Research Design:We propose a prospective randomized-controlled trial in which postpartum adolescents (age 14-19) will be randomized to receive either a brief standardized contraceptive counseling intervention or routine postpartum care. The primary outcome is repeat pregnancy rates at 6 and 12 months postpartum. Secondary outcomes include evaluating the subjects’ contraceptive choice, use and continuation rates postpartum as well as contraceptive satisfaction rates.
Hypotheses: We hypothesize that adolescents in the intervention group will have lower repeat pregnancy rates at both 6 and 12 months postpartum. We hypothesize that adolescents in the intervention group will also have higher uptake rates of long-acting reversible contraceptives (LARC), will have higher continuation rates, and will have higher levels of satisfaction with their postpartum contraceptive method.