Emergency contraception among youth population
ESC Congress Library. Aganezova N. 05/10/18; 208134; ESC190
Natalia Aganezova
Natalia Aganezova
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Context. Every forth young woman in Russia has had sexual intercourse by the age of 17, around 40% of them did not use any method of contraception. The majority of unwanted pregnancies cases in youth end with artificial abortions. Emergency contraception (EC) among young people in most cases can prevent unplanned pregnancy. Objective.  To determine of frequency of EC use and awareness of  EC among young people. Design and methods. The method of questioning was used (36 items). There were questions about gynecological anamnesis, experience in EC  usage (female respondents only) and theoretical knowledge of EC (all participants). The questionnaire was presented in social networks and on paper carriers. The questionnaire was filled by 952 young persons (female - 802 (84.2%), male -150 (15.8%))  from various educational institutions,  young doctors of different specialties, others. Mean age was 20.7±1.6 years (from 15 to 24 years). The group was a simple random sample. Results. Almost 10% of young women had pregnancy in the past, half of them were unplanned. Two thirds of unplanned  pregnancies ended with medical abortions. One third of female respondents (32,9%) has used EC at least once, in all the cases they preferred levonorgestrel pills. The prevalence of EC usage grew with the increase of the respondents age. The majority of participants think that administration of EC is justifiable if unprotected sexual intercourse has taken place. Up to 65% of respondents know the right regimen of EC administration, a quarter of the participants have incorrect information, others were unable to answer. The greater part of all participants (63%) have incorrectly assume  that repeated use of EC leads to infertility and reduction of effectiveness of EC methods. No one was aware of the possibility of an emergency intrauterine contraceptive introduction after unprotected intercourse. Knowledge of EC among schoolchildren and students of non-medical institutions was the lowest. Conclusions. Young people in Russia are highly aware of the existence of EC as such, but they have insufficient  knowledge of it. It is highly important to give special lectures on family planning and contraception in schools and universities as it helps young people to maintain their reproductive health  by using safe and effective methods of contraception.
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