Factors Associated with Pregnant Adolescents’ Intention to Use a Postpartum Contraceptive Implant
Keywords:
Adolescent Pregnancy, Contraceptive Implant, Contraceptive IntentionAbstract
This descriptive correlational research aimed to study factors associated with the intention of pregnant adolescents to use a postpartum contraceptive implant. The sample was 96 pregnant adolescents aged under 20 who visited the antenatal clinic at Mahasarakham Hospital. The instruments used in this study included: 1) general information questionnaire, 2) knowledge on contraceptive implant questionnaire, 3) attitude stewards contraceptive implant questionnaire, 4) subjective norms perceived for contraceptive implant questionnaire, 5) self-efficacy for postpartum contraceptive implant questionnaire, and 6) social support questionnaire. The content validity of questionnaire parts 2 to 5 were 0.92, 0.84, 0.80, and 0.90, respectively. The Cronbach’s alpha coefficient of questionnaire parts 2 to 6 were 0.72, 0.77, 0.90, 0.78, and 0.87, respectively. Data were collected between July 2020 and July 2021, and analyzed using frequency, percentage, mean, standard deviation, chi-square, and multiple logistical regression.
The results showed that a sample of 36 (37.50%) pregnant adolescent women intended to use a contraceptive implant after giving birth. Factors that were statistically significant associated with the intention to use postpartum contraceptive implant in adolescent pregnant women (p <.05) included pre-pregnancy contraceptive experience (OR= 0.225 95%CI = 0.057 - 0.891) and self-efficacy for postpartum contraceptive implant (OR= 6.677, 95%CI = 1.329 - 33.561).
Per findings, adolescent pregnant women who intend to use contraceptive implants after giving birth have experienced pre-pregnancy contraceptives and have a high level of self-efficacy about the contraceptive implant. Therefore, it is important to invent strategies to encourage the intention to use a contraceptive implant in pregnant adolescence, especially those who have no contraceptive experience before pregnancy. Organizing activities for pregnant adolescent women to promote the self-efficacy to use contraceptive implants is also important for pregnant adolescents to decide to use a contraceptive implant in the postpartum period. This will result in preventing repeated pregnancy in adolescent pregnant women.
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