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PubMed · 9717481

Promoting emergency contraception.

F Stewart
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Abstract

The use of available oral contraceptive agents for emergency contraception has been judged safe and effective by the U. S. Food and Drug Administration and other agencies. Yet implementation by physicians has been limited, and only a small percentage of women take advantage of this option each year. Lack of a specially packaged--and marketed--product for this indication has been a major barrier.

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Contraceptives, PostcoitalDrug UtilizationHealth Knowledge, Attitudes, PracticeHumansIntrauterine DevicesPractice Patterns, Physicians'United StatesAmericasContraceptionContraceptive AgentsContraceptive Agents, FemaleContraceptive Agents, PostcoitalCritiqueDeveloped CountriesFamily PlanningFertility Control, PostcoitalNorth AmericaNorthern AmericaRecommendationsJournal Article

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BibTeXRIS

F Stewart. 1998-08-15. Promoting emergency contraception.. https://doi.org/10.3810/hp.1998.08.105

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PubMed2007

Population effect of increased access to emergency contraceptive pills: a systematic review.

OBJECTIVE: We systematically reviewed data on effects of increased access to emergency contraceptive pills on pregnancy rates and use of the pills. DATA SOURCES: We searched MEDLINE, POPLINE, EMBASE, and LILACS, and we consulted with experts. METHODS OF STUDY SELECTION: We included studies that compared the effect of different levels of access to emergency contraceptive pills on pregnancy rates, use of the pills, and other outcomes. TABULATION, INTEGRATION, AND RESULTS: Of the 717 articles identified, we selected 23 for review. The studies included randomized trials, cohort studies, and evaluations of community interventions. The quality of these studies varied. In all but one study, increased access to emergency contraceptive pills was associated with greater use. However, no study found an effect on pregnancy or abortion rates. CONCLUSION: Increased access to emergency contraceptive pills enhances use but has not been shown to reduce unintended pregnancy rates. Further research is needed to explain this finding and to define the best ways to use emergency contraception to produce a public health benefit.

Contraceptives, Postcoital↗