Most pregnant teenagers access general practice before conception

Lack of accessible contraceptive advice is often cited as a reason for high teenage pregnancy rates in the United Kingdom. Churchill et al (p 486) conducted a case-control study of general practice consultations in the year before 240 teenagers became pregnant and found that 93% had seen a health professional at least once and 71% had discussed contraception. Teenagers whose pregnancy resulted in a termination were more likely to have received emergency contraception than both their controls and those teenagers whose pregnancy resulted in delivery or miscarriage. This emphasises the need for adequate follow up of teenagers who are given emergency contraception.

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Relevant Article

Consultation patterns and provision of contraception in general practice before teenage pregnancy: case-control study

Dick Churchill, Jane Allen, Mike Pringle, Julia Hippisley-Cox, Dave Ebdon, Marion Macpherson, and Sue Bradley
BMJ 2000 321: 486-489. [Abstract] [Full Text] [PDF]