Reproductive health outcomes of insured adolescent and adult women who access oral levonorgestrel emergency contraception

Obstetrics and Gynecology
Tina Raine-BennettNancy Goler

Abstract

To assess the level of risk for adolescents and women who seek emergency contraception through various clinical routes and the opportunities for improved care provision. This study looked at a retrospective cohort to assess contraception and other reproductive health outcomes among adolescents and women aged 15-44 years who accessed oral levonorgestrel emergency contraception through an office visit or the call center at Kaiser Permanente Northern California from 2010 to 2011. Of 21,421 prescriptions, 14,531 (67.8%) were accessed through the call center. In the subsequent 12 months, 12,127 (56.6%) adolescents and women had short-acting contraception (pills, patches, rings, depot medroxyprogesterone) dispensed and 2,264 (10.6%) initiated very effective contraception (intrauterine contraception, implants, sterilization). Initiation of very effective contraception was similar for adolescents and women who accessed it through the call center-1,569 (10.8%) and office visits-695 (10.1%) (adjusted odds ratio [OR] 1.02, 95% confidence interval [CI] 0.93-1.13). In the subsequent 6 months, 2,056 (9.6%) adolescents and women became pregnant. Adolescents and women who accessed emergency contraception through the call center were less likel...Continue Reading

References

Sep 9, 2008·Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health·Susie B BaldwinE Richard Brown
Oct 25, 2011·Contraception·Lawrence B Finer, Mia R Zolna
Jul 17, 2012·Fertility and Sterility·Lawrence B FinerMegan L Kavanaugh
Nov 22, 2012·Obstetrics and Gynecology·Jeffrey F PeipertGina M Secura
May 11, 2013·Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health·Rachel K JonesTracy A Weitz

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Citations

Oct 18, 2016·Journal of Women's Health·Pamela A RoyerHanna M Saltzman
Nov 3, 2016·Current Opinion in Obstetrics & Gynecology·Wing Kay Fok, Paul D Blumenthal

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