Strategies to Prevent Repeated Pregnancies Among Adolescents

Objective: The purpose of this article was to discuss and synthesize strategies for preventing repeated pregnancies in adolescents. Methods: An integrative review was conducted with a systematic search using Scopus, PubMed, CINAHL, PsycINFO, DynaMed, Cochrane, and ScienceDirect databases for articles published from 2015 to 2019 under the PICOT element for reviewing published articles. The data were selected and processed using PRISMA. Results: The results showed that the factors related to repeated pregnancy in adolescents were intention and motivation regarding repeated pregnancies, no sense of control over life experiences, not making decisions about contraceptive use, and barriers to accessing contraception. The strategies for preventing repeated pregnancies among adolescents were as follows: 1) enhancing awareness of repeated pregnancy; 2) empowerment regarding self-control; 3) effective youth-friendly care services; and 4) family and social support. Conclusion: The findings of this study can provide useful information for the midwife and nursing professions as well as other healthcare providers, leading to preventive strategies and guidelines to reduce repeated pregnancy among adolescents.