Article ; Online: "ContraceptED": A Multidisciplinary Framework for Emergency Department-Initiated Contraception.
2023 Volume 81, Issue 5, Page(s) 630–636
Abstract: Emergency departments (EDs) are common access points for patients who are at high risk for unintended pregnancy. Low-barrier access to effective contraception represents a crucial and low-cost intervention to address this public health need. Same-day ... ...
| Abstract | Emergency departments (EDs) are common access points for patients who are at high risk for unintended pregnancy. Low-barrier access to effective contraception represents a crucial and low-cost intervention to address this public health need. Same-day initiation of contraception during an ED visit is a unique opportunity to provide reproductive health care for high-risk patients with otherwise limited health care access. We collaborated with our obstetrics and gynecology (OB/GYN) department, pharmacists, and a team of community health advocates to support emergency clinicians (namely, emergency physicians and advanced practice providers) in assessing pregnancy and contraceptive readiness, increasing proficiency in contraception counseling, prescribing hormonal contraception, counseling on barrier and emergency contraception, and inserting (and removing) the Nexplanon implant, a form of long-acting reversible contraception. With this novel approach, we found that emergency clinicians voluntarily participated in trainings on contraception, including low-threshold long-acting reversible contraception initiation; and, after completing these trainings, clinicians integrated these skills into their workflow in the ED. We report our results after screening 38 patients during our current Pilot Phase of implementing this program. |
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| MeSH term(s) | Pregnancy ; Female ; Humans ; Contraception, Postcoital ; Contraceptive Agents ; Health Services Accessibility ; Counseling ; Emergency Service, Hospital | |||||
| Chemical Substances | Contraceptive Agents | |||||
| Language | English | |||||
| Publishing date | 2023-03-14 | |||||
| Publishing country | United States | |||||
| Document type | Journal Article | |||||
| ZDB-ID | 603080-4 | |||||
| ISSN | 1097-6760 ; 0196-0644 | |||||
| ISSN (online) | 1097-6760 | |||||
| ISSN | 0196-0644 | |||||
| DOI | 10.1016/j.annemergmed.2023.01.002 | |||||
| Shelf mark |
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| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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