Contraception (Birth Control) and Family Planning PubHealthInfo

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PubHealth.info® (a subsidiary of PakMed) presents scientific information mainly based on abstracts of articles published on a variety of public health issues/topics, particularly encompassing population planning, disease prevention, maternal and child health, and communicable and non-communicable diseases (like HIV AIDS, malaria, etc) that are affecting a significant portion of population in developing and developed countries. Here you can find abstracts of articles published on a variety of public health topics under category "Contraception (Birth Control) and Family Planning". Contraception (birth control) is a regimen of one or more actions, devices, or medications followed in order to deliberately prevent or reduce the likelihood of a woman becoming pregnant or giving birth. Therefore contraception is the utilization of various and sundry surgical procedures, devices, practices, agents, or drugs with the intention of preventing conception or impregnation (pregnancy). Methods and intentions typically termed birth control may be considered a pivotal ingredient to family planning. Birth control is a controversial political and ethical issue in many cultures and religions, and although it is generally less controversial than abortion specifically.

YEAR: 1995

CATEGORY: Contraception (Birth Control) and Family Planning

TITLE

Emergency contraception: guidelines for doctors. Drawn up on behalf of the

Faculty of Family Planning and Reproductive Health Care of the Royal College

of Obstetricians and Gynaecologists [RCOG]

AUTHORS

Kubba A

SOURCE

London, England, Royal College of Obstetricians and Gynaecologists, Faculty of

Family Planning and Reproductive Health Care, [1995]. [8] p.

ABSTRACT

The Royal College of Obstetricians and Gynaecologists prepared guidelines on emergency contraception for

physicians. Emergency contraception includes combined emergency contraceptive pills (Yuzpe method) and

insertion of a copper bearing IUD. The Yuzpe method involves ingestion of 2 tablets, each containing 50 mcg ethinyl

estradiol and 500 mcg norgestrel, within 72 hours of unprotected intercourse, followed by 2 more tablets 12 hours

later. If taken after ovulation, the pills make the endometrium unsuitable for implantation of a fertilized egg and

change the corpus luteum function. If taken during the first half of the cycle, they delay ovulation. The failure rate of

the Yuzpe regimen is 1-5% in 100 women treated per cycle. Physicians must provide sound counseling should

emergency hormonal contraception fail. Common side effects are nausea and vomiting. Repeated use of

emergency hormonal contraception tends to be safe, but physicians should encourage women that its failure rate is

higher than that of regular pills. Contraindications are suspected pregnancy, migraine at presentation if previous

history of focal migraine exists, and history of thromboembolism. A copper IUD inserted as late as 5 days after

unprotected intercourse or as late as 5 days after the earliest calculated day of ovulation (i.e., days 1-19) provides

very high efficacy. There have been only four documented failures. The IUD makes the endometrium unsuitable for

implantation of a fertilized egg. Contraindications are suspected pregnancy and past history of ectopic pregnancy if

removed at next menses. Physicians must screen for sexually transmitted diseases before inserting an IUD. Neither

the Yuzpe method nor the IUD act as abortifacients. Physicians should inform all contraceptive users about

emergency contraception. Other information provided in the guidelines includes indications for emergency

contraception, management of a request for emergency contraception, and follow-up. (PubHealth.info Document ID:

CONT2T 2582-06)

PubHealth.info NOTE: The author(s) of this article titled, "Emergency contraception: guidelines for doctors. Drawn up

on behalf of the Faculty of Family Planning and Reproductive Health Care of the Royal College of Obstetricians and

Gynaecologists [RCOG]", is(are) Kubba A. The source of this article is "London, England, Royal College of

Obstetricians and Gynaecologists, Faculty of Family Planning and Reproductive Health Care, [1995]. [8] p.". This

article was published in 1995 in English language(s). (PubHealth.info® Document ID: CONT2T 2582-06. All rights

reserved with PubHealth.info) PIN: 7582

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