Assuntos
Anticoncepção Pós-Coito , Anticoncepcionais Pós-Coito , Papel do Profissional de Enfermagem , Complicações na Gravidez/prevenção & controle , Gravidez não Planejada , Anticoncepção Pós-Coito/métodos , Anticoncepção Pós-Coito/enfermagem , Anticoncepcionais Pós-Coito/classificação , Anticoncepcionais Pós-Coito/farmacologia , Feminino , Humanos , Gravidez , Sexo sem Proteção/prevenção & controleRESUMO
Background: Emergency hormonal contraceptives (EHC) are contraceptives used to prevent unintended pregnancy following unprotected sexual intercourse (USI) or contraceptive failure. The EHCs available without a prescription include medicines containing levonorgestrel (LNG) in more than 80 countries and, recently, based on an EU-switch ellaOne®, which contains ulipristal acetate (UPA). EHCs work by stopping or delaying ovulation. Those containing LNG can be used up to 72 hours after USI or contraceptive failure, while UPA can be used up to 120 hours. In the context of the UPA implementation process, Germany switched LNG to non-prescription status as well. Objectives: To develop recommendations, a protocol, and a continuing education program for pharmacists to assure quality when giving advice and dispensing EHCs in community pharmacies without a medical prescription. Methods: The recommendations were developed by an iterative process of drafting, recognizing, and discussing comments and proposals for amendments as well a seeking agreement with a number of stakeholders such as the Federal Ministry of Health (BMG), Federal Institute for Drugs and Medical Devices (BfArM), Federal Chamber of Physicians (BÄK), Drug Commission of German Physicians (AkdÄ), professional organizations/associations of gynaecologists, pharmaceutical OTC-industry as well as government-controlled, private, and church-based organizations and centres providing advice on sex education and family planning. Results: The recommendations were eventually endorsed by the BMG in consultation with the BfArM. Conclusions: The recommendations were made public, published in the professional journal and used in an uncounted number of continuing education programs based on the curriculum and provided by the State Chambers of Pharmacists (AU)
No disponible
Assuntos
Humanos , Masculino , Feminino , Medicamentos sem Prescrição/farmacologia , Medicamentos sem Prescrição/uso terapêutico , Anticoncepcionais Orais/farmacologia , Anticoncepcionais Orais/uso terapêutico , Formulários como Assunto/normas , Anticoncepcionais Pós-Coito/classificação , Anticoncepcionais Pós-Coito/farmacologia , Anticoncepcionais Pós-Coito/uso terapêutico , Alemanha/epidemiologia , Boas Práticas de Dispensação , Postos de Medicamentos , Medicamentos de Venda Assistida/normasRESUMO
Emergency contraception (EC) is a contraceptive method used safely and successfully by women for more than 30 years to prevent pregnancy. Nurses at all levels are often the first point of contact for a woman who is requesting EC, thus it is particularly important for them to stay abreast of both the facts regarding the use of this product and the current political controversies. It is particularly important for Nurse Practitioners (NPs) working in primary care with adolescents to remain cognizant of the significant barriers that remain for many women of all ages trying to access this important contraceptive tool.
Assuntos
Anticoncepção/métodos , Anticoncepcionais Pós-Coito , Emergências/enfermagem , Profissionais de Enfermagem/organização & administração , Enfermagem Pediátrica/métodos , Adolescente , Assistência ao Convalescente , Anticoncepção/enfermagem , Anticoncepcionais Pós-Coito/classificação , Anticoncepcionais Pós-Coito/provisão & distribuição , Prescrições de Medicamentos , Serviços de Planejamento Familiar/métodos , Feminino , Humanos , Anamnese , Avaliação em Enfermagem , Educação de Pacientes como Assunto , Seleção de Pacientes , Gravidez , Gravidez na Adolescência/prevenção & controle , Gravidez na Adolescência/estatística & dados numéricos , Gravidez não Desejada , Atenção Primária à Saúde/métodos , Estados Unidos/epidemiologiaRESUMO
Access to reliable contraception is often unavailable. Unsafe abortion yearly causes death for thousands and disabling illness for millions worldwide. Insufficient information, negligence, inappropriate contraception, poverty and poor education contribute to these serious sequelae of unintended pregnancy. Identification of those at risk, the provision of appropriate information and access to emergency contraception (EC), and male involvement are emphasized. Improved knowledge, better attitudes, enhanced practice of EC, and determined providers might meet the requirements of the next century.
Assuntos
Anticoncepção/métodos , Anticoncepcionais Pós-Coito , Adolescente , Adulto , Anticoncepcionais Pós-Coito/efeitos adversos , Anticoncepcionais Pós-Coito/classificação , Feminino , Hormônio Liberador de Gonadotropina/antagonistas & inibidores , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Dispositivos Intrauterinos , Levanogestrel , Masculino , Mifepristona/uso terapêutico , Cooperação do Paciente , Gravidez , Gravidez não Desejada , Distribuição Aleatória , Educação SexualRESUMO
Muchas mujeres no saben que la anticoncepción después del coito es factible y está a su disposición
