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KMID : 1033620130400030126
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Clinical and Experimental Reproductive Medicine
2013 Volume.40 No. 3 p.126 ~ p.130
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Effectiveness of emergency contraception in women after sexual assault
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Choi Dong-Seok
Kim Mi-Ran
Hwang Kyung-Joo
Lee Kyoung-Mi
Kong Tae-Wook
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Abstract
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Objective: To assess the effectiveness of emergency single-dose levonorgestrel contraception in preventing unintended pregnancies among woman who visited the emergency department (ED) due to sexual assault (SA).
Methods: We conducted a retrospective chart review in a university hospital in South Korea. Cases from November 10, 2006 to November 9, 2009 were enrolled. Information from the initial visit to the ED and subsequent follow-up visits to the gynecology outpatient clinic was collected.
Results: In total, 1,179 women visited the ED due to SA. Among them, 416 patients had a gynecological examination and 302 patients who received emergency contraception (EC) (1.5 mg single-dose levonorgestrel) at the ED due to SA were enrolled. Ten patients did not return for follow-up examinations. In follow-up visits at the outpatient clinic, two pregnancies were confirmed, which showed the failure rate of the EC to be 0.68%.
Conclusion: Single-dose levonorgestrel EC is extremely effective at preventing pregnancy among victims of SA.
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KEYWORD
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Sexual assault, Emergency contraception, Levonorgestrel
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