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Professional paper - Review paper
Emergency contraception: can we benefit from lessons learned?
Collegium Antropologicum, 36 (2012), 1; 345-349. urn:nbn:hr:105:941974
Šprem Goldštajn, Marina; Pavičić Baldani, Dinka; Vrčić, Hrvoje; Orešković, Slavko

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Šprem Goldštajn, M., Pavičić Baldani, D., Vrčić, H. & Orešković, S. (2012). Emergency contraception: can we benefit from lessons learned? . Collegium Antropologicum, 36. (1), 345-349. Retrieved from https://urn.nsk.hr/urn:nbn:hr:105:941974

Šprem Goldštajn, Marina, et al. "Emergency contraception: can we benefit from lessons learned? ." Collegium Antropologicum, vol. 36, no. 1, 2012, pp. 345-349. https://urn.nsk.hr/urn:nbn:hr:105:941974

Šprem Goldštajn, Marina, Dinka Pavičić Baldani, Hrvoje Vrčić and Slavko Orešković. "Emergency contraception: can we benefit from lessons learned? ." Collegium Antropologicum 36, no. 1 (2012): 345-349. https://urn.nsk.hr/urn:nbn:hr:105:941974

Šprem Goldštajn, M., et al. (2012) 'Emergency contraception: can we benefit from lessons learned? ', Collegium Antropologicum, 36(1), pp. 345-349. Available at: https://urn.nsk.hr/urn:nbn:hr:105:941974 (Accessed 29 April 2024)

Šprem Goldštajn M, Pavičić Baldani D, Vrčić H, Orešković S. Emergency contraception: can we benefit from lessons learned? . Collegium Antropologicum [Internet]. 2012 March [cited 2024 April 29];36(1):345-349. Available at: https://urn.nsk.hr/urn:nbn:hr:105:941974

M. Šprem Goldštajn, D. Pavičić Baldani, H. Vrčić and S. Orešković, "Emergency contraception: can we benefit from lessons learned? ", Collegium Antropologicum, vol. 36, no. 1, pp. 345-349, March 2012. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:105:941974. [Accessed: 29 April 2024]

Metadata
Title (english)Emergency contraception: can we benefit from lessons learned?
Title (croatian)Hitna kontracepcija: možemo li što naučiti?
AuthorMarina Šprem Goldštajn
AuthorDinka Pavičić Baldani
AuthorHrvoje Vrčić
AuthorSlavko Orešković
Author's institutionUniversity of Zagreb
School of Medicine
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Abstract (english)
The aim of the paper was to evaluate current emergency contraception (EC) methods and policies in order to implement lessons learned and maximize potential population impact while introducing dedicated EC pills in Croatia. Literature search for potential reasons for EC failing to show positive population impact and detecting actionable points to be implemented in national guidelines. Six potential reasons for ECs failure to show population impact were evaluated and four actionable points were detected: low use of EC compared to the numbers of risk events, low awareness on EC in general population, differences in efficacy of EC methods and EC vailability. In order to ensure EC's population impact in Croatia it is of a critical relevance to establish continuous education programs for population of women at risk. When recommending an EC method, superior efficacy must be a key decision-making criteria therefore cooper IUD and ulipristal acetate should be our primary options. Counseling is a critical step to ensure maximal efficacy of the EC method, but also to encourage future use of regular contraceptives. Finally, national ECP dispension protocol is needed to close the loop from effective women screening, prompt yet appropriate ECP administration/dispensing towards structured follow up after EC pills intake.
Abstract (croatian)
Cilj ovog rada je evaluirati dosadašnje metode hitne kontracepcije (HK) kako bi implementirali dosadašnje stečeno znanje i povećali udio korisnica HK u Hrvatskoj. Prikazali smo dosadašnja istraživanja o razlozima neuspjeha primjene HK s ciljem detekcije mjera u nacionalnim preporukama za korištenje HK. U radu je prikazano šest potencijalnih razloga neuspjeha HK u postizanju populacijskog učinka, te četiri moguće točke akcije. To su mala stopa korištenja HK u usporedbi s mogućim rizičnim događanjima, nizak stupanj znanja o HK u općoj populaciji, razlike u efikasnosti i dostupnosti pojedinih metoda HK. S ciljem postizanja većeg broja korisnica HK u Hrvatskoj nužno je započeti s kontinuiranim edukacijskim programima posebice za žene koje spadaju u rizičnu skupinu. Preporuke za korištenje HK se moraju temeljiti na boljoj djelotvornosti i sigurnosti preparata, pa se kao primarne opcija za HK preporuča primjena materničkog bakrenog uloška i ulipristal acetata. Savjetovanje je najvažniji korak u osiguranju maksimalne učinkovitosti metoda HK, kao i poticanju budućeg korištenja oralnih hormonskih kontraceptiva. Konačno, nacionalni algoritam za korištenje metoda HK trebao bi obuhvatiti učinkoviti probir žena, promptnu primjenu HK, te adekvatni »follow up« korisnica HK.
Keywords (english)
Languageenglish
Publication typeProfessional paper - Review paper
Publication statusPublished
Peer reviewPeer review
Publication versionPublished version
Journal titleCollegium Antropologicum
Numberingvol. 36, no. 1, pp. 345-349
p-ISSN0350-6134
URN:NBNurn:nbn:hr:105:941974
Publication2012-03
Document URLhttps://hrcak.srce.hr/78839
Type of resourceText
Access conditionsOpen access
Terms of useLicence In copyright icon
Created on2024-03-27 19:28:20