Preventing repeat pregnancy in adolescents.
OBJECTIVE
Teenage pregnancy is on a decline, but there are wide inequalities in those who are still becoming pregnant at an early age. Teenage pregnancy remains a public health concern. Numbers of repeat pregnancy in adolescence are small but contribute to poor health outcomes for young women and their children.


RESULTS
A number of studies have demonstrated the impact that low levels of educational attainment, lack of aspiration, low socioeconomic status, dislike of school, lack of family connectedness and poor parental monitoring can have on early sexual activity and, in some cases, pregnancy among adolescents. Risks for repeat pregnancy in adolescence would appear to be linked to whether the pregnancy was intended or not, and what incentives or motivations, if any, existed to prevent subsequent early pregnancies.


CONCLUSIONS
There would appear to be two options available to those who wish to reduce the negative health outcomes associated with repeat pregnancy in adolescence. First, to increase the life choices available to young women, which improve their social and economic circumstances. Secondly, to develop a clear understanding of pregnancy intentions within this group to ensure the provision of appropriate services which deliver the best possible outcomes for them and their child.
Milne
Dona
D
NHS Lothian, Edinburgh, UK. Dona.Milne@scotland.gsi.gov.uk
Glasier
Anna
A
D000293:Adolescent; D016497:Adolescent Health Services / Q000706:statistics & numerical data*; D019033:Delivery of Health Care, Integrated / Q000379:methods*; D005193:Family Planning Services; D005260:Female; D006266:Health Education; D006293:Health Promotion / Q000706:statistics & numerical data; D006801:Humans; D009035:Mothers / Q000706:statistics & numerical data*; D017063:Outcome Assessment, Health Care; D011247:Pregnancy / Q000706:statistics & numerical data*; D011253:Pregnancy in Adolescence / Q000517:prevention & control* / Q000706:statistics & numerical data*; D015397:Program Evaluation; D012923:Social Class