MEDICAL EBOOK DOWNLOAD, American Journal of Obstetrics & Gynecology AUGUST 2009, Emergency contraceptive use as a marker of future risky sex, pregnancy, and sexually transmitted infection

American Journal of Obstetrics & Gynecology AUGUST 2009,
Emergency contraceptive use as a marker of future risky sex, pregnancy, and sexually transmitted infection

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Emergency_contraceptive_use_as_a_marker_of_future_risky_sex__pregnancy__and_sexually_transmitted_inf


OBJECTIVE: The objective of the study was to examine whether emergency
contraceptive use predicts future sex at risk for pregnancy, pregnancy,
or sexually transmitted infection among young women.

STUDY DESIGN: A secondary analysis of control group participants
(n:718) from a recent trial of advanced provision of emergency
contraception was conducted.

RESULTS: We found no association between use of emergency contraception
and either pregnancy or infection. Recent use predicted decreased
occurrence of subsequent sex at risk for pregnancy among
women with a history of sexually transmitted infection (relative risk
[RR], 0.39; 95% confidence interval [CI], 0.15-0.97), whereas ever
having used predicted increased occurrence among women who either
were highly effective method users (RR, 1.45; 95% CI, 1.05-2.01) or
had no history of sexually transmitted infection (RR, 1.31; 95% CI,
1.04-1.65).

CONCLUSION: Information about prior emergency contraceptive use
was not a useful predictor of subsequent pregnancy, infection, or sex at
risk for pregnancy among these young women.
Key words: adolescent, postcoital contraception, pregnancy,
reproductive health care, sexually transmitted infections

Cite this article as: Sander PM, Raymond EG, Weaver MA. Emergency contraceptive use as a marker of future risky sex, pregnancy, and sexually transmitted
infection. Am J Obstet Gynecol 2009;201:146.e1-6.