Routine counseling about intrauterine contraception for women seeking emergency contraception

Schwarz, Eleanor Bimla; Papic, M; Parisi, Sara M.; Baldauf, E.; Rapkin, Rachel B.; Updike, Glenn

doi:10.1016/j.contraception.2014.02.007

Cited by 14 publications

(4 citation statements)

References 16 publications

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“…Most women who use EC pills are young adults or adolescents, and have recently had unprotected sex or experienced a method failure (Daniels, Jones, & Abma, 2013). Providers often see the EC visit as an opportunity to encourage women to use or initiate a contraceptive method in addition to EC, and more recently, to increase awareness about the availability of the IUD as EC and as an ongoing method (ACOG, 2015;Falk, Falk, Hanson, & Milsom, 2001;Lee, Papic, Baldauf, Updike, & Schwarz, 2015;Schwarz et al, 2014). Providers may view the EC visit as a chance to offer women these additional counseling services beyond what they would receive through pharmacy provision of EC.…”

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confidence: 99%

Young Women's Perspectives About the Contraceptive Counseling Received During Their Emergency Contraception Visit

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Kimport

Mays

et al. 2019

Women's Health Issues

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Objectives: Research aimed at understanding women's experiences accessing emergency contraception (EC) services and the extent to which providers support women's autonomous contraceptive decision making is limited. This study explores young women's experiences with contraceptive counseling when accessing EC at family planning specialty clinics that serve young adult and adolescent patients. Methods: We conducted 22 in-depth telephone interviews with women ages 15-25 years who had recently accessed EC at two San Francisco Bay Area youth-serving clinics about their thoughts and experiences using and accessing contraception. We analyzed transcripts thematically, using inductive qualitative analytic methods to identify patterns across the interviews. Results: Most respondents described their recent clinic visit to access EC positively. Specifically, they expressed appreciation about receiving comprehensive information about other methods of contraception without pressure, judgment, or the expectation that they adopt a particular method. They also pointed to the influence of prior health care experiences in which they felt pressured or judged, leading them to avoid accessing future reproductive health services. Conclusions: We found that young women seeking EC appreciated learning about other contraceptive methods, but do not want to feel pressured to adopt a method in addition to EC. Findings highlight the importance of respecting young women's contraceptive decisions for building and maintaining provider trust and suggest that contraceptive counseling approaches that prioritize specific methods may reduce some young women's trust in providers and use of reproductive health services.

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confidence: 99%

Young Women's Perspectives About the Contraceptive Counseling Received During Their Emergency Contraception Visit

Biggs

Kimport

Mays

et al. 2019

Women's Health Issues

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“…In addition, the surveys assessed women's contraceptive knowledge with nine questions regarding the effectiveness, reversibility, and contraceptive duration for IUDs, implants and injectable contraception. (8) Before each participant left the study clinic, the on-site research assistant recorded whether participants had received EC, an IUD or implant.…”

Section: Methodsmentioning

confidence: 99%

A checklist approach to caring for women seeking pregnancy testing: Effects on contraceptive knowledge and use

et al. 2015

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Objective To assess how a checklist reminding clinicians to deliver a bundled intervention affects contraceptive knowledge and use 3 months after women seek walk-in pregnancy testing. Methods Pre-intervention, an inner-city family planning clinic provided unstructured care; during the intervention period, clinic staff used a checklist to ensure women received needed services. Women seeking walk-in pregnancy testing who wished to avoid pregnancy for at least 6 months were asked to complete surveys about their contraceptive knowledge and use immediately after and 3-months after visiting the study clinic. To assess the significance of changes over time, we used logistic regression models. Results Between January 2011 and May 2013, over 1500 women sought pregnancy testing from the study clinic; 323 completed surveys (95 pre-intervention and 228 during the intervention period). With this checklist intervention, participants were more likely to receive emergency contraception (EC) (22% vs. 5%, aOR=4.64, 95% CI 1.77-12.17), have an intrauterine device or implant placed at the time of their clinic visit (5% vs. 0%, p=0.02), or receive a contraceptive prescription (23% vs. 10%, p<0.001). Three months after visiting the study clinic, participants from the intervention period were more knowledgeable about intrauterine and subdermal contraception and were more likely to be using intrauterine, subdermal or injectable contraception (aOR=2.18, 95% CI 1.09-4.35). Conclusions Women seeking walk-in pregnancy testing appear more likely to receive EC and to have switched to a more effective form of birth control in 3 months following their visit when clinic staff used a 3-item checklist and provided scripted counseling. Implications A checklist reminding clinic staff to assess pregnancy intentions, provide scripted counseling about both emergency and highly-effective reversible contraception, and offer same-day contraceptive initiation to women seeking walk-in pregnancy testing appears to increase use of more effective contraception.

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“…[24][25][26] Research exploring youths' knowledge of the copper IUD as EC reveals that adolescents are generally unaware that the IUD can be used for this purpose, but that once informed, many will choose it. [27][28][29] As yet, no studies explore young people's knowledge of UPA EC.…”

Section: Barrier To Emergency Contraception Access: Limited Knowledgementioning

confidence: 99%

Emergency Contraception: Two Steps Forward, One Step Back

Davis

Praditpan

2016

Semin Reprod Med

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Emergency contraceptives can prevent pregnancy, when used after unprotected sex around the time of ovulation. In the past 15 years, access to emergency contraception (EC) in the United States has increased and more women use it. Emerging data may tailor EC prescribing based on patient weight and starting other contraception. There are several EC options-oral levonorgestrel and oral ulipristal acetate and the copper intrauterine device. Ideally, women should have EC access at low or no cost. Yet, several barriers-limited patient and provider knowledge about EC, cost, EC stocking practices, and state and federal laws exempting providers from supplying EC-make it difficult to integrate this time-sensitive treatment into women's reproductive health care.

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Routine counseling about intrauterine contraception for women seeking emergency contraception

Cited by 14 publications

References 16 publications

Young Women's Perspectives About the Contraceptive Counseling Received During Their Emergency Contraception Visit

Young Women's Perspectives About the Contraceptive Counseling Received During Their Emergency Contraception Visit

A checklist approach to caring for women seeking pregnancy testing: Effects on contraceptive knowledge and use

Emergency Contraception: Two Steps Forward, One Step Back

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