Annual Meeting Recordings are now available for purchase
298361
Emergency contraception visit: An opportunity to improve contraceptive method adoption and selection
Tuesday, November 18, 2014
: 10:42 AM - 10:54 AM
Leslie Watts, MS
,
Bixby Center for Global Reproductive Health, Department of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco, Sacramento, CA
Mary Bradsberry
,
Bixby Center for Global Reproductive Health (Department of Obstetrics, Gynecology and Reproductive Sciences), University of California, San Francisco, Sacramento, CA
Philip Darney, MD, MSc
,
Bixby Center for Global Reproductive Health, University of California, San Francisco, San Francisco, CA
Heike Thiel de Bocanegra, Ph.D., M.P.H.
,
Bixby Center for Global Reproductive Health, Department of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco, Sacramento, CA
Emergency contraception (EC) pills are effective if taken within five days of unprotected intercourse and are an important option in the event of method failure. A 2011 medical record review conducted in California’s Medicaid expansion program, Family PACT, found that among a sample of 2,632 women about 10 percent received EC at the abstracted visit. A visit in which EC is dispensed provides an excellent opportunity to evaluate current method use and educate women about effective contraceptive methods. We analyzed contraceptive method use at the beginning and end of the visit among 222 women who received EC (EC cohort) in comparison to 1,496 women who had a contraceptive visit but did not receive EC (non-EC cohort). The EC cohort showed notable changes in contraceptive choice at the conclusion of the visit in comparison to the non-EC cohort. Ninety percent (n=60) of the EC cohort not using contraception adopted a method at the visit compared to 77% (n=178) of the non-EC cohort. Among the EC cohort, there was a 40 percentage point increase (from 25% to 65%) in tier 2 method use (pill, patch, ring, injection), compared to the 13 percentage point increase (from 40% to 53%) in the non-EC cohort. This study highlights the opportunity at an EC visit for a teachable moment to counsel women in adopting more effective contraceptive methods. As EC pills are also available over-the-counter, it is important to combine EC access with referrals to clinics for contraceptive method counseling and provision of effective contraception.
Learning Areas:
Conduct evaluation related to programs, research, and other areas of practice
Implementation of health education strategies, interventions and programs
Learning Objectives:
Explain how a visit for emergency contraception offers an opportunity to improve contraceptive method adoption of more effective methods.
Compare a visit for emergency contraception with a contraceptive visit and the adoption of effective contraceptives.
Discuss the importance of counseling on contraceptive methods at the time of dispensing emergency contraceptive pills.
Keyword(s): Contraception
Presenting author's disclosure statement:Qualified on the content I am responsible for because: I have a master's of science in community development with a focus in teen pregnancy prevention with sixteen years of experience in program monitoring and evaluation of California's Family PACT program. I served as the project coordinator and as a major contributing author of the Family PACT 2011 Medical Record Review.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines,
and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed
in my presentation.
