#710 Counseling Adolescents About Contraception

Question 1

What was the pregnancy rate among girls age 15-19 (in 2010)?

Answer 1

57 per 1,000

Question 2

What amount of adolescent pregnancies are unintended?

Answer 2

three quarters

Question 3

Which country has the highest rate of teen pregnancy in the developed world?

Answer 3

The US

Question 4

In the US, what percentage of ladies age 15-19 who are using contraception, are using a LARC method?

Answer 4

4.3%

Question 5

When should the initial contraception conversation happen with patients?

Answer 5

Prior to first sexual encounter. Recommendation is for initial reproductive health visit to occur between 13 and 15.

Question 6

What should be discussed at the initial reproductive health visit for adolescents?

Answer 6

Contraception, STDs, preventative services such as HPV vaccine

Question 7

How does the CDC recommend taking a sexual history (mnemonic)?

Answer 7

5Ps.

Partners, Practices, Protection from STDs, Past history of STIs, and Prevention of pregnancy

Question 8

What is reproductive coercion?

Answer 8

behavior that interferes with a woman’s decision making about any aspect of her reproductive health and can be associated with increased rates of physical, sexual, or psychological abuse in relationships.

Question 9

What is ACOGs recommendation regarding provision of emergency contraception?

Answer 9

Write advance prescriptions for oral emergency contraception for their patients to increase awareness and remove barriers, especially for adolescents

Question 10

What should be taken into consideration when prescribing emergency contraception for obese patients?

Answer 10

Based on limited secondary data, obesity has been associated with reduced efficacy of oral emergency contraception; however, it should not be withheld from women who are overweight or obese

Question 11

What contraception method(s) are restricted based upon patient age?

Answer 11

None