PMID: 11339935May 8, 2001Paper

Cost savings from emergency contraceptive pills in Canada

Obstetrics and Gynecology
J TrussellE Guilbert

Abstract

To estimate cost savings from emergency contraceptive pills in Canada. We modeled cost savings when a single emergency contraceptive treatment was provided after unprotected intercourse and when women were provided emergency contraceptive pills in advance. Each dollar spent on a single treatment saved $1.19--$2.35 (in Canadian currency), depending on the regimen and on assumptions about savings from costs avoided by preventing mistimed births. The dedicated products Preven (Shire Canada, Inc., Oakville, Ontario) and Plan B (Paladin Labs, Inc., Montreal) were cost-saving even under the least favorable assumption that mistimed births prevented today occur 2 years later. Each dollar spent on advance provision of Preven saved $1.24--$12.23, depending on the regular contraception method, on how consistently emergency contraception was used when needed, and on whether mistimed births were averted forever or simply delayed. Plan B was almost always cost-saving, although less so. Emergency contraception was cost-saving whether provided when the emergency occurred or in advance to be used as needed. More extensive use of emergency contraception could save considerable medical costs by reducing unintended pregnancies.

Citations

Apr 10, 2003·Contraception·James TrussellClare Leadbetter
Apr 10, 2003·Contraception·Galit Sheffer-MimouniRonni Gamzu
Jul 10, 2003·Obstetrics and Gynecology·Rebecca A JacksonPhilip Darney
Sep 4, 2004·BMC Women's Health·Sharon McMahonMarlene Roache
Jul 31, 2004·American Journal of Public Health·Ann KurthLori Bielinski
Apr 4, 2007·Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health·Richard C Lindrooth, Jeffrey S McCullough
Jul 21, 2005·The Australian & New Zealand Journal of Obstetrics & Gynaecology·James Trussell, Helen Calabretto
Nov 26, 2011·Expert Review of Clinical Pharmacology·Jade L Sullivan, Marilyn N Bulloch
Jan 17, 2009·Best Practice & Research. Clinical Obstetrics & Gynaecology·Ifigeneia Mavranezouli

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