Determinants of emergency contraceptive use after unprotected intercourse: Who seeks emergency contraception and who seeks abortion?
Summary of "Determinants of emergency contraceptive use after unprotected intercourse: Who seeks emergency contraception and who seeks abortion?"
Objective. To compare differences in contraceptive characteristics and the knowledge of emergency contraception (EC) between women who used EC after unprotected intercourse and those who sought abortion. Design. A questionnaire survey. Setting. A Hungarian university hospital. Sample. Two large clinical groups were enrolled: women who were prescribed EC after unprotected intercourse (n = 952) (EC group) and women who presented for termination of pregnancy who had not taken EC after a contraceptive failure despite being suitable candidates to take EC (n = 577) (control group). Methods. Questionnaire evaluation. Main outcome measures. Knowledge concerning, previous use of, and other factors related to EC use. Results. The EC group experienced a condom failure significantly more often (odds ratio (OR) = 3.07), while the control group reported more failures with the contraceptive pill (OR = 0.69) and with periodic abstinence (OR = 0.09). Use of EC depended on age, education level, place of residence, accurate knowledge of EC (OR = 3.87) and previous EC use (OR = 1.16). Awareness of EC was influenced by information obtained from healthcare providers (OR = 3.63) or by school education (OR = 1.28). Conclusions. Women who use less reliable contraceptive methods should be targeted for health education that stresses the importance of reliable contraception and provides more detailed knowledge on EC and when it should be used.
Department of Obstetrics and Gynecology, University of Szeged, Szeged, Hungary Department of Obstetrics and Gynecology, Blekinge Hospital, Karlskrona, Sweden Institute of Behavior Science, Section of Behavior Science, Faculty of General Medicine, Universi
This article was published in the following journal.
Name: Acta obstetricia et gynecologica Scandinavica
- PubMed Source: http://www.ncbi.nlm.nih.gov/pubmed/22524298
- DOI: http://dx.doi.org/10.1111/j.1600-0412.2012.01429.x
Medical and Biotech [MESH] Definitions
Emergency Medical Technicians
Paramedical personnel trained to provide basic emergency care and life support under the supervision of physicians and/or nurses. These services may be carried out at the site of the emergency, in the ambulance, or in a health care institution.
Evidence-based Emergency Medicine
A way of providing emergency medical care that is guided by a thoughtful integration of the best available scientific knowledge with clinical expertise in EMERGENCY MEDICINE. This approach allows the practitioner to critically assess research data, clinical guidelines, and other information resources in order to correctly identify the clinical problem, apply the most high-quality intervention, and re-evaluate the outcome for future improvement.
Emergency Medical Services
Services specifically designed, staffed, and equipped for the emergency care of patients.
The specialty or practice of nursing in the care of patients admitted to the emergency department.
Emergency Service, Hospital
Hospital department responsible for the administration and provision of immediate medical or surgical care to the emergency patient.
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