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9/25/01
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City

Group offers emergency contraception

By Hannah Brooks
Staff Writer

Because one in four women have been raped in the United States, Planned Parenthood is now offering free emergency contraception to rape victims.

Only 11 percent of Americans understand basic facts about emergency contraception, according to a statement released by Planned Parenthood.

There are two different types of emergency contraception: emergency intrauterine device insertion or emergency contraceptive pills.

Emergency contraceptive pills are being offered free of charge to rape victims. The contraceptive pills consist of two doses of hormonal pills that should be taken 12 hours apart. Betty Memmer, Planned Parenthood community specialist, said emergency contraceptive pills are at least 75 percent effective if taken within 72 hours. The sooner the first dose is taken, the more effective it will be.

"If most women had emergency contraception in their medicine cabinet, or a prescription for it, we could help cut the U.S. rate of unintended pregnancy in half," said Thomas Purdun of the American College of Obstetricians and Gynecologists in a news release.

According to the release, half of all U.S. pregnancies are unintended, and half of those end in abortion.

Emergency contraception may reduce the number of abortions per year, even drastically if women were aware of it, said Memmer. About 70 medical organizations have endorsed the use of emergency contraception to reduce abortion, including the American Medical Organization, American College of Obstetricians and Gynecologists and the World Health Organization.

The Food and Drug Administration approved the emergency contraception pill in 1997, but its effectiveness was demonstrated as long as 25 years ago, said Memmer. Emergency contraceptive pills, also known as the "morning-after pill," are stronger doses of birth control pills.

Maureen Dobie, a spokesperson for Planned Parenthood of Greater Indiana, said "Women for more than two decades have been coming to us for this drug."

Depending on where a woman is in her cycle when she takes emergency contraception pills, they will prevent ovulation, prevent fertilization, or prevent implantation. They do not prevent sexually transmitted infections.

"Sometimes emergency contraception has been referred to as the abortion pill," said Memmer. This is why Planned Parenthood prefers the "morning-after pill" to be referred to as emergency contraception, she said.

Dr. Zenephia Evans, professor of biology at Purdue, said that some religious groups see no distinction between emergency contraception and RU-486, or Mifeprestone, as it is known in the United States.

Dobie said this may be because their definition of pregnancy is when the sperm and the egg meet. However, the prevailing medical opinion is that pregnancy begins when the fertilized egg is planted in the uterus, said Dobie.

Memmer said, "Emergency contraception prevents a pregnancy and Mifeprestone ends an already established pregnancy. That’s the main difference."

According to Dobie, taking emergency contraception will not hurt an already established pregnancy.

Mifeprestone consists of a set of two pills as well as emergency contraception, which may be responsible for some of the confusion between the two, said Dobie. In the United States, the first pill can be taken up to 49 days after the first day of the woman’s last menstrual cycle.

According to Evans, the first pill causes the implanted embryo to detach from the uterus lining, shedding the lining. The second pill causes contractions and causes the lining to shed, along with the embryo, therefore terminating the pregnancy.

Although Mifeprestone’s most well known use is for terminating pregnancy, there are other things it can do as well: induce labor, treat breast, ovarian and prostate cancers and treat endometriosis.

The women’s clinic in Purdue’s Student Health Center offers emergency contraception, but is restricted by the FDA from ordering or offering Mifeprestone, said Dr. Sarah Sayger.

It is possible to get an appointment at almost any time if a woman thinks that she may need emergency contraception.

"Anyone who has a concern should come in so they can discuss with the provider whether or not their situation would be appropriate for (emergency contraception) use," Sayger said.

The cost for emergency contraception is $15, but if other services are involved, it may cost more, she said. The student health center will work with anyone who has issues with payment, so women with financial concerns should not hesitate to get treatment.

 

 

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