Offering Copper IUD as Emergency Contraception, a one-year project at the RFSU clinic in Stockholm.
ESC Congress Library. Envall N. 05/28/14; 50536; A-121
Mr. Niklas Envall
Mr. Niklas Envall
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Abstract
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Objectives:Insertion of Copper IUD is the most effective form of EC, with documented effect of preventing more than 99% of unintended pregnancies if inserted within five days after unprotected intercourse.Despite the evidence, C-IUD is rarely recommended as EC to women in Sweden.To address this, a one-year project was launched at the RFSU Clinic in September 2013. The aim of the project is to present numbers on inserted C-IUD as EC in comparison to prescribed ECP among women seeking for prescription or counselling on EC. It will show the importance and effects of good information about different options for EC and Copper IUD in particularand how the information affects the choice of method. 
Method All women seeking the clinic for counselling on EC is actively offered insertion of a Copper IUD as an alternative to ECP.  Follow up on all patients is done 3 and 6 months after insertion to investigate the incidence of pregnancies and use of effective contraception.
Results
:This is an on-going study and the results are yet to come but increased availability of different forms of EC is expected to affect the numbers of unintended pregnancies and is an important part of the prevention work. We also aim to improve knowledge and acceptance among service providers of providing IUD:s to young  and nulliparous women.The results will be used in our advocacy for improved SRHR at national and global level. Conclusion Almost all women accept Copper IUD as EC when it is being offered as an alternative to ECP, indicating the importance of offering a variety of ECs to women for an improved SRHR and usage of LARC.

Objectives:Insertion of Copper IUD is the most effective form of EC, with documented effect of preventing more than 99% of unintended pregnancies if inserted within five days after unprotected intercourse.Despite the evidence, C-IUD is rarely recommended as EC to women in Sweden.To address this, a one-year project was launched at the RFSU Clinic in September 2013. The aim of the project is to present numbers on inserted C-IUD as EC in comparison to prescribed ECP among women seeking for prescription or counselling on EC. It will show the importance and effects of good information about different options for EC and Copper IUD in particularand how the information affects the choice of method. 
Method All women seeking the clinic for counselling on EC is actively offered insertion of a Copper IUD as an alternative to ECP.  Follow up on all patients is done 3 and 6 months after insertion to investigate the incidence of pregnancies and use of effective contraception.
Results
:This is an on-going study and the results are yet to come but increased availability of different forms of EC is expected to affect the numbers of unintended pregnancies and is an important part of the prevention work. We also aim to improve knowledge and acceptance among service providers of providing IUD:s to young  and nulliparous women.The results will be used in our advocacy for improved SRHR at national and global level. Conclusion Almost all women accept Copper IUD as EC when it is being offered as an alternative to ECP, indicating the importance of offering a variety of ECs to women for an improved SRHR and usage of LARC.

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