[Access to emergency contraception: old barriers and new questions].

Autor: Costa NF; Secretário Executivo da Bem Estar Familiar no Brasil, Rio de Janeiro, RJ, Brazil., Ferraz EA, Souza CT, Silva CF, Almeida MG
Jazyk: portugalština
Zdroj: Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia [Rev Bras Ginecol Obstet] 2008 Feb; Vol. 30 (2), pp. 55-60.
DOI: 10.1590/s0100-72032008000200002
Abstrakt: Purpose: to compare two strategies of access to emergency contraception: only information and information with previous delivery of this contraceptive method, and its relationship with the use of this method and the regular use of contraceptives.
Methods: from August 2004 to January 2005, 18 to 49-year-old volunteers, attended at reproductive health clinics from six Brazilian towns were recruited. The subjects were randomly distributed in a group getting information about emergency contraception (Control Group), or in a group getting information about this method and previous delivery of the contraceptive (Medicated Group). Follow-up visits occurred into four and eight months. Person and McNemar's tests were used for the statistical analysis.
Results: from the 823 recruited subjects, 407 completed the 8-month-observation period and were the sample analyzed. Most of the subjects (61%) did not use the emergency contraceptive. The subjects from the Medicated Group used more emergency contraceptives (57%) than the ones from the Control Group (18%), and they did it more precociously, concerning the time since the unprotected sexual intercourse. There was a significant increase of regular use of contraceptives among the subjects who used emergency contraceptives in the Medicated Group (88% versus 97%) and a statistically nonsignificant decrease in the Control Group.
Conclusions: information and previous delivery intensified the access and use of emergency contraceptives, and did not reduce the regular use of contraceptives, including condoms.
Databáze: MEDLINE