postcoital emergency contraception

Started by 12R34Y
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12R34Y

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Are ED's prescribing this for women who are raped if they come in right after the incident? Just looking for some experiences from current EM residents or staff. I'm on psych right now and reading my text and they mention that as standard treatment (RU-486). Is it hospital dependant? Staff dependant? etc....

later
 
I would do it, it wouldn't be RU-486 but the Yuspie(?) method or something like that is pretty standard.
 
I do obs/gyn. We give a few things to them when they come in after the incident. We do all the path work first (rape kit, bHCG, etc...). Why bHCG you say? Because it's happened before that a woman has been raped, but has been pregnant as well (only a few weeks normally). Then we give her the option of having a morning after pill. RU-486 is unavailable in Australia at the present time. Most do take it in my experience. Then, they get other things for STD's... Azithromycin single dose normally and the option of a course of anti-retrovirals. Then we hand them to social work and talk to the cops then. Normally they also get 3,6,12 month appointments with us and social work afterwards for HIV/HepC and social work stuff.

IMHO, the morning after pill is the treatment of choice in cases like this, NOT RU-486.
 
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I concur with Idiotboxen. RU-486 is not the treatment of choice. The morning after pill (aka high dose OCP) is. Our rape victems are given the option of treatment for STD prophylaxis (IM ceftriaxone and 1 time dose azithromycin). They are given the option of HIV prophylaxis.

Our hospital uses Preven. Two pills now and two pills in 12 hours. I give a prescription or dose of reglan thirty minutes prior to dosing as it tends to make them very nauseous.
 
We used "Plan B" (as in plan A failed so try...) I have no idea what's in it because we had SANE nurses and they and the attendings handled it.
 
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