scholarly journals Emergency Oral Contraceptive Consultations in Pharmacies in a Rural Setting: An Epidemiological Analysis

2020 ◽  
pp. 089719002096169
Author(s):  
Emma Pearce ◽  
Kate Jolly
Keyword(s):  
Emergency Contraception ◽  
Intrauterine Device ◽  
Rural Setting ◽  
Chlamydia Screening ◽  
Unprotected Sexual Intercourse ◽  
Epidemiological Analysis ◽  
Ulipristal Acetate ◽  
Age Appropriate ◽  
Pharmacy Setting ◽  
Copper Intrauterine Device

Background: Emergency contraception has been available in pharmacies across England since 2001.There is a paucity of evidence describing those women accessing the service, particularly in rural locations, where pharmacies are integral to improving healthcare accessibility. Methods: Routinely collected data from all pharmacy consultations for emergency contraception in Shropshire, England, were obtained and anonymized for the study period April 1, 2016 to January 31, 2019. Consultations were described by time, age of consultee, rationale for consultation, method dispensed (levonorgestrel or ulipristal acetate), referral for copper intrauterine device fitting, chlamydia screening where appropriate and reason for choosing pharmacy setting. Repeat attenders were also described separately. Results: 3499 consultations occurred during the study period; 39% were aged between 16-20 years, and 52% attended following unprotected sexual intercourse. Levonorgestrel was initially most prescribed, however ulipristal acetate overtook it in 2018. Onward referral for copper intrauterine device and age-appropriate chlamydia screening took place in 3% and 4% of the eligible populations respectively. Women overwhelmingly chose the pharmacy setting owing to its convenience. Repeat attenders tended to be younger than single attenders, but otherwise similar. Conclusion: Pharmacy-based emergency contraception is an important and well-utilized service in this rural location and continued funding and possible service expansion should be considered.

scholarly journals Emergency Contraception Counseling in California Community Pharmacies: A Mystery Caller Study

Pharmacy ◽  
2019 ◽  
Vol 7 (2) ◽  
pp. 38 ◽  
Author(s):  
Ditmars ◽  
Rafie ◽  
Kashou ◽  
Cleland ◽  
Bayer ◽  
...  
Keyword(s):  
San Francisco ◽  
Emergency Contraception ◽  
San Diego ◽  
Intrauterine Device ◽  
Community Pharmacists ◽  
Community Pharmacies ◽  
Ulipristal Acetate ◽  
Contraception Counseling ◽  
Copper Intrauterine Device

This study was conducted to determine which emergency contraception (EC) methods are offered by community pharmacists in response to patient calls. Female mystery callers called all community pharmacies in two California cities using standardized scripts. The callers inquired about options available to prevent pregnancy after sex and whether that method was available at the pharmacy, using follow-up probes if necessary. A total of 239 calls were completed in San Diego (n = 127, 53%) and San Francisco (n = 112, 47%). Pharmacists indicated availability at most sites (n = 220, 92%) with option(s) reported as levonorgestrel only (LNG; n = 211, 88.3%), both ulipristal acetate (UPA) and LNG (n = 4, 1.6%), UPA only (n = 1, 0.4%), or non-specific EC (n = 4, 1.7%). Nineteen pharmacies (7.9%) did not have EC available on the day of the call. Following additional probing, some pharmacists discussed UPA (n = 49, 20.5%) or the copper intrauterine device (n = 1, 0.4%) as EC options. LNG EC products were available same-day in 90.1% of pharmacies, whereas UPA was available same-day in 9.6% of pharmacies. The majority of pharmacies called in this study offered and stocked at least one EC option, but the focus of discussions was on LNG and matched what was in stock and available.

scholarly journals Emerging Options for Emergency Contraception

2013 ◽  
Vol 7 ◽  
pp. CMRH.S8145 ◽  
Author(s):  
Atsuko Koyama ◽  
Laura Hagopian ◽  
Judith Linden
Keyword(s):  
Emergency Contraception ◽  
Intrauterine Device ◽  
Over The Counter ◽  
Oral Contraceptive Pills ◽  
Ulipristal Acetate ◽  
Emergency Contraceptive Pills ◽  
Contraceptive Pills ◽  
Emergency Contraceptive ◽  
Clinical Considerations ◽  
Copper Intrauterine Device

Emergency post-coital contraception (EC) is an effective method of preventing pregnancy when used appropriately. EC has been available since the 1970s, and its availability and use have become widespread. Options for EC are broad and include the copper intrauterine device (IUD) and emergency contraceptive pills such as levonorgestrel, ulipristal acetate, combined oral contraceptive pills (Yuzpe method), and less commonly, mifepristone. Some options are available over-the-counter, while others require provider prescription or placement. There are no absolute contraindications to the use of emergency contraceptive pills, with the exception of ulipristal acetate and mifepristone. This article reviews the mechanisms of action, efficacy, safety, side effects, clinical considerations, and patient preferences with respect to EC usage. The decision of which regimen to use is influenced by local availability, cost, and patient preference.

Emergency contraception

2018 ◽  
Vol 11 (11) ◽  
pp. 613-619
Author(s):  
Katherine Pitt
Keyword(s):  
Emergency Contraception ◽  
Intrauterine Device ◽  
Unwanted Pregnancy ◽  
Healthcare Team ◽  
Unprotected Sexual Intercourse ◽  
Health Clinics ◽  
Sexual Health Clinics ◽  
The Uk ◽  
Reproductive Healthcare ◽  
Copper Intrauterine Device

Emergency contraception is used to prevent unwanted pregnancy in women following unprotected sexual intercourse, including contraceptive failure. The primary healthcare team has an important role in the provision of emergency contraception. Other providers include sexual health clinics, pharmacies and emergency departments. Three methods are used in the UK: levonorgestrel oral emergency contraception, ulipristal oral emergency contraception, and the copper intrauterine device. In 2017 the Faculty of Sexual and Reproductive Healthcare (FSRH) produced guidance on emergency contraception and quick starting regular contraception. This article will provide an approach to counselling patients about emergency contraception, and practice pointers from the FSRH guidelines. Case studies will be used for illustration.

scholarly journals Copper Intrauterine Device for Emergency Contraception

2012 ◽  
Vol 119 (2, Part 1) ◽  
pp. 220-226 ◽  
Author(s):  
Cynthia C. Harper ◽  
J. Joseph Speidel ◽  
Eleanor A. Drey ◽  
James Trussell ◽  
Maya Blum ◽  
...  
Keyword(s):  
Emergency Contraception ◽  
Intrauterine Device ◽  
Copper Intrauterine Device

scholarly journals Kontrasepsi Darurat dan Permasalahannya

2021 ◽  
Vol 3 (1) ◽  
pp. 94
Author(s):  
Erna Suparman
Keyword(s):  
Emergency Contraception ◽  
Intrauterine Device ◽  
Unwanted Pregnancy ◽  
Unprotected Sex ◽  
Contraceptive Methods ◽  
Emergency Contraceptive Pills ◽  
Emergency Contraceptive Pill ◽  
Contraceptive Pills ◽  
Emergency Contraceptive ◽  
Copper Intrauterine Device

Abstract: Emergency contraception is a contraceptive method that can prevent pregnancy if used immediately following unprotected sex. The use of emergency contraception could reduce the rate of unwanted pregnancy by up to 50%. There are two emergency contraceptive methods, including the emergency contraceptive pill and copper intrauterine device (IUD). Emergency contraceptive pills should be taken immediately following unprotected sex and are most effective when taken within 24 hours. IUD as an emergency contraceptive can be applied five days after unprotected sex, and it does not cause abortion. There is no absolute contraindication for emergency contraception except for known pregnancy, and simply because it is ineffective. The efficacy of emergency contraception can be defined by the proportion of women who become pregnant after using this method and the total pregnancy observed after using the method divided by the estimated number of pregnancies that would occur without using the method.Keywords: emergency contraception; sexual intercourse; pregnancy  Abstrak: Kontrasepsi darurat dapat mencegah kehamilan bila digunakan segera setelah senggama. Penggunaan kontrasepsi darurat dapat menurunkan angka kehamilan yang tidak diinginkan hingga 50%. Terdapat dua metode kontrasepsi darurat, yaitu pil kontrasepsi darurat dan alat kontrasepsi dalam rahim (AKDR) yang menggunakan tembaga. Pil kontrasepsi darurat harus diberikan sesegera mungkin setelah senggama tidak terlindungi, dan paling efektif bila diberikan dalam waktu 24 jam. AKDR sebagai kontrasepsi darurat dapat dipasang hingga lima hari pasca senggama tidak terlindungi. Kontrasepsi darurat terutama bekerja dengan mencegah fertilisasi, dan tidak menggugurkan kehamilan. Tidak ada kontraindikasi absolut untuk penggunaan kontrasepsi darurat kecuali kehamilan yang diketahui, dan ini hanya karena tidak efektif. Efektivitas kontrasepsi darurat dapat didefinisikan dari proporsi wanita menjadi hamil setelah menggunakan metode ini, dan jumlah kehamilan yang diamati setelah penggunaan dibagi dengan perkiraan jumlah kehamilan yang akan terjadi tanpa penggunaan.Kata kunci: kontrasepsi darurat; senggama; kehamilan

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