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Background

> 600.000 unintended teenagepregnancy

3/10 are pregnant before 20

4/10 are pregnant at 20

USA spent ± 10 bi!ion

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"#e $%&'$(pro)ect

*#at is it+• A !arge prospecti,e co#ort study

*#at is t#e purpose+• "o pro-ote A $ to reduce

unintended teenage pregnancy

in St. ouis region

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"#e $%&'$(pro)ect

*#y A $+• Acceptab!e to teens and young

o-en• %ig#er continuation rates t#an

s#orter acting -et#ods• educes pregnancy• (" 50 of U.S teens

reported using A $ -et#ods

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"#e $%&'$(pro)ect

*#y+• ack of infor-ation• i-ited access• $ost

%o +• e-o,ing t#ese 3 barriers

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7et#ods

8ua!i9ed

(ng!is# speaking or Spanis#speaking

i,e in t#e St. ouis region

%ad no desire for pregnancyfor at !east 12 -ont#s*ere se:ua!!y acti,e orp!anning to be se:ua!!y acti,ein t#e ne:t 6 -ont#s*ere not using anycontraception or i!!ing tos itc# to a re,ersib!econtraception -et#ods

Un;ua!i9ed

Undergone a #ysterecto-y

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7et#ods

7et#ods ere presented fro- t#e !east to t#e -ost e

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7et#ods

"#ere ere screening for se:ua!!ytrans-itted disease

'nter,ie s ere done by te!ep#one at 3and 6 -ont#s t#ereafter

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*#at #appened duringfo!!o up+

$o!!ect infor-ations about =

• $ontracepti,e -et#od used• Satisfaction• Se:ua! be#a,iour• regnancy• 'f participants ere concern about

possib!e pregnancy t#ey co-p!eted aurine pregnancy tests

•

A!! pregnancy and t#e contracepti,e-et#od used ere recorded in pregnancy!og

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esu!ts

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esu!ts

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$onc!usion

't is found t#at pregnancy birt#

and abortion rates ere !oa-ong teenage gir!s and o-enenro!!ed in a pro)ect t#at re-o,edfnancial and access barriers to contraception and in ormed t#e- about t#e particu!are?cacy of A $ -et#ods

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