Girls need just-in-case birth control?

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iVillage Member
Registered: 07-05-2005
Girls need just-in-case birth control?
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Tue, 11-27-2012 - 7:23am

Pediatricians treating teenaged girls should consider writing just-in-case prescriptions for the morning-after pill,  the American Academy of Pediatrics (AAP) said on Monday.

It’s the second recommendation in a week from a major doctor’s group that would make contraception more widely available to women. Last week, the American College of Obstetricians and Gynecologists recommended making all birth control pills available over the counter.

AAP says many teenaged girls need emergency contraception, and their pediatricians should help make it easy for them to get it. “Studies have shown that adolescents are more likely to use emergency contraception if it has been prescribed in advance of need,” the group said in a policy statement.

“Despite significant declines over the past two decades, the United States continues to have teen birth rates that are significantly higher than other industrialized nations,” it added.

Girls need just-in-case birth control perscriptions, pediatric group says

Interesting!  Do you agree with the AAP? Do you think teen girls should have perscriptions for the morning after pill "just in case"?

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iVillage Member
Registered: 07-02-2013
Mon, 07-08-2013 - 11:53am

As a health care professional myself: This recommendation actually has nothing to do with Obamacare. It is a recommendation from top gynecologist and pediatricians in the country who made a careful decision after reviewing a lot of research on the topic.  We have rapidly rising teen pregnancy rates in parts of the country.  When experts weigh the risk of pregnancy with the risk of the pill, then we all know pregnancy is more risky for a teens health than the pill.  That is why they opted to make the morning after pill available over the counter (because the risks to health are really very minimal). Plus the teens can't just get it and pay for it without counseling. They must have counseling with the pharmacist before purchase. These professionals are very good at referring them to OB/GYN services. I think it is felt though that anything we can do to protect our teens who may not have a good a relationship with parents or know what doctor to turn to is a good thing. At least they will see a professional pharmacist who can steer them in the right direction when they don't have anyone else to turn to.

 

 

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Registered: 12-02-2012
Tue, 12-04-2012 - 5:13am

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Avatar for xxxs
Community Leader
Registered: 01-25-2010
Mon, 12-03-2012 - 3:02pm

  I agree in principle that good communcation between parents and offspring helps.  But in my experience many/most American parents are very poorly equipped emotionally to deal with the fallout.  A medical professional also has the training to understand that there are many different reaction to birthcontrol formulations and to educate on use of the method chosen.  

dragowoman

Avatar for xxxs
Community Leader
Registered: 01-25-2010
Mon, 12-03-2012 - 2:41pm

  Treddle you make a very good point.  Knowing that parmeters of your Birthcontrol is important.  I myself am not a fan of the pill since there are now more "foolproof" methods available.  As a male I want there to be a male birthcontrol (condoms are only 75% effective). 

   A important part is that over the counter medications are not covered by insurance.  The cost of the day after etc. is 40-60+ dollars, not cheap!  Insurance covers the pill and other means of birth control.  The best birth control is one that cannot be gimmicked,sabotaged,forgotten.  

   The fact we (US) have such poor sex education compared with some other countries is appalling.  We also must remember that this is a economic, political,religious, issue.  I think is it a very good idea that every pregnancy be planned, wanted and financially provided for.  If we copied the very successful program of the Netherlands unplanned pregnancy could be a very rare thing. 

   Am pro-abortion to me that means every woman has domain over her body. 

   By the way I did not know that about Nuva ring!

dragowoman

iVillage Member
Registered: 05-27-1998
Sat, 12-01-2012 - 2:39pm

I don't see how being counseled by a pediatrician is being babied. Lots of pediatricians continue to see their adolescent patients until they have finished college. Presumably, these doctors are dealing with all sorts of young adult issues. My kids (15 and 17) like and trust their doctor, who talks to them like adults. They would have wanted out long ago if this were not the case.

However, she doesn't think of them as adults, because they aren't. A teen who is SA (and mine are not, although D did have to go on the pill to regulate her periods for a couple of years) has a host of emotional issues and complicated feelings to deal with that a 25 year old may not have. I think it's better to see a doc who has training in those issues, rather than one who is more geared to the problems of adulthood.

iVillage Member
Registered: 05-02-2004
Fri, 11-30-2012 - 6:44pm

I am pro-life.   To me, that means that every pregnancy should be a wanted pregnancy.  To get that, women need to have access to birth control.  When this happens, then there will be many fewer abortions.  I had a questionable time with my future husband when a condom broke.  Having a back up plan can save a lot of worry. 

If the doctor is handing out a script, then the doctor better be going over how to use it and what the side effects could be.    If the doctor is not going over these things then the doctor should not be prescribing.  

All of my birth control needs, and pregnancy and delivery needs have been handled by my family doctor.     I like that my doctor knows everything.   I have had issue with son with swimmer's ear who went to Urgent Care, same office, different doctor - and sometimes, notes just don't cover all the potential down the road questions.   As long as my doctor is comfortable with handling these needs, I will continue to use him for these needs.  

I am not sure that I like that birth control would be over the counter for hormone related.   As I said, I want all pregnancies to be wanted, and some of the new low dose pills require pretty strict regimen for taking to be effective.     Like, MUST be taken at the SAME time every day.  No delays.   If a teen does not understand this, she may end up with an unwanted pregnancy.   Heck, even my Pharmacy didn't get this with my Nuva Ring that needs to be put in within an hour or two window.   They ran out, and didn't call me, I happened to come in late (with my 3 kids.)   They didn't think it was an issue if I got it the next day when the truck came in.   I had to get them to transfer to a 24 hour Walgreens so that I was not late. 

iVillage Member
Registered: 10-23-2001
Thu, 11-29-2012 - 3:42pm
I agree, BCP should be prescribed by medical doctors that are prepared to deal with follow up, What if the girl gets pg b/c the bcp fails? is it only then she is referred out to a doctor trained for that kind of care. Stupid, stupid. My 15 YO DD's friend was put on bcps last Summer and she wasn't just prescribed it either, She had her first pap smear and breast exam and complete physical. The idea that bcp should be sold over the counter like tylenol is absurd too.

 


 


iVillage Member
Registered: 10-17-2012
Wed, 11-28-2012 - 8:02pm
Sounds ridiculous. Are they also going to start pre-writing prescriptions for STD medications or home flu shots? If the pill requires a prescription then it should be written by a doctor who knows the patient and is responsible and available for follow-up. If it doesn't need a prescription, then just lobby for it being an over-the-counter medication. Btw, I also oppose if because it insinuates that the girl is sexually active and may put pressure on her to become sexually active. Parents would be better served to have better communication with their children and to teach them better values.
iVillage Member
Registered: 01-08-2009
Wed, 11-28-2012 - 4:20pm

If a young girl is sexually active, she doesn't need "just-in-case" contraception, she needs "contraception-contraception."   I don't see what Obamacare has to do with this??????

iVillage Member
Registered: 10-23-2001
Tue, 11-27-2012 - 6:37pm

I don't agree, Pediatricians treat children and while they do treat a host of adolescent issues I don't find it wise at all to recommend, advise or counsel the bcp or morning after pill. I'm lucky my kids and I have very good communication and I'm lucky there are both male and female practitioners at the pediatric office they go to, But when that time comes when they want to explore bcp options will be the time to transition to a practitioner trained and who specializes in that care, To me that's an ob/gyn or that could be a general practitoner like who I see too. Being under 18 has nothing to do with it unless you think a teenager should be babied about such a mature topic.

 


 


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