NHS Lothian Family Planning and Well Woman Services, 18 Dean Terrace, Edinburgh, EH4 1NL Scotland, UK.
Contraception. 2010 Dec;82(6):538-42. doi: 10.1016/j.contraception.2010.05.008. Epub 2010 Jul 22.
UK women increasingly prefer to attend a pharmacy for emergency contraception (EC) rather than a doctor. Most women who use EC do not conceive and remain at risk of pregnancy unless they start regular contraception. We undertook a study to evaluate the quality of service provision in community pharmacies in Lothian, Scotland, and to determine what advice is given about contraception after EC use.
Mystery shopper study.
EC was unobtainable from 5/40 pharmacies (12.5%), refused because of "contraindications" in 7 (17.5%) and offered in 28 (70%). Most pharmacists appeared nonjudgemental, over 75% asked appropriate questions about eligibility, and over 90% gave appropriate advice about use. EC was universally refused beyond 72 h after sex but universally provided when the date of the last menstrual period was uncertain. Ongoing contraception after EC use was discussed in only 32.5% of all pharmacies and only 43% of those issuing EC.
The quality of consultations for EC in pharmacies is generally good but only a minority discuss ongoing contraception after EC use. The implications for contraceptive use and unintended pregnancy rates are worrying.
英国女性越来越倾向于前往药店而非医生处获取紧急避孕措施（EC）。大多数使用 EC 的女性并未怀孕，但如果她们不开始常规避孕，仍有怀孕的风险。我们开展了一项研究，旨在评估苏格兰洛锡安区社区药店的服务质量，并确定在使用 EC 后提供了哪些关于避孕的建议。
神秘顾客研究。
有 5/40 家（12.5%）药店无法提供 EC，7 家（17.5%）因“禁忌症”而拒绝提供，28 家（70%）提供了 EC。大多数药剂师表现出非评判性，超过 75%的药剂师询问了有关资格的适当问题，超过 90%的药剂师提供了关于使用方法的适当建议。超过 72 小时后，性生活后普遍拒绝提供 EC，但当最后一次月经日期不确定时，普遍提供 EC。仅在 32.5%的药店中讨论了使用 EC 后的持续避孕问题，而在发放 EC 的药店中，这一比例仅为 43%。
药店中 EC 咨询的质量总体良好，但只有少数药店讨论了使用 EC 后的持续避孕问题。这对避孕措施的使用和意外怀孕率产生了令人担忧的影响。
