EC Gynaecology

Introduction: Emergency contraception (EC) reduces the risk of pregnancy after intercourse but before pregnancy establishment. EC options include hormonal methods like levonorgestrel and ulipristal acetate, and the mechanical method, the copper intrauterine contraceptive device (IUD).

Objectives: This qualitative study assessed healthcare workers’ knowledge, practice, and influencing factors regarding EC at Alex-Ekwueme Federal University Teaching Hospital, Abakaliki.

Materials and Methods: Focus group discussions involved Junior Residents, Senior Residents, and Consultants from the Departments of Obstetrics and Gynaecology and Family Medicine.

Results: Findings revealed that participants demonstrated good knowledge of levonorgestrel, limited awareness of the copper IUD, and poor understanding of ulipristal acetate. Levonorgestrel was the most commonly used EC method among all participants. Key factors affecting their practice included drug availability and religious beliefs. The availability of levonorgestrel pills made them the preferred choice, while poor acceptance and limited accessibility of intrauterine contraceptive devices constrained its use.

Conclusion: In conclusion, healthcare workers at the hospital primarily relied on levonorgestrel due to its widespread availability. Religious beliefs and limited knowledge of alternatives, such as ulipristal acetate and the copper IUD, further influenced their practice. Addressing these gaps through improved education, accessibility, and awareness programs could enhance the effective use of diverse emergency contraception methods.

 Keywords: Emergency; Contraception; Levonorgestrel; Gynaecology

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