Trends in Repeat Births and Use of Postpartum Contraception Among Teens — United States, 2004–2015

Deborah L. Dee, PhD; Karen Pazol, PhD; Shanna Cox, MSPH; Ruben A. Smith, PhD; Katherine Bower, PhD; Martha Kapaya, MPH; Amy Fasula, PhD; Ayanna Harrison; Charlan D. Kroelinger, PhD; Denise D'Angelo, MPH; Leslie Harrison, MPH; Emilia H. Koumans, MD; Nikki Mayes; Wanda D. Barfield, MD; Lee Warner, PhD


Morbidity and Mortality Weekly Report. 2017;66(16):422-426. 

In This Article

Trends in Postpartum Contraceptive use Among Teens in Five States During 2004–2013

Among the five states that continuously collected data on teens' use of postpartum contraception, the use of any method remained relatively stable during 2004–2013 (range by 2–year increment = 82.7% to 90.8%), but the distribution of contraceptive methods used changed over time (Figure 2) (Supplementary Table 2; From 2004–2005 to 2012–2013, use of the most effective reversible methods increased significantly, from 5.3% to 25.3%, and use of moderately effective methods decreased significantly, from 65.1% to 40.2%; use of least effective methods and no method did not change significantly.

Figure 2.

Trends and distribution of postpartum contraception method use* among teens — Pregnancy Risk Assessment Monitoring System, five states,§ 2004–2013
*Methods categorized by effectiveness, as determined by the percentage of females who experience pregnancy during the first year of typical use as the following: most effective (contraceptive implant and intrauterine device (<1%); moderately effective (oral contraceptive pill, an injectable [e.g., Depo-Provera], birth control patch, and vaginal ring) (6–10%); and least effective (condom, diaphragm, cervical cap, contraceptive sponge, rhythm method/natural family planning, the "morning after pill," withdrawal, and "other" responses that could not be categorized to a more effective category) (>10%); also includes measure of teen mothers who report no postpartum contraceptive use.
For this report, the term "teens" refers to persons aged <20 years.
§Arkansas, Michigan, Nebraska, Oregon, and Rhode Island.