Article Document Academic Article Information Content Entity Continuant Continuant Journal Article Entity Entity Generically Dependent Continuant 2025-05-06T21:54:20 RDF description of Missed opportunities for pregnancy prevention among insured adolescents - http://repository.healthpartners.com/individual/document-rn7012 Retrospective Studies 12 Pregnancy <p>IMPORTANCE: Birth to a teenaged mother is associated with adverse health and social outcomes. Adolescents at risk for pregnancy may not receive needed reproductive health services at primary care visits. OBJECTIVE: To review services provided at outpatient visits in the year prior to pregnancy among adolescents in a US Midwestern integrated health care delivery system. DESIGN, SETTING, AND PARTICIPANTS: Retrospective medical record review of continuously insured adolescents aged 15 to 19 years experiencing pregnancy in a nonprofit Minnesota health care organization. MAIN OUTCOMES AND MEASURES: Primary care visits in the year prior to pregnancy. RESULTS: Adolescents experiencing a pregnancy with stable insurance coverage had an estimated average of 2.7 primary care visits in the 12 months prior to becoming pregnant. Medical record review revealed that 57% did not have documentation of sexual activity and 47% did not have documentation of reproductive health counseling. These rates varied by health care professional type and visit type. Only 35% had contraception prescribed within 12 months of becoming pregnant and only 1 had a long-acting contraceptive prescribed. CONCLUSIONS AND RELEVANCE: Our data highlight the need for primary care professionals to review health behaviors and pregnancy risk at all adolescent encounters.<p> document-rn7012 Prevention 10.1001/jamapediatrics.2014.2809 16200 168 public JAMA pediatrics 2022-02-21T22:48:57.408-06:00 Missed opportunities for pregnancy prevention among insured adolescents 10810 Primary Health Care Minnesota Pediatrics