Our finding that intention to prevent repeat pregnancy was often endorsed in the NRRP group echoes earlier studies
that associated strong intention to prevent pregnancy with increased contraception compliance. 25 Furthermore, our
finding that ambivalence regarding repeat pregnancy was widely articulated among those who experienced RRP supports
research that suggests that all teens not actively seeking to prevent pregnancy are “susceptible to pregnancy”
or “pregnancy receptive,” and that those who do not strongly endorse intention to prevent pregnancy should be
considered high-risk. 26,27 Indeed, previous studies identify ambivalence about pregnancy as a risk factor for inconsistent
contraception use28 and for primary pregnancy in adolescents. 29,30 Our participants' descriptions of ambivalence
was heterogeneous, ranging from those who had mixed feelings or were vacillating, to those who “did not care” about the outcome.