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Published on: November 9, 2016
Need for emergency contraception in urgent care settings
Eleanor Bimla Schwarz1, Barbara Gerbert, Ralph Gonzales
1Division of General Internal Medicine, Department of Medicine, Center for Research on Health Care, University of Pittsburgh, PA 15213, USA. schwarzeb@upmc.edu
Many women seeking urgent care could benefit from emergency contraceptive (EC) pills, a safe and effective method to prevent pregnancy. However, few women have used EC recently or discussed it with clinicians.
Area of Science:
- Reproductive Health
- Emergency Contraception
- Urgent Care Services
Background:
- Emergency contraceptive (EC) pills offer a safe and effective method for pregnancy prevention.
- EC pills can be used up to 5 days after unprotected sexual intercourse.
Purpose of the Study:
- To determine the proportion of women seeking urgent care who could benefit from EC.
- To identify characteristics of these women and their potential need for EC.
Main Methods:
- A computerized survey assessed pregnancy desire and contraceptive use in 360 women aged 18-45 at two urgent care clinics.
- Medical records were reviewed to ascertain if clinicians discussed contraception with participants.
Main Results:
- 11% of women presenting for urgent care could have benefited from immediate EC use.
- Few women objected to EC (8%) or had used it in the past 6 months (7%).
- No participants reported discussing EC with a clinician during their visit.
Conclusions:
- A significant number of women attending urgent care may benefit from EC.
- There is a potential gap in discussing and providing EC in urgent care settings.
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