Document Detail

Requests for emergency contraception at an accident and emergency department--assessing the impact of a change in legislation.
MedLine Citation:
PMID:  15244120     Owner:  NLM     Status:  MEDLINE    
The aim of this study was to examine the pattern of attendance of patients requesting Emergency Hormonal Contraception (EHC) at an accident and emergency department before and after a government driven change in legislation, which allowed EHC to be sold over-the-counter by trained pharmacists, to women aged 16 years and above. We employed retrospective comparative study using computer records of all accident and emergency attendances coded as requests for emergency contraception for the years 2000 and 2001. The number of patients requesting emergency contraception at the A&E department decreased after over-the-counter sales were introduced, from 196 in the year 2000 to 164 in 2001 (p = 0.037). Despite this, the number of teenagers requesting emergency contraception at the A&E department increased in 2001--from 63 in 2000 to 74 in 2001 (p = 0.0115). Most requests are received outside local pharmacy opening hours--63.77% in 2000 and 62.2% in 2001. This study raises concerns that the government initiative allowing emergency hormonal contraception to be sold in pharmacies is having little impact on teenagers most in need of this service. A&E departments can expect to continue to receive a significant number of requests for emergency contraception. Further measures will be required to reduce the U.K.'s high rate of unplanned pregnancies.
S Mawhinney; O Dornan
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Ulster medical journal     Volume:  73     ISSN:  0041-6193     ISO Abbreviation:  Ulster Med J     Publication Date:  2004 May 
Date Detail:
Created Date:  2004-07-12     Completed Date:  2004-10-05     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  0417367     Medline TA:  Ulster Med J     Country:  Northern Ireland    
Other Details:
Languages:  eng     Pagination:  16-9     Citation Subset:  IM    
Obstetrics and Gynaecology, Antrim Area Hospital, 45 Bush Road, Antrim BT41 2RL.
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MeSH Terms
Contraceptives, Postcoital*
Emergency Service, Hospital
Great Britain
Health Services Needs and Demand / statistics & numerical data*
Legislation, Drug*
Middle Aged
Nonprescription Drugs
Retrospective Studies
Reg. No./Substance:
0/Contraceptives, Postcoital; 0/Nonprescription Drugs

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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