While the US teenage pregnancy rate has declined over the past 2 decades, it remains the highest among developed nations. Long-acting reversible contraceptive (LARC) methods, including intrauterine devices (IUD) and implants are the most effective contraception available. However, lack of information, high cost, and limited access remain barriers to LARC use by adolescents. This study sought to determine whether educating teenage patients about the benefits of contraception and providing them with no-cost access to these agents could reduce the rate of teenage pregnancy.

To determine rates of pregnancy, live birth, and induced abortion in young women educated about and provided with no-cost reversible contraception with an emphasis on LARC.

Prospective cohort study in a large metropolitan area in the US from 2007 to 2011.