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. 2002 Oct 15;30(6):381-7.
doi: 10.1016/s0212-6567(02)79051-3.

[Emergency contraception. Characteristics of the demand]

[Article in Spanish]
S Ruiz Sanz  1 , E Güell Pérez, C Herranz Calvo, C Pedraza Moreno
Affiliations

[Emergency contraception. Characteristics of the demand]

[Article in Spanish]
S Ruiz Sanz et al. Aten Primaria. .

Abstract
in English, Spanish

Objective: Define the profile of the women that ask for emergency contraception (EC).Design. Transversal descriptive investigation.

Setting: Familiar Planning Center of 4th Area of Instituto Madrileño de Salud. in Madrid. Participants. All the women that went in the year 2000 requiring EC (n=404). Measurements. Was carried out a survey with sociodemographic variables, related with the EC and with the sexual life.

Results: The average age was of 23.9 years (age range 14 to 49) were inquired, 9.9 were under 18. They had an average of 6.7 intercourses per month, the first intercourse when they were 18 years old on average, and 4.9 years of sexual relationships. 90.9% stated to have a couple. 75% were graduated from high school or university, and 55.7% said they had never received information about contraceptives. For 19.5% this was not the first time they asked for EC. 6.5% had interrupted on purpose pregnancy and 36% of them had used EC before. The reasons to demand EC were: condom break (69.3%), held condom (16.9%) and intercourse without any protection (12%). 7% acknowledged other risky intercourses during the same period. 33.2% had been sent by a General Practitioner, 26.1% knew the center, 19% were sent by acquaintances and 16% from Emergency Services. EC was not prescribed in 12.2% of the cases because of minimum risk to pregnancy. The evaluation was made by a nurse (52.6%), by a doctor (34.4%) and by a gynecologist (13%).

Conclusions: There is a lack of information about contraceptive methods. Most of the patients are sent from other sanitary services.

Objetivo: Conocer el perfil de las mujeres que demandan anticoncepción poscoital (APC).

Diseño: Descriptivo transversal. Emplazamiento. Centro de Orientación Familiar (COF), Área 4 del Instituto Madrileño de Salud. Madrid.

Participantes: Todas las mujeres que acudieron en el año 2000 para requerir APC (n = 404).

Mediciones: Se realizó una encuesta con variables sociodemográficas relacionadas con la APC y con la vida sexual.

Resultados: La edad media fue de 23,9 años (límites, 14–49); el 9,9% era menor de edad. La media de coitos al mes era de 6,7, el número de años de relaciones sexuales era de 4,9 y el primer coito se produjo, de media, a los 18 años. El 90,9% afirmaba tener pareja estable. Tenía estudios secundarios o universitarios un 75%. El 55,7% manifestaba no haber recibido información sobre anticonceptivos. El 19,5% utilizó APC en otra ocasión. El 6,5% había tenido alguna interrupción voluntaria de embarazo y de éstas, el 36% había utilizado APC anteriormente. Los motivos de consulta fueron: rotura de preservativo (69,3%), preservativo retenido (16,9%) y coito sin protección (12%). El 7% tuvo otros coitos de riesgo en el mismo ciclo. Un 33,2% las remitía su equipo de atención primaria, acudió por conocidos el 19% y desde servicios de urgencias el 16%. Conocía el COF un 26,1%. En el 12,2% no se prescribió APC por mínimo riesgo de embarazo. Realizaron la valoración una enfermera (52,6%), médicos residentes (34,4%) y una ginecóloga (13%).

Conclusiones: Falta información sobre métodos anticonceptivos. La mayoría de las pacientes son derivadas por otros servicios sanitarios.

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