American Society for Emergency Contraception, Lawrenceville, NJ, United States.
Planned Parenthood Gulf Coast, Houston, TX, United States.
Contraception. 2022 Oct;114:6-9. doi: 10.1016/j.contraception.2022.06.008. Epub 2022 Jun 23.
Abortion and contraception are essential components of reproductive healthcare. As 26 states are likely to severely restrict access to abortion following the Supreme Court decision in Dobbs v. Jackson Women's Health Organization, access to emergency contraception will be more important than ever. Existing barriers to emergency contraception - including cost, obstacles to over-the-counter purchase, low awareness and availability of the most effective options, myths about safety and mechanism of action - already substantially limit access. Proactive solutions include public information campaigns; healthcare provider education about all emergency contraceptive options, including IUDs and advance provision of emergency contraceptive pills; innovative service delivery options such as vending machines and community distribution programs; and policy initiatives to ensure insurance coverage, eliminate pharmacy refusals, and support all service delivery options. In addition, we urge the U.S. Food and Drug Administration to approve updated labeling to align with the best available evidence that oral contraceptive pills work before ovulation and do not prevent implantation of a fertilized egg, as this language contributes to public confusion and access barriers. In the face of extreme limits on reproductive healthcare, now is the time to expand and protect access to emergency contraception so that everyone has the possibility of preventing pregnancy after unprotected sex or sexual assault.
堕胎和避孕是生殖保健的重要组成部分。由于最高法院在多布斯诉杰克逊妇女健康组织案中的裁决，26 个州可能会严重限制堕胎的获取，因此紧急避孕的获取将变得比以往任何时候都更加重要。现有的紧急避孕障碍——包括成本、购买障碍、对最有效方法的认识和可用性低、关于安全性和作用机制的误解——已经大大限制了获取途径。主动解决方案包括公共信息宣传活动；医疗保健提供者关于所有紧急避孕选择的教育，包括宫内节育器和提前提供紧急避孕药；创新的服务提供选择，如自动售货机和社区分发计划；以及政策举措，以确保保险覆盖、消除药店拒绝，并支持所有服务提供选择。此外，我们敦促美国食品和药物管理局批准更新标签，以符合最佳现有证据，即口服避孕药在排卵前有效，并且不会阻止受精卵着床，因为这种说法会导致公众困惑和获取障碍。在生殖保健受到极端限制的情况下，现在是扩大和保护紧急避孕获取的时机，以便每个人都有可能在无保护性行为或性侵犯后预防怀孕。
