Abstract
OBJECTIVES: This study examined the cost-effectiveness of emergency contraceptive pills, minipills, and the copper-T intrauterine device (IUD) as emergency contraception. METHODS: Cost savings were modeled for both (1) a single contraceptive treatment following unprotected intercourse and (2) emergency contraceptive pills provided in advance. RESULTS: In a managed care (public payer) setting, a single treatment of emergency contraception after unprotected intercourse saves $142 ($54) with emergency contraceptive pills and $119 ($29) with minipills. The copper-T IUD is not cost-effective as an emergency contraceptive alone, but savings quickly accrue as use continues. Advance provision of emergency contraceptive pills to women using barrier contraceptives, spermicides, withdrawal, or periodic abstinence saves from $263 to $498 ($99 to $205) annually. CONCLUSIONS: Emergency contraception is cost-effective whether provided when the emergency arises or in advance to be used as needed. Greater use of emergency contraception could reduce the considerable medical and social costs of unintended pregnancies.
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Selected References
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- Delbanco S. F., Mauldon J., Smith M. D. Little knowledge and limited practice: emergency contraceptive pills, the public, and the obstetrician-gynecologist. Obstet Gynecol. 1997 Jun;89(6):1006–1011. doi: 10.1016/s0029-7844(97)00142-7. [DOI] [PubMed] [Google Scholar]
- Farley T. M., Rosenberg M. J., Rowe P. J., Chen J. H., Meirik O. Intrauterine devices and pelvic inflammatory disease: an international perspective. Lancet. 1992 Mar 28;339(8796):785–788. doi: 10.1016/0140-6736(92)91904-m. [DOI] [PubMed] [Google Scholar]
- Forrest J. D., Singh S. The sexual and reproductive behavior of American women, 1982-1988. Fam Plann Perspect. 1990 Sep-Oct;22(5):206–214. [PubMed] [Google Scholar]
- Grou F., Rodrigues I. The morning-after pill--how long after? Am J Obstet Gynecol. 1994 Dec;171(6):1529–1534. doi: 10.1016/0002-9378(94)90396-4. [DOI] [PubMed] [Google Scholar]
- Ho P. C., Kwan M. S. A prospective randomized comparison of levonorgestrel with the Yuzpe regimen in post-coital contraception. Hum Reprod. 1993 Mar;8(3):389–392. doi: 10.1093/oxfordjournals.humrep.a138057. [DOI] [PubMed] [Google Scholar]
- Sollom T., Gold R. B., Saul R. Public funding for contraceptive, sterilization and abortion services, 1994. Fam Plann Perspect. 1996 Jul-Aug;28(4):166–173. [PubMed] [Google Scholar]
- Trussell J., Ellertson C., Rodríguez G. The Yuzpe regimen of emergency contraception: how long after the morning after? Obstet Gynecol. 1996 Jul;88(1):150–154. doi: 10.1016/0029-7844(96)00036-1. [DOI] [PubMed] [Google Scholar]
- Trussell J., Ellertson C., Stewart F. The effectiveness of the Yuzpe regimen of emergency contraception. Fam Plann Perspect. 1996 Mar-Apr;28(2):58-64, 87. [PubMed] [Google Scholar]
- Trussell J., Leveque J. A., Koenig J. D., London R., Borden S., Henneberry J., LaGuardia K. D., Stewart F., Wilson T. G., Wysocki S. The economic value of contraception: a comparison of 15 methods. Am J Public Health. 1995 Apr;85(4):494–503. doi: 10.2105/ajph.85.4.494. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Trussell J., Stewart F., Guest F., Hatcher R. A. Emergency contraceptive pills: a simple proposal to reduce unintended pregnancies. Fam Plann Perspect. 1992 Nov-Dec;24(6):269–273. [PubMed] [Google Scholar]
- Trussell J., Stewart F. The effectiveness of postcoital hormonal contraception. Fam Plann Perspect. 1992 Nov-Dec;24(6):262–264. [PubMed] [Google Scholar]
- Webb A., Taberner D. Clotting factors after emergency contraception. Adv Contracept. 1993 Mar;9(1):75–82. doi: 10.1007/BF02115904. [DOI] [PubMed] [Google Scholar]