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: 1983

CATEGORY: Contraception (Birth Control) and Family Planning

TITLE

Postcoital birth control: a significant addition to family planning services.

AUTHORS

Grahame H

SOURCE

In: Grahame H, ed. Postcoital contraception: methods, services and prospects.

Papers presented at a Symposium held by the Pregnancy Advisory Service on

15th April 1982 in London. London, Pregnancy Advisory Service, 1983. :77-80.

ABSTRACT

The Pregnancy Advisory Service (PAS) opened its postcoital birth control clinic in the UK in April 1981 when studies

in Canada and US confirmed the reliability of postcoital treatment and classified the criteria for treatment and

management. The service offers women who have risked pregnancy around midcycle a choice of techniques. To be

effective, the techniques must be given shortly after intercourse, during the 5-day interval between fertilization and

implantation. PAS is compelled to restrick treatment to the first 72 hours after intercourse to accord with the wishes

of the Department of Health. Women wanting treatment are seen each weekday morning. They are told abouth the

methods available, side effects, and the remote possibility of fetal damage or ectopic pregnancy should treatment

fail. Careful assessment and medical examinations establish the time of intercourse in the menstrual cycle and the

likelihood of pregnancy and identify contraindications to treatment. The majority of women choose the combined

hormone tablets and are given Eugynon 50 or Ovran with 2 further tablets to be taken 12 hours later. The remainder

have an IUD inserted. All the women seen are told that in the unlikely event of the method failing, they would be

offered and abortion. They are urged to return to the clinic for a checkup visit 4 weeks later. PAS started postcoital

contraception in response to the belief that there was a nationwide demand for postcoital methods. The objectives

were to assess the demand, the acceptability, and the reliability of postcoital methods; to give women a personal

choice of techniques; and to provide needed information about the safety and effectiveness of these forms of birth

control for the general public and health professionals. In the first 9 months PAS' postcoital team of doctors and

counselors saw 554 women and treated 516. Many of these women traveled considerable distances for emergency

help, but despite this 61.7% were treated within 48 hours of exposure to pregnancy and 26.9% within the first 24

hours. 80.1% chose the hormone pills. There have been 9 pregnancies in this series, all of them treated with

hormones. Over 60% of women have returned to PAS for follow-up and others who have been unable to attend have

telephoned. Although not immediately apparent from an analysis of contraceptive usage (53% were not using birth

control), women who used the PAS after-sex service were normally conscientious family planners. Their case

histories show that the overwhelming majority had been regular OC users. PAS offers the opportunity for birth control

counseling. Despite their relief and satisfaction with "morning-after" contraception, women find it distressing and

traumatic to confront an unplanned pregnancy. (PubHealth.info Document ID: CONT5T 2087-06)

PubHealth.info NOTE: The author(s) of this article titled, "Postcoital birth control: a significant addition to family

planning services.", is(are) Grahame H. The source of this article is "In: Grahame H, ed. Postcoital contraception:

methods, services and prospects. Papers presented at a Symposium held by the Pregnancy Advisory Service on

15th April 1982 in London. London, Pregnancy Advisory Service, 1983. :77-80.". This article was published in 1983 in

English language(s). (PubHealth.info® Document ID: CONT5T 2087-06. All rights reserved with PubHealth.info) PIN:

22087

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