Postpartum Adolescent Birth Control Study


The Postpartum Adolescent Birth Control Study (Postpartum ABCs) paints a rich portrait of adolescent motherhood by examining the complex interplay of experiences and influences that affect contraceptive use, sexual behavior, and overall well-being during the early postpartum period. We enrolled 40 first-time African American adolescent mothers and followed them for one year after childbirth. Our research team made five visits to their homes to measure many factors using both quantitative surveys and qualitative interviews. This mixed-methods approach allowed for an in-depth exploration of participants’ life experiences as well as assessment of their health status with validated instruments.

Key Findings

Publications and presentations

Factors influencing uptake of intrauterine devices among postpartum adolescents: a qualitative study [link]
Contraceptive Pathways and Risk of Repeat Pregnancy among African American Postpartum Adolescents [PDF]

Research briefs:

Adolescent Mothers and Contraception: Male Partners' Influence [PDF]
Adolescent Mothers' Experiences with Postpartum Depot Medroxyprogesterone Acetate [PDF]
Factors Influence Uptake of Intrauterine Devices among Postpartum Adolescents [PDF]
Future Goals of Adolescent Mothers [PDF]
Relationships between Adolescent Mothers and Their Infants in the First Postpartum Year [PDF]
Relationships between Adolescent Mothers and Their Peers during the Transition to Parenthood [PDF]
Teen Mothers and Social Services [PDF]
The Role of Fathers in the Lives of Their Adolescent Parenting Daughters [PDF]

Conceptual Framework

The primary focus of the study was the contraceptive and sexual behavior of first time adolescent mothers. Because such behavior may be influenced by many coexisting factors, we chose an ecological framework to guide our inquiry (below). As such, the content of the interviews and quantitative surveys was both varied and comprehensive. We chose to gather data at multiple time points to appreciate how the components of the framework interacted and changed over time to affect reproductive behavior.

PABC model