Schwarz Eleanor Bimla, Gerbert Barbara, Gonzales Ralph
Division of General Internal Medicine, Department of Medicine, Center for Research on Health Care, University of Pittsburgh, PA 15213, USA.
Contraception. 2007 Apr;75(4):285-8. doi: 10.1016/j.contraception.2006.11.002. Epub 2007 Jan 16.
Emergency contraceptive (EC) pills are safe and effective in preventing pregnancy up to 5 days after unprotected sex.
This study was conducted to determine the proportion and characteristics of women seeking urgent care who might benefit from receiving EC.
We used a computerized survey to assess desire for pregnancy and frequency of sex without contraception among 360 fertile women aged 18 to 45 years, who were seeking urgent care at two clinics in San Francisco, CA. Medical records were abstracted to assess whether clinicians discussed contraception.
At both clinics, 11% (95% confidence interval, 8-15%) of women seeking urgent care might have benefited from immediately using EC. Few (8%) women reported a personal objection to EC, but few (7%) women had used EC in the prior 6 months. Chart review showed no evidence that any participants discussed EC with a clinician during their visit.
Many women presenting for urgent care might benefit from EC.
紧急避孕药在无保护性行为后5天内预防怀孕是安全有效的。
本研究旨在确定可能从接受紧急避孕药中获益的寻求紧急护理的女性的比例和特征。
我们采用计算机化调查，对加利福尼亚州旧金山两家诊所寻求紧急护理的360名18至45岁的育龄妇女进行了怀孕意愿和无避孕措施性行为频率的评估。提取医疗记录以评估临床医生是否讨论过避孕问题。
在两家诊所，寻求紧急护理的女性中有11%（95%置信区间，8%-15%）可能会从立即使用紧急避孕药中获益。很少有女性（8%）表示个人反对紧急避孕药，但在过去6个月中很少有女性（7%）使用过紧急避孕药。病历审查显示，没有证据表明任何参与者在就诊期间与临床医生讨论过紧急避孕药。
许多寻求紧急护理的女性可能会从紧急避孕药中获益。
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