• Acta Medica Port · Jan 2022

    Observational Study

    Knowledge and Patterns of Use of Emergency Oral Contraception among Portuguese Female Users of Healthcare Services.

    • Ângela Rodrigues, Bruno Valentim, Daniel Tavares, Maria João Augusto, Jorge Campelo, Mariana Loureiro, Ana Raposo, Isabel Alves, Maria Céu Almeida, and Isabel Santos Silva.
    • Departamento de Obstetrícia. Centro Hospitalar Universitário de Coimbra. Coimbra. Faculdade de Medicina. Universidade de Coimbra. Centro Académico Clínico de Coimbra. Coimbra. Portugal.
    • Acta Medica Port. 2022 Jan 3; 35 (1): 30-35.

    IntroductionThe lack of knowledge about the existence, effectiveness, and supply of emergency contraception as well as access to it, its effective duration and the lack of recognition of the need for its use can prevent women from using it. The aim of this study was to ascertain the attitudes, experience, level of knowledge and information sources about emergency contraception of Portuguese female users of healthcare services.Material And MethodsWe conducted a multicentre, cross-sectional, observational study among 280 Portuguese women users of health care services through an original and anonymous questionnaire composed of 30 questions.ResultsThe mean age of the women who replied to the questionnaire was 33.83 ± 8.76 years. Of the observed sample, 27.7% used EC, 50% of whom with no counselling. Despite 92.1% of women claiming knowledge about emergency contraception, only 31.2% of these answered 8 - 10 questions correctly (14 in total). The media were the most frequent source of information (63.4%). Most participants (67.5%) considered that emergency contraception is associated with severe adverse reactions. Furthermore, 76% did not know the time range of effectiveness after unprotected sexual intercourse. Youngest age (p = 0.038), higher education level (p < 0.001), increasing parity (p = 0.051) and previous use of emergency contraception (p = 0.011) were identified as the determinant sociodemographic factors for a higher level of knowledge about emergency contraception.DiscussionThe use of emergency contraception after counselling by healthcare professionals was lower than reported in the literature.ConclusionThis study showed that female users of healthcare services were aware of the existence of emergency contraception, but they demonstrated a low level of knowledge about it, especially regarding the correct period of use, place of acquisition and safety issues.

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