Emergency contraception, efficacy and public health impact.

Abstract:

PURPOSE OF REVIEW:Emergency contraception in the past two decades had been proven to be effective and well tolerated. Counseling and advance provision and prescription of emergency contraception have been embraced by professional organizations in practice guidelines for its potential to reduce the number of unintended pregnancies and abortions. Has emergency contraception lived up to that promise? RECENT FINDINGS:Mifepristone (not available in the USA) is the agent of choice. Emergency contraception has not reduced the number of unintended pregnancies. Acceptance by healthcare providers and the public has not been optimal, and multiple financial and healthcare system barriers to use emergency contraception continue to exist. The public health impact of emergency contraception has been disappointing. SUMMARY:Although emergency contraception may continue to be an important component of contraceptive practice, only increased access to more effective methods of contraception will change unintended pregnancy rates. The use of mifepristone for emergency contraception in the USA must be considered.

authors

Broekhuizen FF

doi

10.1097/GCO.0b013e32832e0772

subject

Has Abstract

pub_date

2009-08-01 00:00:00

pages

309-12

issue

4

eissn

1040-872X

issn

1473-656X

journal_volume

21

pub_type

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