What are the ACOG recommendations for emergency contraception?

Updated: Oct 16, 2019
  • Author: Frances E Casey, MD, MPH; Chief Editor: Richard Scott Lucidi, MD, FACOG  more...
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Answer

Answer

The American College of Obstetricians and Gynecologists makes the following recommendations regarding emergency contraception [31] :

  • Advise patients that a copper intrauterine device (IUD) is the most effective form of emergency contraception and OBGYNs and other providers should consider integrating copper IUD emergency contraception provision into their practices and allow same-day provision of IUDs.    
  • Ulipristal acetate is more effective than levonorgestrel and should be prescribed when possible up to 5 days after unprotected intercourse.
  • In order to increase awareness and reduce barriers to immediate access, advance prescriptions for emergency contraceptions can be written.
  • Provide information about all contraceptive methods to initiate a consistent method during a patient’s appointment for emergency contraception.
  • Counsel all women at risk of pregnancy about emergency contraception.
  • Clarify that emergency contraception will not terminate an established pregnancy.
  • Social media should be used for emergency contraception campaigns.
  • Provide a referral if a patient’s pharmacy or institution will not provide emergency contraception.
  • Ensure timely access to emergency contraception by working with pharmacies and other retail outlets to avoid misinformation.

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