Download Emergency Contraception: The Story of a Global Reproductive by A. Foster, L. Wynn PDF

By A. Foster, L. Wynn

Regardless of its security and efficacy, emergency birth control (EC) maintains to spark political controversy all over the world. during this edited quantity, authors discover how emergency birth control has been obtained, interpreted, and politicized, in the course of the in-depth exam of the adventure of EC in sixteen person nations.

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Additional info for Emergency Contraception: The Story of a Global Reproductive Health Technology

Example text

DES is a synthetic estrogen that was prescribed from the late 1930s until 1971 to pregnant women to prevent miscarriages (one brand name of the drug was “Nulabort”). ) but approved the drug for EC use in 1973. The Yuzpe regimen of combined ethinyl estradiol and levonorgestrel was developed and tested in the mid- to late-1970s and was increasingly adopted through the 1980s. , Pillsbury, Coeytaux, and Johnston 1999). It is understandable that most histories should trace the technology back to the development of the Yuzpe regimen, since it was the one primarily used and studied for many years (and, though largely superseded by the more effective levonorgestrel-only formulation, it is still a widely used alternative).

Laying the Groundwork for Nonprescription Access Once dedicated products were on the market in the late 1990s, American activists set their sights on changing the status of EC from a prescription to a nonprescription drug. There was already precedent for this in several countries in Europe, and researcher-activists (many of whom belonged to ASEC) sought to preemptively address a number of key issues that the FDA would consider in making a product available over-the-counter (OTC). Data already existed suggesting that there were neither contraindications nor serious safety issues associated with the use of ECPs that would require a doctor to monitor (WHO 2004), and no deaths have been associated with EC use (WHO 2009).

1995). Hormonal ECPs are cost effective regardless of whether they are provided when the emergency 34 Ja m e s Tru s s e l l arises or provided beforehand as a routine preventive measure (Foster et al. 2009; Trussell and Calabretto 2005; Trussell and Shochet 2003; Trussell et al. 1997a, 1997b, 2001). Not only would making EC more widely available save medical-care dollars, but additional social cost savings would result as well. These include not only the monetary costs of unwanted pregnancies and births but also the considerable psychological costs of unintended pregnancy.

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