7. Emergency Contraception.
Faculty of Family Planning.
IUCD. Intra-uterine contraceptive device.
UPSI. Unprotected sexual intercourse.
|a.||PC4 should be given as one tablet, repeated after 12 hours|
|b.||oral LNG should be given in a dose of 0.75mg. and repeated after 12 hours|
|c.||~ 1% of women vomit after taking oral LNG for EC|
|d.||oral LNG works mainly by making cervical mucus hostile to sperm transport|
|e.||LNG is licensed for use for up to 72 hours after unprotected sexual intercourse|
|f.||A woman using liver enzyme inducing drugs should double the 1.5 mg. dose of LNG|
|g.||Evidence exists that LNG has an effect as EC up to 120 hours|
|h.||LNG EC may be given more than once in the same cycle|
|i.||EC should not be supplied before unprotected intercourse in anticipation of possible need|
|j.||the copper IUCD is the most effective method of EC|
|k.||the copper IUCD works mainly by preventing implantation|
|l.||antibiotics should be prescribed at the time of insertion of a copper IUCD for EC|
|m.||the progesterone loaded IUCD may be used|
|n.||women should be advised to have a pregnancy test after EC if the next period is lighter than usual or more than seven days late|
|o.||EC may be given to girls under 16 without parental consent if they are “Fraser Ruling Competent”|
|p.||“Patient Group Directions” are signs on health premises pointing women to the Family Planning Clinic to prevent the embarrassment of them inadvertently ending up in the Sexually Transmitted Disease Clinic|