Advance provision of emergency contraception for pregnancy prevention

Polis, Chelsea B.; Grimes, David A.; Schaffer, Kate; Blanchard, Kelly; Glasier, Anna; Harper, Cynthia C.

doi:10.1002/14651858.cd005497.pub2

Cited by 108 publications

(98 citation statements)

References 52 publications

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“…Contrary to expectations, a meta-analysis of trials found no significant impact of widened access to emergency contraception (EC) on pregnancy or abortion rates 3,4 . Studies have shown that nearly 50% of women seeking abortion have previously used the ECP 5 .…”

mentioning

confidence: 79%

“…Until recently UK government resources were focused on increasing access to the ECP. Lately questions have been raised about its effectiveness 3,4 , which is evident by the still high abortion rates in England and Wales 2 . Ulipristal acetate was launched on the UK market in October 2009; it can be used up to 120 hours after UPSI and is as effective as levonorgestrel-containing ECPs 23 .…”

Section: Discussionmentioning

confidence: 99%

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What influences young women to choose between the emergency contraceptive pill and an intrauterine device? A qualitative study

Bharadwaj

Saxton

Mann

et al. 2011

The European Journal of Contraception & Reproductive Health

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Women need better information and education about the IUD as a highly effective method of EC. Health professionals must provide such information at every opportunity. Showing the IUD during counselling might help correct misconceptions and would improve acceptability. Wider availability of expertise concerning EC-IUDs is essential to assist more women in making informed decisions when choosing a method for EC.

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mentioning

confidence: 79%

Section: Discussionmentioning

confidence: 99%

What influences young women to choose between the emergency contraceptive pill and an intrauterine device? A qualitative study

Bharadwaj

Saxton

Mann

et al. 2011

The European Journal of Contraception & Reproductive Health

View full text Add to dashboard Cite

show abstract

“…Thus, reproductive health experts recognise the value of providing contraceptive methods that women want. Research has demonstrated the safety of repeated use of pre- and postcoital hormonal contraception9 and the lack of negative effects of repeated ECP use on sexual and reproductive behaviour 10. As a result, there is now impetus for developing a new dedicated pericoital oral contraceptive product that women can take as needed.…”

Section: Introductionmentioning

confidence: 99%

Prospects for coitally-dependent hormonal contraception: perspectives from women in urban Kenya and Nigeria

Chin-Quee

L’Engle

Otterness³

2013

J Fam Plann Reprod Health Care

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Introduction Emergency contraceptive pills (ECPs) were developed and marketed with the emergency aspect firmly in mind, but research and anecdotal evidence indicate that some women use them as a form of regular contraception, spurring efforts in the reproductive health community to explore the development of a coitally-dependent oral contraceptive pill. Methods We asked women of reproductive age in Nairobi, Kenya and Lagos, Nigeria how likely they would be to use a hypothetical pericoital pill and why. Results Bivariate logistic regressions indicated that women aged 18-35 years, with secondary education or higher, and who had ever used condoms or short-acting methods, were more likely to say that they would use this hypothetical pill. Women who had ever used a family planning method or ECPs were also more likely to say they would use this pill. The likely adopters reported that they would use the pericoital method if it prevented pregnancy with little or no health problems and was convenient and easy to use. Conclusion The findings suggest that should a safe and effective pericoital hormonal pill become available then a significant number of women would adopt this method.

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“…This particular theme has also been noted in the international literature on EC despite the fact that no studies have found a direct link between EC use and regular UPSI 20 21. Indeed, one European study even found that EC use was the catalyst to adopting more regular forms of contraception 22.…”

Section: Discussionmentioning

confidence: 80%

Missing opportunities for preventing unwanted pregnancy: a qualitative study of emergency contraception

Maharaj

Rogan

2011

J Fam Plann Reprod Health Care

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Background and methodology High levels of unplanned pregnancy among young people are a huge public health problem in South Africa. However, use of emergency contraception (EC) remains low. Studies suggest that providers constitute an important link to increasing access to EC use. The aim of the study was to provide greater insights into the attitudes of providers towards EC in order to better understand factors infl uencing uptake. The study drew upon 30 indepth interviews with providers at private and public health facilities in Durban, South Africa. Results The results of the study highlight several barriers to the provision of EC in both public and private health facilities. The cost of EC products in commercial pharmacies is likely to be a major barrier to use for many women. In addition, providers in both public and private facilities are often reluctant to provide EC over the counter because they feel that the use of EC is likely to discourage regular use of contraception and increase the risk of unprotected sexual intercourse and, as a result, contribute to the spread of HIV/AIDS in South Africa. In addition, they reported that they do not have an opportunity to counsel women about EC because of time constraints. Providers in both the public and private sectors also demonstrated a level of uncertainty about the clinical effects of EC pills and on the regulations surrounding their provision. Discussion and conclusions Despite relatively progressive legislation on EC provision and the widespread availability of EC products in South Africa, providers in pharmacies, family planning clinics and public health clinics need more training on EC provision. Interventions should aim to educate health providers on both the clinical and social aspects of EC provision.

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Advance provision of emergency contraception for pregnancy prevention

Cited by 108 publications

References 52 publications

What influences young women to choose between the emergency contraceptive pill and an intrauterine device? A qualitative study

What influences young women to choose between the emergency contraceptive pill and an intrauterine device? A qualitative study

Prospects for coitally-dependent hormonal contraception: perspectives from women in urban Kenya and Nigeria

Missing opportunities for preventing unwanted pregnancy: a qualitative study of emergency contraception

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