Emergency contraception: can we benefit from lessons learned?

Šprem Goldštajn, Marina and Pavičić Baldani, Dinka and Vrčić, Hrvoje and Orešković, Slavko (2012) Emergency contraception: can we benefit from lessons learned? Collegium Antropologicum, 36 (1). pp. 345-9. ISSN 0350-6134

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Abstract

The aim of the paper was to evaluate current emergency contraception (EC) methods and policies in order to implement lessons learned and maximize potential population impact while introducing dedicated EC pills in Croatia. Literature search for potential reasons for EC failing to show positive population impact and detecting actionable points to be implemented in national guidelines. Six potential reasons for ECs failure to show population impact were evaluated and four actionable points were detected: low use of EC compared to the numbers of risk events, low awareness on EC in general population, differences in efficacy of EC methods and EC vailability. In order to ensure EC's population impact in Croatia it is of a critical relevance to establish continuous education programs for population of women at risk. When recommending an EC method, superior efficacy must be a key decision-making criteria therefore cooper IUD and ulipristal acetate should be our primary options. Counseling is a critical step to ensure maximal efficacy of the EC method, but also to encourage future use of regular contraceptives. Finally, national ECP dispension protocol is needed to close the loop from effective women screening, prompt yet appropriate ECP administration/dispensing towards structured follow up after EC pills intake.

Abstract in Croatian

HITNA KONTRACEPCIJA: MOŽEMO LI ŠTO NAUČITI? ----- Cilj ovog rada je evaluirati dosadašnje metode hitne kontracepcije (HK) kako bi implementirali dosadašnje stečeno znanje i povećali udio korisnica HK u Hrvatskoj. Prikazali smo dosadašnja istraživanja o razlozima neuspjeha primjene HK s ciljem detekcije mjera u nacionalnim preporukama za korištenje HK. U radu je prikazano šest potencijalnih razloga neuspjeha HK u postizanju populacijskog učinka, te četiri moguće točke akcije. To su mala stopa korištenja HK u usporedbi s mogućim rizičnim događanjima, nizak stupanj znanja o HK u općoj populaciji, razlike u efikasnosti i dostupnosti pojedinih metoda HK. S ciljem postizanja većeg broja korisnica HK u Hrvatskoj nužno je započeti s kontinuiranim edukacijskim programima posebice za žene koje spadaju u rizičnu skupinu. Preporuke za korištenje HK se moraju temeljiti na boljoj djelotvornosti i sigurnosti preparata, pa se kao primarne opcija za HK preporuča primjena materničkog bakrenog uloška i ulipristal acetata. Savjetovanje je najvažniji korak u osiguranju maksimalne učinkovitosti metoda HK, kao i poticanju budućeg korištenja oralnih hormonskih kontraceptiva. Konačno, nacionalni algoritam za korištenje metoda HK trebao bi obuhvatiti učinkoviti probir žena, promptnu primjenu HK, te adekvatni »follow up« korisnica HK.

Item Type: Article
Departments: Katedra za ginekologiju i opstetriciju
Depositing User: Marijan Šember
Status: Published
Creators:
CreatorsEmail
Šprem Goldštajn, MarinaUNSPECIFIED
Pavičić Baldani, DinkaUNSPECIFIED
Vrčić, HrvojeUNSPECIFIED
Orešković, SlavkoUNSPECIFIED
Date: March 2012
Date Deposited: 07 Aug 2012 09:40
Last Modified: 07 Aug 2012 09:40
Subjects: /
Related URLs:
URI: http://medlib.mef.hr/id/eprint/1614

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