Adolescent satisfaction with postpartum contraception and body weight concerns.
OBJECTIVE
To explore factors that could be related to adolescents' satisfaction with postpartum contraceptives.


METHODS
Three focus groups were conducted with a total of 22 adolescent mothers. The groups covered four content areas: feelings about birth control since becoming a mother, decision making about contraceptive use, factors that would influence contraceptive discontinuation, and the perceived side effects of the current contraceptive. Audiotapes from the groups were analyzed to identify major themes.


RESULTS
Nineteen subjects received Depo-Provera when they were discharged after delivery and the majority reported that menstrual irregularities and weight gain were side effects. Two body weight-related themes were dominant: dissatisfaction with heavier than desired body weights and resignation about not returning to prepregnancy weights.


CONCLUSIONS
Depo-Provera may be an effective contraceptive for adolescent mothers who are generally at high risk for rapid repeat pregnancy. This qualitative study suggests that contraceptive continuation may be enhanced with specific counselling to manage body weight concerns.
Hellerstedt
W L
WL
Division of Health Management and Policy, School of Public Health, University of Minnesota, Minneapolis, USA.
Story
M
M
D000293:Adolescent; D016497:Adolescent Health Services; D000328:Adult; D001828:Body Image; D001835:Body Weight; D003271:Contraceptive Agents, Female / Q000627:therapeutic use*; D003376:Counseling; D005260:Female; D006801:Humans; D008297:Male; D017258:Medroxyprogesterone Acetate / Q000627:therapeutic use*; D017060:Patient Satisfaction; D049590:Postpartum Period; D011247:Pregnancy; D011253:Pregnancy in Adolescence
D003271:Contraceptive Agents, Female; D017258:Medroxyprogesterone Acetate