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Letter to the editor
Adolescent pregnancy: high risk of recurrence despite access to intrauterine devices
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  1. Gilka Paiva Oliveira Costa1,
  2. Rayanne Pereira Cabral2,
  3. Thuany Bento Herculano2,
  4. Giulia Paiva Oliveira Costa2
  1. 1 Internal Medicine Departament, Medical Sciences Center, Lauro Wanderley University Hospital, João Pessoa, Paraíba, Brazil
  2. 2 Medical Sciences Center, Lauro Wanderley University Hospital, João Pessoa, Paraíba, Brazil
  1. Correspondence to Doctor Gilka Paiva Oliveira Costa, Internal Medicine Department, Medical Sciences Center, Lauro Wanderley University Hospital, João Pessoa, PB CEP 58036-130, Brazil; gilkapaiva{at}yahoo.com.br

https://doi.org/10.1136/bmjsrh-2017-101787

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    Unplanned teenage pregnancy and its recurrence is a challenge for family planning. Long-acting reversible contraception (LARC) is an important resource for adolescents who are vulnerable to pregnancy because of its high efficacy and high continuation rate.1 In Brazil, the intrauterine device (IUD) is a LARC method that is made available by public health providers and is therefore accessible free of charge to women who are interested in using it.

    In order to evaluate the behaviour of adolescents who have become pregnant in relation to IUD information and access to the method at no cost, we carried out an observational study in a university hospital in the northeast of Brazil. Participants were adolescents and young adults who were in obstetric care (delivery, abortion, obstetric incidents) and who received verbal …

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