Rapid Repeat Pregnancy among Unmarried African American Adolescent Couples

This article describes rapid repeat pregnancy (RRP), getting pregnant or giving birth again within 24 months of giving birth, in a group of unmarried, low-income, African American first-time, adolescent parent couples from the perspectives of their kinship systems, that is, the adolescent parents and their parents or parental figures. RRP has been associated with prematurity, low birth weight, inadequate prenatal care, school dropout, increased potential for poverty, and prolonged welfare dependence. There were 21 RRPs among 24 kinship systems: 9 adolescent males who fathered RRPs with new partners and also reported having been denied access to their study babies; 6 adolescent mothers with new partners, who also reported intimate partner violence with the study adolescent father; and 6 study adolescent parent couples, whose paternal family reported doubts about the paternity of the study babies. Adolescent fathers should be offered the same child care and contraceptive information routinely offered to adolescent mothers.