Our findings have several implications. First, intention
about preventing an RRP should not be assumed.
Acknowledgement of some adolescents' desire to have a
repeat pregnancy might help to optimize planning for a
healthy repeat pregnancy. Furthermore, honest recognition
of ambivalence and techniques to help teens formulate clear
plans could be a key technique to curb undesired RRP.
Office-based techniques such as motivational interviewing
that help adolescents identify and work through ambivalence
are promising.18 Our finding that young women who
made contraceptive choices without their partner had
greater success in avoiding pregnancy merits further
exploration because it contrasts current philosophy
regarding programming for teen pregnancy. Finally,
encouraging receipt of LARC might not only protect those
who have intention to avoid a repeat pregnancy, but might
provide time for young women with ambivalence to find
their intention.