Barrier contraception in the teenager a comparison of 4 methods in adolescent girls
Goldman, J.A.; Dicker, D.; Feldberg, D.; Samuel, N.; Resnik, R.
Pediatric and Adolescent Gynecology 3(1): 59-76
1985
ISSN/ISBN: 0737-3945 Document Number: 422566
The use-effectiveness and continuation rates of 4 methods of contraception were studied during a 2-yr follow-up period in a group of 405 teenage girls. Results were compared in 2 groups of adolescents: one of high-socioeconomic standing and highly motivated girls (A), and the other of poorly motivated low-socioeconomic adolescent clinic patients (B). The method of contraception was selected by the girls, who were instructed in their proper use. Results showed good rates of continuation among girls of the 1st group, as compared to those of the 2nd group. Pregnancy rates after 24 mo. of use, as calculated by Pearl's formula, was 3.6 and 5.4, respectively, with use of the condom, 5.8 and 10.8 when the diaphragm was used, 4.2 and 12.3, respectively, for group A and B when using vaginal contraceptive foam alone, and 8.5 and 13.1 in users of the rythm method. The foam-alone method was unpopular in both groups. No serious side-effects or complications were recorded. The study domenstrated a reasonable acceptability and use-effectiveness for barrier contraceptives. These harmless and complication-free methods, especially the condom and diaphragm, may be reasonable alternatives for the more modern methods in teenagers of all socioeconomic strata; an effort should be made to educate and instruct the poorly motivated, and encourage them to present themselves for regular follow-up.