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Prevalence of repeat pregnancies and associated factors among teenagers in KwaZulu‐Natal, South Africa
Author(s) -
Mphatswe Wendy,
Maise Hopolang,
Sebitloane Motshedisi
Publication year - 2016
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/j.ijgo.2015.09.028
Subject(s) - medicine , pregnancy , obstetrics , psychological intervention , observational study , reproductive health , demography , population , gynecology , environmental health , psychiatry , genetics , sociology , biology
Objective To determine the prevalence of repeat teenage pregnancy and the interval between first/most recent and repeat pregnancies, as well as to evaluate the sexual/reproductive health characteristics of teenagers with repeat pregnancies. Methods A prospective observational study was undertaken at a hospital in KwaZulu‐Natal, South Africa, between May and September 2013. Teenagers aged 13–19 years who were pregnant, had recently delivered, or had terminated a pregnancy were enrolled. A questionnaire was used to obtain data. Results Among 341 participants, 281 (82.4%) were seen for a first pregnancy and 60 (17.6%) for a repeat pregnancy. The interval between first/most recent and repeat pregnancies was 24 months or lower in 45 (75.0%) of repeat pregnancy participants. Only 58 (17.0%) participants had previously used contraception (54 [93.1%] of whom stopped within 12 months) and 28 (8.2%) had used emergency contraception. More participants with repeat pregnancy than with first pregnancy had a positive HIV status (18 [30.0%] vs 26 [9.3%]; P < 0.001), more than one sexual partner in the past 12 months (21 [35.0%] vs 35 [12.5%]; P < 0.001), and a partner at least 5 years older (38 [63.3%] vs 128 [45.6%]; P < 0.001). Conclusion High repeat pregnancy rates, low contraception use, and high HIV prevalence among teenagers in South Africa is worrying. Focused interventions targeting teenagers following their first pregnancy need to be urgently implemented.