Online Program

Emergency contraception: A national, multi-specialty assessment of clinician knowledge and practices

Wednesday, November 4, 2015 : 8:45 a.m. - 9:00 a.m.

Kelly Cleland, MPA, MPH, Office of Population Research, Princeton University, Princeton, NJ
Emergency contraception (EC) provides a last chance to prevent pregnancy after unprotected intercourse. Levonorgestrel EC is now sold over-the-counter, but the most effective methods, the copper intrauterine device and ulipristal acetate, can only be obtained through a healthcare provider. This study assessed knowledge and practice patterns related to all available EC methods among 1,684 healthcare providers (including physicians and advanced practice clinicians), all of whom provide care to women of reproductive age. Nearly all (95%) of providers in this sample had heard of levonorgestrel EC, while only half (49%) were familiar with use of the copper IUD as EC and 29% had heard of the newest EC method, ulipristal acetate. Among all providers, 63% provide or recommend levonorgestrel EC in typical practice, while only 15% provide the copper IUD as EC and 7% provide ulipristal acetate. Data were also analyzed in separate multivariate models for providers who focus on reproductive healthcare and those who do not. Among reproductive health specialists, advanced practice clinicians had lower odds than physicians of being familiar with all methods except levonorgestrel; among non-reproductive health specialists, advanced practice clinicians had lower odds than physicians of having heard of levonorgestrel and the Yuzpe method, as well as lower odds of providing or recommending these methods. For both reproductive health specialists and non-reproductive health specialists, having a practice that is all or most comprised of women of reproductive age was associated with greater awareness and provision of many EC methods.

Learning Areas:

Public health or related research

Learning Objectives:
List the emergency contraceptive options available in the United States Describe providers' overall level of awareness and provision of emergency contraceptive methods Discuss how awareness and provision of emergency contraceptive methods varies by provider specialty and training

Keyword(s): Contraception

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have conducted and published multiple research projects related to emergency contraception. I direct the American Society for Emergency Contraception, which holds as its core mission advancing access to and information about all available methods of emergency contraception in the United States.
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.

Back to: 5070.0: Emergency contraception