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Emergency Contraception: Information, Counseling, and Training Services

The Centre on Emergency Contraception provides information, counseling, and training on emergency contraception methods. The center has trained numerous medical professionals and has counseled women on emergency contraception for 5 years. The efficacy and side effects of different emergency contraception methods are also discussed.

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Emergency Contraception: Information, Counseling, and Training Services

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  1. A 5-years experience of the Centre on Emergency Contraception P.R. Abakarova V. N. Prilepskaya T.N. Bebneva (Research Centre of Obstetrics, Gynecology and Perinatology)

  2. Induced Abortions in Russian Federation(by 1000 fertility women, 2000 - 2004 ) Data of the Ministry of Health

  3. Emergency Contraception service may be provided by: • gynecologists • family planning centers • youth counseling centers • general practitioners (family doctors)

  4. The Centre on Emergency Contraception was created in the Research Centre of Obstetrics, Gynecology&Perinatology of the Russian Academy of Medical Sciences, Russian Society of Contraception by supporting Gedeon Richter in 2000.

  5. Centre on Emergency Contraception Information Unit Counseling Unit Trainings on EC are held for different medical Doctors every month 1570 have been trained • Counseling on EC • follow-up • Help in choice of planned • contraception • hot line counseling

  6. 1410 women, aged from 16 to 35, have been counseled on emergency contraception for the period of 5 years.

  7. EC Center clients: 40% - one sexual partner 12.2% - more than one partner 34.9% - first sexual contact 10% - unintended sex 2.8% - sexual abuse

  8. Reasons of the unprotected sexual contacts: - failure of condom 37,2% - failure of withdrawal 40,9% - sex without contraceptives 13% - incorrect using of OC 6% - sexual abuse 2,8%

  9. Yuzpe method Ovidon • ethynilestradiol 50 mkg • levonorgestrel 250 mkg The protocol: 1-dose: 2 tablets not later than 72 hours after unprotected sex 2-dose: 2 tablets in 12 hours after the first doze

  10. Yuzpe method Efficacy 463 women have been treated by Estrogen-progestagen pills containing 50mkg ethynilestradiol + 250 mkg levonorgestrel (Ovidon) Efficacy 94,8% Side effects: • Sickness - 32,6% • Vomiting - 12,3% • Mastalgy - 20,7% • Headache - 23,1%

  11. Gestagens Postinor Contains 0.75 mg of levonorgestrel in 1 pill One pill should be taken not later than 72 hrs after unprotected sex, the 2nd pill – 12 hrs after the 1st one.

  12. Efficacy of EC gestagen method • 910 women have been treated by levonorgestrel in the dose of 0.75 mg (Postinor) • Efficacy 98,6% • Side effects: • Sickness – 17,9% • Vomiting - 5,3% • Mastalgy - 15,9% • Headache - 13,3%

  13. Gestagens Escapelle Contains 1,5 mg of levonorgestrel in 1 pill One pill should be taken not later than 96 hrs since sexual contact

  14. Menstruation onset in two methods of EC

  15. Intrauterine contraception Intrauterine contraception was recommended to 37 patients coming to the Centre later than 72 hrs after unprotected sex (CuT-380A)

  16. Intrauterine contraceptive device was inserted on days 4-5 after unprotected sexual contact Efficacy - 97,3% Side effects: Pain - 29,7 % Long plentiful menstruation - 16,2 %

  17. Counseling Protocol and EC management • date of the last menstrual period and exclusion of possible pregnancy • time interval since unprotected sex • counseling about possible side effects • follow-up and planned contraception choosing

  18. «ANY METHOD OF EMERGENCY CONTRACEPTION IS SAFER THAN INDUCED ABORTION» (WHO, 1997)

  19. Thank you for attention!

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