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Sexual function during the puerperium.

Of 328 women interviewed at a postnatal clinic, 166 (50.6%) had resumed sexual intercourse, the average interval after delivery being 5 weeks postpartum. Of the various social and clinical factors examined, resumption of coitus was related only to marital status, vaginal laceration, and continuing vaginal bleeding. Of the sexually active group, 89% were practicing effective contraception.

Adult↗

[Sexual activity, contraception and unwanted pregnancy at puberty and adolescence].

The sexual activity during the pubertal-adolescent age and the closely connected with it questions about psychological consequences, extramarital conceptions, deliveries and abortions is a problem with more and more increasing significance in the world. The present study includes an inquiry on 468 girls and boys at the age of 17-18 years, and 120 girls at the age of 14 to 17 years with interrupted pregnancy 214 girls with interrupted pregnancy at the age of 13 to 17 years and 120 girls at the age of 14 to 17 years, who delivered extramaritally at the Higher Research Institute of Obstetrics and Gynecology. It is established that 48.6% of girls have sexual life, but 92.1% of girls, aged 17-18 years, have sexual life. The question was studied when, why and with whom the first sexual contact was made. The questions about contraception, sexual education, abortions, deliveries and the fate of the newborn are discussed as well. Inferences for prophylactic work among the coming generation are made.

Adolescent↗

Teenage pregnancy and motherhood: a review of the literature.

Medical and nonmedical studies of teenage pregnancy and its outcomes are reviewed, and the state of our current knowledge is assessed. It is suggested that, while the typical teenage girl is biologically ready for motherhood, a complex set of social and psychological variables leads those least well-suited for the role into becoming teenage parents. The effectiveness of special programs for pregnant adolescents and their offspring is examined, and implications for policy and prevention are offered.

Abortion, Induced↗

Abortions in a hospital setting: hidden realities in Dar es Salaam, Tanzania.

This study investigates the extent of unwanted pregnancy, the use of illegally induced abortion, and the attitudes toward and practice of contraception among women admitted to a hospital with the diagnosis of abortion in Dar es Salaam, Tanzania. (In Tanzania, induced abortion is permitted only to save the mother's life.) A random sample of 300 women with early pregnancy loss admitted to Muhimbili Medical Centre, the teaching hospital in Dar es Salaam, were interviewed between September and November 1987, using a structured questionnaire. Among the 300 respondents, 155 said that their pregnancy had been unwanted: 94 of them presented with an illegally induced abortion and 61 with a spontaneous abortion. The number of spontaneous abortions of unwanted pregnancies increased with age and stability in a relationship. Having a small child to look after and having completed the family were the most common reasons for the pregnancy to be unwanted in this group. Induced abortion was more a problem of the young, unmarried woman. The 61 women with spontaneous abortion but unwanted pregnancy suggest that a much larger group of pregnant women continue to term with what are, at least initially, unwanted pregnancies--precisely the group of women family planning programs want to reach. The low prevalence of contraceptive use in this group indicates the failure of family planning clinics to motivate their target group. Recommendations are made for improved functioning of family planning clinics.

Abortion, Illegal↗

Familial correlates of sexually active pregnant and nonpregnant adolescents.

The relationship of familial, demographic, and individual characteristics to the probability of pregnancy was examined among 124 sexually active adolescent females. Logistic regression analyses revealed that adolescent pregnancy status was a function of a combination of demographic and familial variables. Adolescents who were pregnant at the time of the study perceived their families as having low levels of family strength, perceived communication with parents as closed, came from homes characterized by family fragmentation (i.e., only one parent or no parent living in the home), came from low-income households, were unlikely to use any method of birth control, and were more likely to be married than their nonpregnant counterparts.

Adolescent↗

Contraceptive and fertility behavior of family planning clinic dropouts: a Maryland study.

A study to examine the acceptance of and drop-out from family planning clinic services in Maryland was undertaken during 1984-85 by interviewing a random sample of 1,020 women who came to the clinics as "new clients" during 1980 through 1982 when they were 20 through 39 years of age. This article examines the contraceptive and fertility behavior after their last clinic visits. The results showed that most of these women were "protected" from pregnancy risk considerably beyond their last clinic visit. However, the analysis also revealed that in spite of the reported high contraceptive use rate, unplanned pregnancies occurred after the client's last clinic visit, suggesting that contraceptive use was either inconsistent or ineffective. These findings suggest that instead of allocating a large proportion of resources to follow-up acceptors to bring the "drop-outs" back to the clinics, a more effective program strategy would be to systematically and effectively educate and counsel the clients during their clinic attendance, especially during their first clinic visit.

Adult↗