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  • Title: [Teenagers and interruption of pregnancy (author's transl)].
    Author: Revaz C.
    Journal: Ther Umsch; 1982 Jun; 39(6):487-9. PubMed ID: 7112451.
    Abstract:
    Abortion, especially repeat abortion, may involve complications in young childless women which threaten the success of their future pregnancies. Adolescents should be made aware of the possible risks of pregnancy interruption and the use of contraception should be promoted among them. Adolescent sexual activity, requests for abortion, and term pregnancies have been increasing in almost all industrialized countries. In 1976, 20% of 16-year olds, 30% of 17-year olds, and 45-60% of 18-year olds in the canton of Vaud were reported to be sexually active. The proportion of adolescent deliveries declined from 4.5% in 1970 to 2.1% in 1978, while the number of abortions in those aged 20 or under remained stable or declined slightly over the same time. It appears that the program of sex education carried out in the schools by a multidisciplinary team and the easy access to family planning have combined to limit the incidence of abortion among teenagers. The situation can be further improved: only about 50% of sexually active adolescents use effective contraception at 1st intercourse, and doctors and teachers could make greater efforts to identify those at high risk. Late complications of abortion that can effect future childbearing include sterility due to pelvic inflammation and infection, incomplete cervix, and premature delivery. Physicians should be aware of the conscious and unconscious phychic factors which impede contraceptive use among adolescents, especially the unstable and immature. It is sometimes necessary to insert an IUD in adolescents unable to accept the discipline of other methods, despite the elevated risks of pelvic infection in young nulliparas and those with numerous partners, in order to avoid abortions or undesired births.
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