and projects designed to help couples decide when to conceive that would help adolescent parents and parents in general to delay the first pregnancy, and when that is not possible for reasons explored in this presentation, to space the second pregnancy. The paper discusses the decision-making pathway of unwanted or unplanned pregnancies, and short inter-birth intervals, and analyzes some of the factors that will inform future decision-making processes. This panel presentation will present a practical and simple model for use in health facilities, youth centers, etc. to provide “Conception Decision-Making” (CDM) services to young individuals and couples in developing countries that may also inform services to reduce disparities in the US. The paper also discusses ways of providing CDM services and how to ensure the quality, efficiency and consistency of providers, and present preliminary results of the model in one country.

Learning Objectives:
Panel participants will be able to: 1. Discuss various reproductive health and family planning services and the need for “Conception Decision-Making”(CDM)Services for adolescent parents 2. Describe the practical CDM model 3. Discuss ways to promote and deliver CDM services

Keywords: Adolescent Health, Reproductive Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am MD. MPH and author in the paper
Any relevant financial relationships? Yes

Name of Organization Clinical/Research Area Type of relationship
MIDEGO President Employment (includes retainer)

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.