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Failure of family-planning referral and high interest in
advanced provision emergency contraception among women contacted for
STD partner notification.
Contraception 2004;69(3):241-246.
Golden MR, Whittington WL, Handsfield HH, Clark A, Malinski C, Helmers
JR, Hogben M, Holmes KK.
Abstract
BACKGROUND: Few data are available on the risk of unintended pregnancy in women
with STD or how contraceptive services can be integrated into STD control
activities. OBJECTIVE: To define the risk for unintended pregnancy and assess
the effectiveness of family-planning (FP) referral and interest in advanced
provision emergency contraception (APEC) among women with gonorrhea or chlamydial
infection. METHODS: Female participants in a randomized trial of different
approaches to partner notification were interviewed, offered referral for
FP services and asked if they would want APEC. RESULTS: Among participants
ages 14-24, the observed past pregnancy rate and age-adjusted anticipated
past pregnancy rate were, respectively, 196 and 72 per 1000 women-years.
Of 474 nonpregnant participants who did not desire pregnancy, 127 (34%) were
using no contraception or condoms alone, of whom 8 (6%) requested a FP appointment
and 81% wanted APEC. CONCLUSIONS: Women treated for STD are at high-risk
for unintended pregnancy. Although referral for FP was ineffective, interest
in APEC was very high.