{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T03:54:34Z","timestamp":1788926074233,"version":"build-2803163510"},"reference-count":84,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2021,3,9]],"date-time":"2021-03-09T00:00:00Z","timestamp":1615248000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["1153592"],"award-info":[{"award-number":["1153592"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Obstet Gynecol Scand"],"published-print":{"date-parts":[[2021,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Long\u2010acting reversible contraception (LARC) methods are safe for adolescents and provide the greatest assurance against rapid repeated pregnancy when inserted during the immediate postpartum (IPP) and immediate post\u2010abortion (IPA) period. Despite increasing enthusiasm for IPP\/IPA LARC insertion, adolescents\u2019 preferences and experiences have seldom been examined. The objective of this review was to examine the attitudes of adolescents (aged 10\u201319\u00a0years) towards IPP\/IPA LARC, their experiences and perceptions around having an LARC device fitted IPP\/IPA and the factors involved in decision\u2010making to use, not use or discontinue IPP\/IPA LARC.<\/jats:p><\/jats:sec><jats:sec><jats:title>Material and methods<\/jats:title><jats:p>In January 2021, we searched seven bibliographic databases for original research articles published in English, from the year 2000. Studies of any design focused on IPP\/IPA LARC were eligible for inclusion. Three of the authors assessed articles for eligibility and extracted data relevant to the outcomes of the review. Joanna Briggs Institute Critical Appraisal Tools were used to assess methodological quality. Key themes emerging from the data were synthesized and reported narratively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We identified 10 relevant articles, four of which were entirely adolescent\u2010focused. Only three addressed IPA LARC. IPP availability was important for ensuring access to LARC postpartum. Attitudes towards LARC IPP were associated with adolescents\u2019 sociodemographic characteristics and positive perceptions related to the long duration of action. Determinants of discontinuation and nonuse included poor\u2010quality contraceptive counseling, intolerable side effects and subsequent distress, misconceptions about LARC safety IPP and the influence of partners and community on autonomy. No factors involved in IPA LARC decision\u2010making were available. Limited evidence demonstrated that adolescents may favor contraceptive implants over intrauterine devices, and in certain contexts may face greater barriers to IPA LARC access than adult women do.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Immediate insertion of LARC postpartum appears acceptable to adolescents who do not experience side effects and those with the opportunity to make autonomous contraception decisions. This important topic has been addressed in few studies involving an entirely adolescent population. Very limited evidence is available on IPA LARC. Further research on adolescents\u2019 lived experiences of IPP\/IPA LARC access and use is necessary to inform the provision of person\u2010centered care when assisting adolescents\u2019 contraceptive choice following pregnancy.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aogs.14129","type":"journal-article","created":{"date-parts":[[2021,2,20]],"date-time":"2021-02-20T08:04:31Z","timestamp":1613808271000},"page":"629-640","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Acceptability of immediate postpartum and post\u2010abortion long\u2010acting reversible contraception provision to adolescents: A systematic review"],"prefix":"10.1111","volume":"100","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9166-9719","authenticated-orcid":false,"given":"Pip","family":"Buckingham","sequence":"first","affiliation":[{"name":"National Health and Medical Research Council SPHERE Centre of Research Excellence in Sexual and Reproductive Health for Women in Primary Care Monash University Notting Hill Victoria Australia"},{"name":"Department of General Practice Monash University Notting Hill Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7172-9470","authenticated-orcid":false,"given":"Jessica E.","family":"Moulton","sequence":"additional","affiliation":[{"name":"National Health and Medical Research Council SPHERE Centre of Research Excellence in Sexual and Reproductive Health for Women in Primary Care Monash University Notting Hill Victoria Australia"},{"name":"Department of General Practice Monash University Notting Hill Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Asvini K.","family":"Subasinghe","sequence":"additional","affiliation":[{"name":"National Health and Medical Research Council SPHERE Centre of Research Excellence in Sexual and Reproductive Health for Women in Primary Care Monash University Notting Hill Victoria Australia"},{"name":"Department of General Practice Monash University Notting Hill Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Natalie","family":"Amos","sequence":"additional","affiliation":[{"name":"National Health and Medical Research Council SPHERE Centre of Research Excellence in Sexual and Reproductive Health for Women in Primary Care Monash University Notting Hill Victoria Australia"},{"name":"Department of General Practice Monash University Notting Hill Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Danielle","family":"Mazza","sequence":"additional","affiliation":[{"name":"National Health and Medical Research Council SPHERE Centre of Research Excellence in Sexual and Reproductive Health for Women in Primary Care Monash University Notting Hill Victoria Australia"},{"name":"Department of General Practice Monash University Notting Hill Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,3,9]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.12776"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.29333\/ejgm\/8459"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1155\/2017\/9205016"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpag.2015.05.002"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.12630"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/pubmed\/fdu045"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.14140"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/jcop.22364"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12978-018-0460-4"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1363\/psrh.12090"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0202107"},{"key":"e_1_2_9_13_1","first-page":"293","article-title":"Socio\u2010demographic characteristics and female empowerment as determinants of adolescent pregnancy in Colombia","volume":"32","author":"Drewry J","year":"2020","journal-title":"Int Perspect Sex Reprod Health"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0186412"},{"key":"e_1_2_9_15_1","unstructured":"UNICEF.Report on the regional forum on adolescent pregnancy child marriage and early union in South\u2010East Asia and Mongolia 2018. 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