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Emergency contraception: what do our patients know?

Jean Abbott1, Kim M Feldhaus, Debra Houry

  • 1Division of Emergency Medicine, Department of Surgery, University of Colorado School of Medicine, USA. Jean.Abbott@UCHSC.edu

Annals of Emergency Medicine
|February 27, 2004
PubMed
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Emergency contraceptive pills can prevent unintended pregnancies, but many women seeking emergency care lack knowledge about their effective use. Increased education on emergency contraception is crucial for this population.

Area of Science:

  • Public Health
  • Reproductive Health
  • Emergency Medicine

Background:

  • Unintended pregnancy is a significant public health issue.
  • Emergency contraceptive pills (ECPs) are effective in preventing unintended pregnancies when used within 72 hours of intercourse.

Purpose of the Study:

  • To assess knowledge, attitudes, practices, and perceived needs regarding emergency contraception among women in an emergency department (ED).

Main Methods:

  • A prospective survey was conducted with 158 women aged 18-45 presenting to an inner-city ED.
  • The survey covered sexual practices, contraceptive use, and knowledge/acceptance of emergency contraception.

Main Results:

  • 52% of participants reported at least one previous unintended pregnancy.

Related Experiment Videos

  • 77% had heard of emergency contraception, but a significant portion lacked sufficient knowledge for effective use.
  • 57% expressed willingness to use ECPs in the future.

    • Conclusions:

    • Women seeking ED care have high rates of unintended pregnancy.
    • While acceptance of ECPs is high, knowledge gaps regarding their availability, timing, and proper use persist.
    • Making information on ECPs accessible in EDs is recommended, alongside continued use of traditional contraceptives.