Systematic attitudes about interventions preclude a outcomes (initiation of sexual dependent on definitive conclusion regarding intercourse, use of birth Reviews. the risk of local which type of intervention is control methods, abortion, unintended components Multiple most effective. childbirth, sexually pregnancies; which are interventions transmitted diseases) is not initiation of variable Overall the evidence remains conclusive. (educational, sexual inconclusive and could not be self-help, intercourse; use The variability in the basis for recommending contraceptive of birth control populations, interventions the use or discontinuation of distribution) methods; and outcome of included trials any of these interventions Children and abortion; and the paucity of studies where they are already in use. young adults morbidity & directly comparing different mortality related interventions preclude a to pregnancy, definitive conclusion abortion or regarding which type of childbirth; intervention s most effective. Sexually transmitted infections (including HIV) Lopez LM et al, Unplanned The overall quality of evidence Six trials provided U D. The was moderate. Half of these multifaceted programs with 2012. pregnancies; evidence is postpartum interventions led to many contacts. Three showed status is choice or use of inconsistent Contraceptive fewer repeat pregnancies or evidence of effectiveness. Of unknown contraception and it is not Education after births or more contraceptive those, two USA studies possible to use. However, the evidence of focused on adolescents: childbirth draw a intervention effectiveness was Adolescents in a Cochrane conclusion of low to moderate quality. program were less Database of Trials with evidence of likely to have a second birth but there is
Systematic Reviews. Multiple interventions (educational, self-help, contraceptive distribution) Children and young adults attitudes about the risk of unintended pregnancies; initiation of sexual intercourse; use of birth control methods; abortion; morbidity & mortality related to pregnancy, abortion or childbirth; Sexually transmitted infections (including HIV) interventions preclude a definitive conclusion regarding which type of intervention is most effective. Overall the evidence remains inconclusive and could not be the basis for recommending the use or discontinuation of any of these interventions where they are already in use. outcomes (initiation of sexual intercourse, use of birth control methods, abortion, childbirth, sexually transmitted diseases) is not conclusive. The variability in populations, interventions and outcome of included trials and the paucity of studies directly comparing different interventions preclude a definitive conclusion regarding which type of intervention s most effective. dependent on local components which are variable Lopez LM et al, 2012. Contraceptive Education after childbirth Cochrane Database of Unplanned pregnancies; choice or use of contraception The overall quality of evidence was moderate. Half of these postpartum interventions led to fewer repeat pregnancies or births or more contraceptive use. However, the evidence of intervention effectiveness was of low to moderate quality. Trials with evidence of Six trials provided multifaceted programs with many contacts. Three showed evidence of effectiveness. Of those, two USA studies focused on adolescents: Adolescents in a program were less likely to have a second birth U status is unknown D. The evidence is inconsistent and it is not possible to draw a conclusion but there is
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