Barrier contraception in the teenager. A comparison of four methods in adolescent girls

J. A. Goldman, D. Dicker, D. Feldberg, N. Samuel, R. Resnik

Research output: Contribution to journalArticlepeer-review

Abstract

The use-effectiveness and continuation rates of four methods of contraception were studied during a two-year follow-up period in a group of 405 teenage girls. Results were compared in two groups of adolescents: one of high-socioeconomic standing and highly motivated girls (A), and the other of poorly motivated low-socioeconomic adolescent clinic patients (B). The method of contraception was selected by the girls, who were instructed in their proper use. Results showed good rates of continuation among girls of the first group, as compared to those of the second group. Pregnancy rates after 24 months of use, as calculated by Pearl's formula, was 3,6 and 5,4 respectively with use of the condom, and 5,8 and 10,8 when the diaphragm was used, 4,2 and 12,3 respectively for group A and B when using vaginal contraceptive foam alone, and 8,5 and 13,1 in users of the rythm method. The foam-alone method was unpopular in both groups. No serious side-effects of complications were recorded. The study demonstrated a reasonable acceptability and use - effectiveness for barrier contraceptives. It is suggested that these harmless and complication-free methods, especially the condom and diaphragm, may be reasonable alternatives for the more modern methods in teenagers of all socioeconomic strata; an effort should be made to educate and instruct the poorly motivated, and encourage them to present themselves for regular follow-up.

Original languageEnglish
Pages (from-to)59-76
Number of pages18
JournalPediatric and Adolescent Gynecology
Volume3
Issue number1
StatePublished - 1985
Externally publishedYes

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