Nursing Issues in the Emergency Contraceptive Pill

Topics: Birth control, Hormonal contraception, Emergency contraception Pages: 6 (2078 words) Published: October 25, 2009
A ten year Strategy was launched in 1999, by the government with an objective to halve the under 18 Teenage Pregnancy conception rate by 2010. Research has shown that the increased availability and accessibility of the emergency contraceptive pill, (EC) has not had an impact on the new found reduction in the rate of unplanned pregnancy. Using a problem solving approach the author will examine how the nurse should influence and raise awareness of the availability of the emergency contraception pill, levonorgestrel 1.5 mg, during consultation with young teenagers, for long acting reversible contraception. For the purpose of this assignment a young person shall be classified as with the FFPHC (2004) Guidance that states that a ‘young person’ as anyone aged less than 18 years. In England, Wales and Northern Ireland a child is ‘a person who has not reached the age of 18 years’ DoH, (1997) and in Scotland is ‘a person below the age of 16 years’ (The Stationary Office, 1995) Some reference related to contraceptive advice and treatment will be specific to young people aged less than 16 years. The sexual health needs assessment will be discussed as an indicator that there is a dilemma with the use of the emergency pill. Reference will relate to trends in abortions and how the nurse should work towards the increased demands of those individuals who are changing their behaviour to reduce risks of unplanned pregnancy and sexually transmitted diseases (STI). This work will explore a number of issues to support the author’s view that in relation to the current abortion statistics, assessments for good practice in providing emergency contraception and sexual health to young people are not being collectively addressed. Emergency contraception is an intervention aimed at preventing pregnancy after unprotected sexual intercourse or potential contraceptive failure. Less preferred terms for 'emergency contraception' include 'post-coital contraception' and 'the morning-after pill' [FFPRHC, 2006b]. Emergency contraceptives have been available for more than 30 years and are a safe and effective method of contraception. For the purpose of discussing informed choices, the IUD which is a emergency contraception shall be referred to. A Judicial Review in 2002 ruled that pregnancy begins at implantation, not at fertilization; therefore the use of emergency contraception is not to be considered as an abortion. The emergency contraceptive pill is a tablet containing progesterone, a hormone which is similar to the natural progesterone women produce in their ovaries. The emergency pill mode of action is to stop an egg being released (ovulation), or delay ovulation, depending on cycle at time of use. It may also stop a fertilised egg settling in the womb (implanting). (Fpa 2006) The teenage pregnancy strategy was launched based on a report from the social exclusion unit in 1998. The report aim to improve the number of teenage parents in, employment, education and training, reducing the long term risk of social exclusion that in return contributes to the rate of conception of young women under the age of 16. an independent advisory group set up in 2002 has been monitoring the strategy and providing advice to the government, as a result the teenage conception rate has seen a decline between 1998 and 2005 by 41% in under 18s and 12.1% in under 16s. Although it does not directly mention the importance of the EC in reducing the rate of unintended pregnancies, the Department for Education and Skills suggest that the provision of emergency contraceptive services has a small but important role to play in reducing teenage pregnancies. It has been concluded that the key factors in reducing teenage pregnancy rates include 'the availability of a well publicised young people-centred contraceptive and sexual health advice service, with a strong remit to undertake health promotion work, as well as delivering reactive services' [DfES, 2006]. The statistics in...
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