title: Infant feeding and contraceptive practices among adolescents with a high teen pregnancy rate: a 3-year retrospective study.
abstract: BACKGROUND
  Adolescents consistently demonstrate the lowest rates of breastfeeding among women of reproductive age despite well-documented benefits of breastfeeding. In Amarillo, Texas, a medium-sized community with a perennially high teen pregnancy rate, we sought (1) to determine breastfeedings practices among adolescent females immediately after delivery and again at 6 weeks and (2) to identify contraceptive choices among the same teen population.
  
  
  METHODS
  This was a retrospective chart review focused on adolescents between the ages of 13 and 18 coming to a university-based obstetrical service between January 1, 2006, and December 31, 2008. Data on breastfeeding and contraceptive practices were analyzed.
  
  
  RESULTS
  Five hundred forty-three cases were analyzed. At hospital discharge, 59.3% initiated breastfeeding, but this dropped to 22.2% at the 6-week postpartum appointment. Over 27% of all study subjects failed to appear for postpartum evaluation. Multiparity was the only outcome variable associated with failure to initiate breastfeeding. Depot-medroxyprogesterone acetate, the levonorgestrel intrauterine device (IUD), and combination oral contraceptives were the most popular contraceptive choices, but 16% elected to forego any form of contraception at the postpartum visit.
  
  
  CONCLUSIONS
  Adolescent women living in an area of Texas with a high teen pregnancy rate reported relatively low breastfeeding rates immediately postpartum, with a >50% decrease in breastfeeding in any form by 6 weeks postpartum. A substantial number failed to initiate any form of contraception at the postpartum visit. These findings support the critical need for additional breastfeeding support and contraceptive education in this at-risk adolescent population.
authors.affiliation: Department of Obstetrics and Gynecology, Texas Tech University Health Sciences Center at Amarillo, Amarillo, Texas 79106, USA.
authors.forename: Tracy L
authors.initials: TL
authors.lastname: Glass
authors.forename: Keelie
authors.initials: K
authors.lastname: Tucker
authors.forename: Robert
authors.initials: R
authors.lastname: Stewart
authors.forename: Teresa E
authors.initials: TE
authors.lastname: Baker
authors.forename: Robert P
authors.initials: RP
authors.lastname: Kauffman
mesh_terms: D000293:Adolescent; D001903:Bottle Feeding / Q000706:statistics & numerical data; D001942:Breast Feeding / Q000706:statistics & numerical data*; D003267:Contraception / Q000706:statistics & numerical data*; D003268:Contraception Behavior; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D011247:Pregnancy; D011253:Pregnancy in Adolescence / Q000706:statistics & numerical data; D012189:Retrospective Studies; D013781:Texas