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Experience and acceptability of emergency hormonal contraception
1Planned Parenthood of New York City and Columbia University, College of Physicians and Surgeons, New York, New York, USA
Primary Care Update for Ob/Gyns
|June 6, 2000
Summary
Emergency hormonal contraception services are acceptable to inner-city women, with 92% willing to use it again. Patient feedback led to revised protocols, improving satisfaction and safety for emergency contraception.
Area of Science:
- Reproductive Health
- Contraception
- Public Health
Background:
- Emergency hormonal contraception (EHC) was introduced in 1995 in New York City Planned Parenthood clinics.
- The service targeted low-income, inner-city women.
- Patient experience and acceptability were key areas for evaluation.
Purpose of the Study:
- To evaluate patient experience and acceptability of EHC services.
- To gather patient feedback on side effects and attitudes towards EHC.
- To identify areas for service improvement.
Main Methods:
- A survey was conducted among 118 patients who received EHC.
- The survey assessed patient demographics, side effects, and attitudes.
- EHC was administered using specific oral contraceptive pills (Lo/Ovral) within 72 hours of unprotected intercourse.
Main Results:
- The average patient age was 25; demographics were diverse.
- Reported side effects included nausea, vomiting, and fatigue.
- 92% of patients expressed willingness to use EHC again, despite two cases of method failure.
Conclusions:
- Patient feedback was instrumental in revising EHC protocols.
- Revised protocols aim to enhance patient satisfaction and maintain high medical standards.
- Improvements focus on reducing method failure and drug side effects.