目的:為瞭解初產青少女母親於生產後二年內之避孕、再次懷孕及哺餵母乳等行為。 方法:利用台中市民國88年1-12月出生通報資料，篩選年齡小於20歲之本國且於設籍於台中市之初產青少女141人為對象，透過各區衛生所公共衛生地段護士以研究者自行設計之問卷，於民國90年十月至十二月進行家戶訪視。 結果:本研究共計完訪76份（完訪率53.9％），未完成問卷之主要原因為找不到研究對象（佔應訪人數之29.78%）。主要結果顯示：(1)初產青少女之在學比率由懷孕時之23.7％至生產二年後降低為2.6％。(2)初產青少女於生產後的二年內，每次都會避孕之比率為17.3％，最常用的避孕方式為子宮內避孕器；再度懷孕的比率為70.7％，主要原因為意外懷孕（45.3％）；再度懷孕後有22.6％會採取人工流產；有49.3％在第一次生產後哺餵母乳。(3) 經Fisher’s Exact檢定結果，初產青少女之再度懷孕與終止懷孕行為與其對「初產後二年內再生小孩」之態度和信念有顯著關係 結論:本文建議相關單位應積極防治初產青少女短期再次懷孕。針對青少女母親的介入教育，則可由青少女本身及其配偶之態度與行為意向的改變著手。 Purpose: To investigate contraception, repeat pregnancy, and breast-feeding behavior of first-born adolescent mothers. Methods: According to newborn reporting system in Taichung City, 141 first-born adolescent mothers who delivered in 1999 were enrolled in this cross-sectional survey. A questionnaire was designed to obtain socio-demographic, family function, belief, attitude, and behavior data about adolescent mother. The subjects filled out a self-administered structured questionnaire during home visit from Oct to Dec, 2001. Results: Seventy-six subjects completed the questionaire with a response rate of 53.9%. The major reason for non-response was unable to find them. The results showed that (1) The rate of schooling was declined form 23.7% to 2.6%; (2) Two years after their first delivery, the contraception rate was 17.3%; repeat pregnancy rate was 70.7%; abortion rate was 22.6%, and breast feeding rate was 49.3%; (3) Using Fisher’s exact test, repeat pregnancy and abortion behavior were related to adolescent mother’s belief and attitude toward repeat childbearing. Conclusion: Greater effect need to be directed toward preventing repeat pregnancy. For first-born adolescent mothers, interventions should focus on belief and attitude changing.
