Research conducted by the south staffordshire sexual health service.doc
RESEARCH CONDUCTED BY THE SOUTH STAFFORDSHIRE SEXUAL HEALTH SERVICE ORAL PRESENTATION
Is the Mirena suitable at any age? Moss EL, Pryce A, Kundu A. Annual Scientific Meeting of the Faculty of Family Planning and Reproductive Health Care, Newcastle, May 2006 PUBLISHED MEETING ABSTRACTS
Patterns of Emergency Contraception use in Women Attending South Staffordshire Sexual Health Clinics. Moss EL, Reynolds TM, Kundu A. 31st British International Congress on Obstetrics and Gynaecology, London, July 2007 Emergency Intrauterine Device - No thanks we’re teenagers. Moss EL, Reynolds TM, Kundu A. BMOGS (Burton) May 2007 Is the Mirena suitable at any age? Moss EL, Kundu A. BMOGS (Birmingham Women’s Hospital) October 2005 PATTERNS OF EMERGENCY CONTRACEPTION USE IN WOMEN ATTENDING SOUTH STAFFORDSHIRE SEXUAL HEALTH CLINICS EL Moss, TM Reynolds, A Kundu Introduction Time from Event to Presentation Levonorgestrel emergency contraception (EC) is well known to have a lower efficacy for preventing a pregnancy compared to an emergency copper intrauterine device (IUD). Percentage The failure rate of hormonal contraception increases further of patients when levonorgestrel EC is used out of license between 73- <20 years 120 hours after an episode of unprotected intercourse >20 years A prospective audit of patients attending the South Staffordshire Sexual Health Service over a 4-month period requesting emergency contraception. 260 (97%) patients attended within the first 72 hours after the episode of UPSI. There was no significant difference in the time to presentation between the under and over 20 year old populations, p=0.652. Information was collected on 269 patients. 59% of the population were teenagers. Method of Emergency Contraception Offered There was no difference in the proportion of women in the two age groups offered levonorgestrel EC alone or both methods, p=0.459. Under 16 years 16-19 years 20-24 years 25-29 years 30-39 years Percentage Over 40 years of patients Levonelle alone IUCD alone Levonelle + IUCD There was a significant difference in parity between the teenage and over 20 year old populations, 86% of the under 20 year olds were nulliparous compared to 40% of the over 20 years olds, p<0.001. Teenagers were less likely to attend the clinic alone compared 260 (97%) women were treated with levonorgestrel EC, 5 to the over 20 year olds, 43% compared to 74%. Instead they women had an IUD fitted and 4 women had both forms of were more likely to attend with a female friend, 42% emergency contraception. compared to 8% in the over 20 years olds, p<0.001. 9 women presented at 73-120 hours - 3 had an IUD fitted (all over 20 years), 6 (all under 20 years) chose unlicensed levonorgestrel EC instead. Teenagers were less likely to have an IUD fitted - 2 out of 47 consultations (4%) where both methods were discussed compared to 7 out of 35 consultations (20%) in the over 20 Reason for requesting Emergency Contraception year old population, p=0.058. Percentage 50 of patients Under 20 years Sexually Transmitted Infections (STIs) Over 20 years Health care professionals were significantly more likely to discuss STI screening with teenagers than the over 20 year No condom Poor pill compliance old population, 89% compared to 78%, p=0.009. Conclusions Teenagers attending our clinics rarely accept an IUD as 62% of teenagers reported using condoms as their usual emergency contraception. method of contraception, 24% reported taking an oral Teenagers presenting 72 hours after an episode of UPSI contraceptive pill and 12% did not use contraception. There prefer unlicensed levonorgestrel rather than an IUD, was no significant difference in contraception use in the despite the reduced efficacy being explained. over 20 year old population, p=0.183.
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