5-years of working experience of the Russian Centre of Emergency
Contraception
V.N. Prilepskaya
Research Centre of Obstetrics, Gynecology & Perinatology, Moscow,
Russia
In Russia two-thirds of unplanned pregnancies outcome with induced abortions
that is why the problem of emergency contraception is very urgent. The Russian
Centre of Emergency Contraception was created on the basis of the Research
Centre of Obstetrics, Gynecology and Perinatology with the assistance of the ‘Gedeon
Richter’ Company. The objective of the study was to make an analysis of a
5-years experience of the Russian Centre of Emergency Contraception (CEC). For
five years 1335 women, aged from 15 to 25, have obtained health care service at
the CEC. Among the cohort of patients 40% had one sexual partner, 35% had the
first sexual contact, 10 % had casual sexual contact, and 6% were raped. The
circumstances leading to the unprotected sexual contact were as follows:contraceptive
failure in the use of condom 42%; contraceptive failure in interrupted
intercourse 41%, sexual intercourse without contraceptives 13%, incorrect use of
spermicides and oral contraceptives 6%, violence 6%. We evaluated 1003 cases of
the use of levonorgestrel (‘Postinor’, Gedeon Richter, Hungary) as a
medicine for postcoital contraception and 342 cases of the use of Uzpe regimen (Ovidon).
Levonorgestrel efficacy was 100%. The onset of menstruation after levonorgestrel
was distributed as follows: in time menstruation in 26%, shortening of menstrual
cycle in 52.6%, prolonged cycle to 7 days in 7%, prolonged cycle to 2 weeks in
3.5%. Pregnancy was registered in 5.4% of women using Uzpe method that testified
of a high efficacy and tolerance of levonorgestrel. All patients were further
recommended to use planned contraception.
