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Emergency Contraception   “the morning-after pill” Dr.Sujnanendra Mishra MD(O&G)
Emergency contraception (EC) ,[object Object]
Emergency Contraception ,[object Object],[object Object],[object Object],[object Object],These terms do not convey the correct timing of use nor that these methods should be used only for emergencies. Emergency contraception (EC) is any method of contraception which is used after intercourse and before the potential time of implantation
HISTORY of EC - ,[object Object],[object Object],[object Object]
[object Object],[object Object]
[object Object],[object Object],[object Object]
CURRENT EC - ,[object Object],[object Object],[object Object],[object Object],[object Object]
Women Who May Need Emergency Contraception (Primary Users) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Other Situations When Emergency Contraception May Be Used  (Secondary Users) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
WHAT’S THE DIFFERENCE ? Between “the morning-after pill” and “the abortion pill” “ the morning-after pill” EMERGENCY CONTRACEPTION “ the abortion pill”  MIFEPRISTONE WHAT DOES IT DO? Prevents a pregnancy from occurring after unprotected sex. Ends a pregnancy without surgery. WHAT IS IT? A high dose of birth control pills. One of two pills used to end a pregnancy without surgery. WHEN CAN I TAKE IT? Effective within 5 days of unprotected sex, but the sooner the better. Effective to terminate pregnancies up to 8 weeks duration. IS IT SAFE? Yes. effective contraceptive for  pregnancy prevention after unprotected sex. Yes. effective for  pregnancy termination.
Emergency Contraception ,[object Object],[object Object],[object Object]
Emergency Contraception: Benefits ,[object Object],[object Object],Source: Consortium for Emergency Contraception 1998.
Emergency Contraception: Methods ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Emergency Contraception: COCs ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],1   Source : Consortium for Emergency Contraception 1999.
DOSE for Combine OCP ,[object Object],[object Object],[object Object],STEP I Take 4 tablets of a low-dose COC (30–35 µg EE) orally within 72 hours of unprotected intercourse. Take 2 tablets of a high-dose COC (50 µg EE) orally within 72 hours of unprotected intercourse. STEP II Take 4 more tablets in 12 hours.  Take 2 more tablets in 12 hours STEPIII If no menses (vaginal bleeding) within 3 weeks, the client should consult the clinic or service provider to check for possible pregnancy.
DOSE for POP (Prog. Only Pills) Plan- B ,[object Object],[object Object],[object Object],STEP I Take 1 tablet (750 µg of LNG) orally within 72 hours of unprotected intercourse. Take 20 tablets (30 or 37.5 µg of LNG or 75 µg of norgestrel) orally within 72 hours of unprotected intercourse. STEP II Take 1 more tablet in 12 hours. Take 20 more tablets in 12 hours. STEP III If no menses (vaginal bleeding) within 3 weeks, the client should consult the clinic or service provider to check for possible pregnancy.
Plan B One-Step
New emergency contraceptive  ,[object Object],1. Ellaone Summary of Product Characteristics, 2009. 2. CHMP Assessment Report for Ellaone. EMEA/261787/2009
The two emergency contraceptives work differently: ,[object Object],[object Object],[object Object],[object Object]
The two emergency contraceptives  Difference Plan B One-Step  Ellaone Active ingredients Levonorgestrel ,a progestin hormone used in lower doses in many birth control pills. ulipristal, a non-hormonal drug that blocks the effects of key hormones necessary for conception. TIMING As soon as possible after sex. It may work for up to 72 hours, but is ineffective once the hormonal surge that leads to ovulation occurs. As soon as possible after sex., Ella's efficacy does not fade for 120 hours (five days) after sex, regardless of whether the hormonal surge has occurred. Drawbacks  It ineffective once the hormonal surge that leads to ovulation occurs. Ella may be less effective in obese women.
IUDs: Instructions for Use as  Emergency Contraception ,[object Object],[object Object],[object Object]
ANTIPROGESTINS ,[object Object],[object Object],[object Object],[object Object]
Emergency Contraception: Limitations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
FINAL WORDS….

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Emergency Contraception

  • 1. Emergency Contraception “the morning-after pill” Dr.Sujnanendra Mishra MD(O&G)
  • 2.
  • 3.
  • 4.
  • 5.
  • 6.
  • 7.
  • 8.
  • 9.
  • 10. WHAT’S THE DIFFERENCE ? Between “the morning-after pill” and “the abortion pill” “ the morning-after pill” EMERGENCY CONTRACEPTION “ the abortion pill” MIFEPRISTONE WHAT DOES IT DO? Prevents a pregnancy from occurring after unprotected sex. Ends a pregnancy without surgery. WHAT IS IT? A high dose of birth control pills. One of two pills used to end a pregnancy without surgery. WHEN CAN I TAKE IT? Effective within 5 days of unprotected sex, but the sooner the better. Effective to terminate pregnancies up to 8 weeks duration. IS IT SAFE? Yes. effective contraceptive for pregnancy prevention after unprotected sex. Yes. effective for pregnancy termination.
  • 11.
  • 12.
  • 13.
  • 14.
  • 15.
  • 16.
  • 18.
  • 19.
  • 20. The two emergency contraceptives Difference Plan B One-Step Ellaone Active ingredients Levonorgestrel ,a progestin hormone used in lower doses in many birth control pills. ulipristal, a non-hormonal drug that blocks the effects of key hormones necessary for conception. TIMING As soon as possible after sex. It may work for up to 72 hours, but is ineffective once the hormonal surge that leads to ovulation occurs. As soon as possible after sex., Ella's efficacy does not fade for 120 hours (five days) after sex, regardless of whether the hormonal surge has occurred. Drawbacks It ineffective once the hormonal surge that leads to ovulation occurs. Ella may be less effective in obese women.
  • 21.
  • 22.
  • 23.

Hinweis der Redaktion

  1. 06/23/10
  2. 06/23/10
  3. 06/23/10
  4. 06/23/10
  5. 06/23/10 Because emergency contraception is used only once or infequently, its effectiveness cannot be measured the way other contraceptive methods that are used more frequently are measured. A more accurate measurement of the efficacy of emergency contraception can be obtained by comparing the number of pregnancies in a study with the number of pregnancies that would have been expected without treatment. An analysis of data from 10 studies (Yuzpe regimen) showed that the weighted average of the effectiveness rates was 74%. Hatcher et al 1998.
  6. 06/23/10
  7. 06/23/10 Although the exact mechanism of EC is not clear, several studies have shown that EC pills delay or inhibit ovulation and may prevent implantation.
  8. 06/23/10
  9. 06/23/10