[논문]Effectiveness of emergency contraception in women after sexual assault

Choi, Dong Seok; Kim, Miran; Hwang, Kyung Joo; Lee, Kyoung Mi; Kong, Tae Wook

doi:10.5653/cerm.2013.40.3.126

Effectiveness of emergency contraception in women after sexual assault 원문보기

Clinical and experimental reproductive medicine : CERM, v.40 no.3, 2013년, pp.126 - 130

Choi, Dong Seok (Department of Obstetrics and Gynecology, Ajou University School of Medicine) , Kim, Miran (Department of Obstetrics and Gynecology, Ajou University School of Medicine) , Hwang, Kyung Joo (Department of Obstetrics and Gynecology, Ajou University School of Medicine) , Lee, Kyoung Mi (Department of Obstetrics and Gynecology, Ajou University School of Medicine) , Kong, Tae Wook (Department of Obstetrics and Gynecology, Ajou University School of Medicine)

Abstract ▼ AI-Helper

Objective: To assess the effectiveness of emergency single-dose levonorgestrel contraception in preventing unintended pregnancies among woman who visited the emergency department (ED) due to sexual assault (SA). Methods: We conducted a retrospective chart review in a university hospital in South Korea. Cases from November 10, 2006 to November 9, 2009 were enrolled. Information from the initial visit to the ED and subsequent follow-up visits to the gynecology outpatient clinic was collected. Results: In total, 1,179 women visited the ED due to SA. Among them, 416 patients had a gynecological examination and 302 patients who received emergency contraception (EC) (1.5 mg single-dose levonorgestrel) at the ED due to SA were enrolled. Ten patients did not return for follow-up examinations. In follow-up visits at the outpatient clinic, two pregnancies were confirmed, which showed the failure rate of the EC to be 0.68%. Conclusion: Single-dose levonorgestrel EC is extremely effective at preventing pregnancy among victims of SA.

주제어

AI 본문요약
AI-Helper

* AI 자동 식별 결과로 적합하지 않은 문장이 있을 수 있으니, 이용에 유의하시기 바랍니다.

문제 정의

Our hospital has been running a one-stop center for SA in the emergency department (ED) since 2006, to provide primary care for the victims of SA by a multidisciplinary team approach, and an important aspect of it is to prevent unintended pregnancies by providing EC. Accordingly, the aim of this study was to assess the effectiveness of emergency single-dose levonorgestrel contraception in preventing unintended pregnancy to patients visiting the ED due to SA.

제안 방법

After that, repeat serologic tests for syphilis, hepatitis B, and HIV were performed at 6, 12, and 24 weeks after the assault.
Prophylactic treatment for gonorrhea (ceftriaxone 125 mg intramuscularly), chlamydia (azithoromycin 1 g orally), trichomonas, and bacterial vaginosis (metronidazole 2 g orally) was given. If they wanted to know the results from the initial laboratory study or wanted medical certificates, or had any other complaints (e.g., vaginal discharge, pelvic discomfort etc.), they visited the same physician at the outpatient clinic within two weeks. After that, repeat serologic tests for syphilis, hepatitis B, and HIV were performed at 6, 12, and 24 weeks after the assault.

대상 데이터

During a period of 6 months from November 10, 2006 to November 9, 2009, 1,179 women presented for evaluation after SA. All of the patients who had a gynecologic examination (416 women) and presented for a follow-up appointment at the outpatient clinic were enrolled. Among them, 71 did not receive EC for the following reasons: 39 patients were pre-menarche, 13 patients were post-menopausal, 13 patients were already pregnant, and 6 patients were not penetrated during the SA.
The remaining 345 patients were prescribed EC. Among them, we excluded 43 patients who were over 45 years old. Therefore, there were 302 patients available for inclusion in this study (Figure 1).
During a period of 6 months from November 10, 2006 to November 9, 2009, 1,179 women presented for evaluation after SA. All of the patients who had a gynecologic examination (416 women) and presented for a follow-up appointment at the outpatient clinic were enrolled.
Among them, we excluded 43 patients who were over 45 years old. Therefore, there were 302 patients available for inclusion in this study (Figure 1).
This study was conducted in Ajou University Hospital, Suwon, Korea. The medical records for all women who received a single dose of 1.

성능/효과

30). The key finding was that one dose of 1.5 mg levonorgestrel had efficacy equivalent with the divided two-dose regimen. In addition, the rate of side effects was very similar.

후속연구

5 mg dose of levonorgestrel as EC after an act of SA is highly effective. Although this study has certain limitations, it confirms the recommendation that all patients seeking care after SA should be provided with an emergency single dose of levonorgestrel and encouraged to present for follow-up evaluation.

참고문헌 (21)

1 Patel A Panchal H Piotrowski ZH Patel D Comprehensive medical care for victims of sexual assault: a survey of Illinois hospital emergency departments Contraception 2008 77 426 430 18477492
2 Lee J Kim J Lim H Rape myth acceptance among Korean college students: the roles of gender, attitudes toward women, and sexual double standard J Interpers Violence 2010 25 1200 1223 19776294

상세보기
3 Kavanaugh ML Saladino RA Gold MA Emergency contraception services for adolescents: a National Survey of Children's Hospital Emergency Department Directors J Pediatr Adolesc Gynecol 2009 22 111 119 19345917

상세보기
4 Holmes MM Resnick HS Kilpatrick DG Best CL Rape-related pregnancy: estimates and descriptive characteristics from a national sample of women Am J Obstet Gynecol 1996 175 320 324 8765248

상세보기
5 Rodrigues I Grou F Joly J Effectiveness of emergency contraceptive pills between 72 and 120 hours after unprotected sexual intercourse Am J Obstet Gynecol 2001 184 531 537 11262449

상세보기
6 Ho PC Kwan MS A prospective randomized comparison of levonorgestrel with the Yuzpe regimen in post-coital contraception Hum Reprod 1993 8 389 392 8473453

상세보기
7 Randomised controlled trial of levonorgestrel versus the Yuzpe regimen of combined oral contraceptives for emergency contraception. Task Force on Postovulatory Methods of Fertility Regulation Lancet 1998 352 428 433 9708750
8 Piaggio G von Hertzen H Grimes DA Van Look PF Timing of emergency contraception with levonorgestrel or the Yuzpe regimen. Task Force on Postovulatory Methods of Fertility Regulation Lancet 1999 353 721 10073517
9 Cheng L Gulmezoglu AM Piaggio G Ezcurra E Van Look PF Interventions for emergency contraception Cochrane Database Syst Rev 2008 2 CD001324 18425871
10 Ngai SW Fan S Li S Cheng L Ding J Jing X A randomized trial to compare 24 h versus 12 h double dose regimen of levonorgestrel for emergency contraception Hum Reprod 2005 20 307 311 15567882

상세보기
11 Okewole IA Arowojolu AO Single dose of 1.5 mg Levonorgestrel for emergency contraception Int J Gynaecol Obstet 2005 89 57 58 15777904

상세보기
12 Arowojolu AO Okewole IA Adekunle AO Comparative evaluation of the effectiveness and safety of two regimens of levonorgestrel for emergency contraception in Nigerians Contraception 2002 66 269 273 12413624
13 von Hertzen H Piaggio G Ding J Chen J Song S Bartfai G Low dose mifepristone and two regimens of levonorgestrel for emergency contraception: a WHO multicentre randomised trial Lancet 2002 360 1803 1810 12480356
14 Creinin MD Schlaff W Archer DF Wan L Frezieres R Thomas M Progesterone receptor modulator for emergency contraception: a randomized controlled trial Obstet Gynecol 2006 108 1089 1097 17077229

상세보기
15 Cheng L Che Y Gulmezoglu AM Interventions for emergency contraception Cochrane Database Syst Rev 2012 8 CD001324 22895920
16 Martinez AM Thomas MA Ulipristal acetate as an emergency contraceptive agent Expert Opin Pharmacother 2012 13 1937 1942 22770536

상세보기
17 Gainer E Kenfack B Mboudou E Doh AS Bouyer J Menstrual bleeding patterns following levonorgestrel emergency contraception Contraception 2006 74 118 124 16860049
18 Raymond EG Goldberg A Trussell J Hays M Roach E Taylor D Bleeding patterns after use of levonorgestrel emergency contraceptive pills Contraception 2006 73 376 381 16531171
19 Peers T Stevens JE Graham J Davey A Norplant implants in the UK: first year continuation and removals Contraception 1996 53 345 351 8773421

상세보기
20 Critchley HO Jones RL Lea RG Drudy TA Kelly RW Williams AR Role of inflammatory mediators in human endometrium during progesterone withdrawal and early pregnancy J Clin Endocrinol Metab 1999 84 240 248 9920091
21 Vincent AJ Salamonsen LA The role of matrix metalloproteinases and leukocytes in abnormal uterine bleeding associated with progestin-only contraceptives Hum Reprod 2000 15 Suppl 3 135 143 11041229

내보내기 구분	파일저장 인쇄 메일전송
구성항목	기본정보 상세정보 관리번호, 논문명, 저널/프로시딩명, 저자 , 발행년, 권, 호, 시작페이지, 끝페이지, 발행기관 관리번호, 논문명, 대등논문명, 저자 , 저널/프로시딩명, 발행기관, 발행년, 발행언어, 권, 호, 시작페이지, 끝페이지, ISBN, ISSN, 주제분야, 키워드, 초록(한글), 초록(영문), 저자(소속기관)
저장형식	Text(ASCII format) Excel format RefWorks Direct Export RIS format (for Reference Manager, ProCite, EndNote), Scholar's Aids, Mendeley
메일정보	받는사람 (필수) @ 보내는사람 (선택) @ 제목 내용 KISTI 검색결과 이메일 서비스
안내	총 건의 자료가 검색되었습니다. 다운받으실 자료의 인덱스를 입력하세요. (1-10,000) 검색결과의 순서대로 최대 10,000건 까지 다운로드가 가능합니다. 데이타가 많을 경우 속도가 느려질 수 있습니다.(최대 2~3분 소요) 다운로드 파일은 UTF-8 형태로 저장됩니다. 파일의 내용이 제대로 보이지 않을실 때는 웹브라우저 상단의 보기 -> 인코딩 -> 자동선택 여부를 확인하십시오. ~ Text(ASCII format) Excel format

연합인증

Effectiveness of emergency contraception in women after sexual assault 원문보기

Abstract ▼ AI-Helper

주제어

AI 본문요약
AI-Helper

문제 정의

제안 방법

대상 데이터

성능/효과

후속연구

참고문헌 (21)

이 논문을 인용한 문헌

관련 콘텐츠

원문 보기

원문 URL 링크

오픈액세스(OA) 유형

이 논문과 함께 이용한 콘텐츠

AI-Helper ※ AI-Helper는 오픈소스 모델을 사용합니다.

선택된 텍스트

연합인증

Effectiveness of emergency contraception in women after sexual assault 원문보기

Abstract ▼ AI-Helper

주제어

AI 본문요약 엑셀 다운로드 AI-Helper

문제 정의

제안 방법

대상 데이터

성능/효과

후속연구

참고문헌 (21)

이 논문을 인용한 문헌

관련 콘텐츠

원문 보기

원문 URL 링크

오픈액세스(OA) 유형

이 논문과 함께 이용한 콘텐츠

AI-Helper ※ AI-Helper는 오픈소스 모델을 사용합니다.

선택된 텍스트

AI 본문요약
AI-Helper