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Postpartum contraceptive behavior and delay of a second pregnancy among teen mothers in the Subsequent Pregnancy Program
Monday, November 17, 2014
: 11:15 AM - 11:30 AM
Each year nearly one in five births to American teens are second or higher order births. The birth of a second child to a teen mother greatly increases the likelihood of school drop-out and long-term poverty. For two decades, the Subsequent Pregnancy Program (SPP), one of the oldest and most effective home visiting programs in the country, has helped teen mothers delay a second pregnancy and graduate from high school. Among the 4,000 young mothers in SPP, all of whom had their baby before the age of 18, 97% delayed a second pregnancy and 85-90% graduated from high school each year. Outcomes are consistent over time and within diverse ethnic and racial groups. The SPP program model provides a personal relationship with a Home Visitor and intense training through group participation, plus an explicit focus on knowledge and postpartum contraceptive use by young mothers in the program. Home Visitors help each young mother choose the best method of contraception based on a realistic assessment of her lifestyle, provide access to reproductive health services and monitor use and compliance. CDC (2013) reports only one in four teens use highly effective methods of contraception postpartum. In 2013, almost all SPP participants reported use of an effective method of contraception at year-end: 23% IUD, 26% Implant, 9% Pills and 40% Medroxyprogesterone Acetate. Use of effective methods of contraception with continuous monitoring is largely responsible for the extremely low rates of second pregnancy among SPP participants.
Implementation of health education strategies, interventions and programs
Describe an effective program model for delaying second pregnancies among adolescent mothers.
Discuss effective contraceptive method use and knowledge gain among adolescent mothers in the Subsequent Pregnancy Program (SPP).
Identify components of the SPP program model that contribute to consistent participant outcomes over time and diverse groups of adolescents
Keyword(s): Teen Pregnancy, Contraception
Presenting author's disclosure statement:
Qualified on the content I am responsible for because: I am founder and director of the Subsequent Pregnancy Program. I have directed the design, implementation and evaluation of programs for high risk adolescents in the Chicagoland area for over 20 years.
Any relevant financial relationships? No
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.