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Contraceptive Counseling for Adolescents: Current Evidence and Road Map for the Future

      The past 3 decades have seen significant advancements in the area of adolescent contraceptive services and steady improvement in teen birth rates. Available contraceptive options have markedly increased. We have seen the expansion of short-acting hormonal contraceptive types, the entrance of long-acting reversable contraceptives, and the arrival of over-the-counter emergency contraception. Concurrent with this increase in contraceptive options and access, rates of teen births in the United States have steadily declined. In 2015, teen birth rates were 64% lower than in 1991,
      • Hamilton BE
      • Mathews TJ
      Continued Declines in Teen Births in the United States, 2015.
      , and 2017 saw another record low with a teen birth rate of 18.8 per 1000 women in this age group.
      • Martin JA
      • Hamilton BE
      • Osterman MJK
      Births in the United States, 2017.
      Looking back, we can clearly see progress has been made on “moving the needle” with regard to teen pregnancy.
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      Linked Article

      • What's Known and What's Next: Contraceptive Counseling and Support for Adolescents and Young Adult Women
        Journal of Pediatric and Adolescent GynecologyVol. 34Issue 4
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          The low rates of actual contraceptive failure and high rates of contraceptive use among young women highlight that choice of contraceptive method and patterns of contraceptive use greatly influence unintended pregnancy risk. Promoting contraceptive use among adolescent and young adult women requires supportive health systems and health providers who understand this population's evolving developmental needs. It also requires an awareness of effective tools for counseling patients, while being mindful of the power dynamics operational during clinical encounters to avoid inadvertently coercive interpersonal dynamics.
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