Emergency

Contraception
(ta&;ay:oaE<wm;enf;)

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 Emergency
Contraception
(ta&;ay:oaE<wm;enf;)
ta&;aygoaE<wm;enf;tm;-
 Morning-After Pills(aemufae@reuf)
 Postcoital Contraception(vdifqufqHjyD;)
 Secondary Contraception
(xyfqifhIoaE<wm;jcif;)
[kvnf;ac:onf?

‚toHk;tE_ef;rsm;.t"dy`g,fonff
oHk;jyK&rnfhtcsdefESifhenf;vrf;rsm;tm;raz:aqmifay? 2
Emergency Contraception: enf;vrf;rsm;
 Combined Oral Contraceptives (COCs):
 Low-dose (30–35 µg EE and 150 µg LNG), or
 High-dose (50 µg EE and 250 µg LNG)

 Progestin-Only Pills (POPs):

 750 µg LNG (preferred)
 30 µg LNG

 37.5 µg LNG
 75 µg norgestrel
 IUDs:
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 TCu 380A, Multiload 375, Nova T
 Emergency Contraception
 ‚enf;vrf;rsm;onf tEW&m,fuif;I
xda&mufpGmoaE<<wm;ay;Edkifaoma}umifhtoHk;jyK&eftvm;tvmrs
m;pGm&Sdonf?
 tu,fI wjcm;aom family planning services
ESifhwGJIvkyfvsif vlemrsm;aq;cef;odk@vm&ef
rsm;pGmqGJaqmifEdkifonf?
 rvdktyfaomudk,f0efrsm;r&&Sdap&efEmergency
contraception enf;tm;wdkufwGef;tm;ay;oifhonf?
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 Emergency Contraception:
aqG;aEG;t}uHay;jcif;
 trdsK;orD;tm;udk,f0ef vdkcsifr_&Sdr&Sdaocsmatmifar;yg?
 &Sif;jy&ef-
 enf;vrf;rSefrSefoHk;&ef
 Emergency contraception (EC)
enf;onftjrJwrf;oHk;pGJ&efroifhawmfay?
 COCs ESifhPOPs wdk@udkoHk;vsifysdK@jcif;tefjcif;jzpfapwwfonf?
 IUDs udkoHk;vsifAdkufatmifhwwfonf?
 EC &moDaoG;csufcsif;jyefvmatmifrpGrf;aqmifEdkifay?
 EConfumvom;a&m*grsm;tm;umuG,fray;Ekdifay?(e.g. HBV,
HIV/AIDS).
 a&&SnfoaE<wm;onfhenf;vrf;wpfckcktm;n$ef}um;ay;&ef?
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Emergency Contraception:aumif;usdK;rsm;
 enf;vrf;tm;vkH;onfxda&mufr_&Sdonf?(rSefrSefuefueftoHk;jyKvsif
ratmifjrifonfhE_ef;rSm < 2% om&Sdonf?
 IUDs onfa&&SnfoaE<wm;Edkifonfhenf;vrfjzpfonf?

Source: Consortium for Emergency Contraception 1998.

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 Emergency Contraception:
tm;enf;csufrsm;
 COCs onfvdifqufqHr_jyKjyF;(72)em&DtwGif;oHk;rSomxda&mufr_&Sdonf?
 COCs onfysdK@jcif;/tefjcif;wdk@udkjzpfapEdkifonf?
 POPs onfvdifqufqHr_jyKjyF;(72)em&DtwGif;oHk;rSomxda&mufr_&Sdonf?
odk@aomfysdK@jcif;/tefjcif;wdk@onf COCs xufydkIoufomonf?

 IUDs onfvdifqufqHr_jyKjyF;(5)&uftwGif;oHk;rSomxda&mufr_&Sdonf?
 IUD udktoHk;jyK&eftwGufavhusifhay;xm;aomusef;rma&;0efvdkonf?
 IUDs onfumvom;a&m*gydk;&SdEdkifonfhtrsdK;orD;rsm;twGuf
roifhawmfay?(e.g., HBV, HIV/AIDS).

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 Emergency Contraception
ay;&efvkdtyfonfhtrsdK;orD;rsm;(Primary
Users)(yxrOD;qHk;t}udrf)
trsdK;orD;rsm;-
 tpDtpOfr&SdyJtumtuG,frJhvdifqufqHcJholrsm;?
 rawmfwquGef'Hk;aygufjyJoGm;jcif;(odk@)uGswfusoGm;jcif?
 COC aq;vHk;rsm;pGmaomuf&efarhoGm;jcif;?
 Waited > 16 weeks beyond last injection (DMPA)
 withdrawal enf;tm;oHk;pOfrdef;rudk,fxJYrawmfwqokwfv$wfrdjcif;?

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 Emergency Contraception
ay;&efvkdtyfonfhtrsdK;orD;rsm;(Primary
Users)(yxrOD;qHk;t}udrf)tquf-

 diaphragm (odk@)cervical cap

wdk@oHk;pOfrawmfwaqjyKwfxGufoGm;jcif;/ taetxm;rrSefjcif;/
aygufjyJjcif;/enf;vrf;rrSefjcif;(odk@) tcsdefapmI
xkwfrdjcif;wdk@wGiftoHk;jyKEkdifonf?
 vdifr_qdkif&musL;vGefapmfum;cH&olwdk@twGufoHk;jyKEdkifonf?

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 Emergency Contraception
ay;&efvkdtyfonfhtrsdK;orD;rsm;(yxrt}udrfoHk;zl;olrsm;
) (Secondary Users)
EC tm; primary users rsm;twGuf&nf&G,fxm;aomfvnf;
atmufyg tajctaewdk@wGifvnf;toHk;jyKonf?
 vdifr_udpPYpdwf0ifpm;onfhq,fausmfouftrsdK;orD;rsm;twGufoaE<wm;&efvdktyf
vmaomtcg?
 ,ckvuf&Sd rnfhonfhoaE<wm;enf;r#roHk;olrsm;?
 wcgw&HrSomvdifqufqHjzpfolrsm;?
 uav;arGjyF;&moDaoG;ray:rD?
 (35)ESpftxuftrsdK;orD;?(rsdK;yGm;EdkifpGrf;avsmhvmjyF[k,lq&vsif?)
 udk,f0efysufusjyD;&moDaoG;ray:rD? 10
 Emergency Contraception
tm;roHk;oifholrsm;

 udk,f0ef&SdaomtrdsK;orD;(odk@)udk,f0ef&Sdonf[koHo,&Sdvsif?

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Emergency Contraception: COCs
 oufa&mufonfhenf;vrf;-
 om;tdrfeH&Htm;ajymif;vJypfonf?
 rsdK;Oraºuatmif[ef@wm;ay;onf?
 om;O¹yef.v_yf&Sm;r_tm;ajymif;vJypfonf?
 xda&mufr_E_ef;
 rSefrSefuefuefoHk;pGJvsifratmifjrifonfhE_ef;rSm(2%)&Sdonf?
 tEW&m,fuif;r_
 ysdK@jcif;tefjcif;wdk@tm;cHpm;&Eddkifonf?
 trsdK;orD;tm;vHk;eD;yg;onfa&&Snfjy\emrsm;tm;rcHpm;&ay?

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1 Source: Consortium for Emergency Contraception 1999.
 COCs: tm;
Emergency Contraception
twGuftoHk;jyK&eftn$ef;(Low-Dose)
yxrOD;ay;-
 Step 1: COC (30–35 µg EE) aq;(4)vHk;tm;
tumtuG,frJhvdifqufqHjyD;(72)em&DtwGif;aomuf&ef?
 Step 2:
aemufxyfaq;(4)vHk;tm;(12)em&D}umvsifxyfaomuf&ef?
pkpkaygif;(8)vHk;
 Step 3:
(3)ywftwGif;&moDaoG;rvmvsifudk,f0ef&Sdr&Sdppfaq;&efaq;cef;odk
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@ oGm;jyoifhonf?
 COCs: twGuftoHk;jyK&eftn$ef;
'kwd,OD;pm;ay;- (High-Dose)
 Step 1: High-dose COC (50 µg EE) ESpfvHk;tm;
tumtuG,frJ@vdifqufqHjyD;(72)ESpfem&DtwGif;aomuf&ef?
 Step 2: aemufxyfaq;(2)vHk;tm;
(12)em&D}umvsifxyfaomuf&ef?
pkpkaygif; (4)vHk;
 Step 3:
(3)ywftwGif;&moDaoG;rvmvsifudk,f0ef&Sdr&Sdppfaq;&efaq;cefodk
@ oGm;jyoifhonf?
1 If available, high-dose estrogen can be substituted for COCs. The recommended dose of
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each medication (2.5 mg EE, 10 mg conjugated estrogens or 5 mg esterone) must be
taken twice daily (e.g., 5 mg EE) for 5 consecutive days.
 Emergency Contraception: POPs
 oufa&mufonfhenf;vrf;-
 om;tdrfeH&Htm;ajymif;vJypfonf?
 om;O¹yef.v_yf&Sm;r_tm;ajymif;vJypfonf?
 xda&mufr_E_ef;
 rSefrSefuefuefoHk;pGJvsifratmifjrifonfhE_ef;rSm(2%)&Sdonf?
 tEW&m,fuif;r_
 COC xufysdK@jcif;tefjcif;cHpm;&r_oufomonf?
 trsdK;orD;tm;vHk;eD;yg;onfa&&Snfjy\emrsm;tm;rcHpm;&ay?
1 Source: Consortium for Emergency Contraception 1999.
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POPs: twGuftoHk;jyK&eftn$ef; (High-Dose)
yxrOD;pm;ay;-
 Step 1: POP(750 µg of LNG)? wpfvHk;tm;
tumtuG,frJ@vdifqufqHjyD;(72)ESpfem&DtwGif;aomuf&ef?
 Step 2: aemufxyfaq;(1)vHk;tm;
(12)em&D}umvsifxyfaomuf&ef?
pkpkaygif; (2)vHk;
 Step 3:
(3)ywftwGif;&moDaoG;rvmvsifudk,f0ef&Sdr&Sdppfaq;&efaq;cefodk
@ oGm;jyoifhonf? 16
 POPs:
Emergency Contraception
twGuftoHk;jyK&eftn$ef; (Low-Dose)
'kwd,OD;pm;ay;-
 Step 1: (30 or 37.5 µg of LNG or 75 µg of norgestrel)
aq;tvHk;(20)tm;tumtuG,frJ@vdifqufqHjyD;(72)ESpfem&DtwGif;aomuf&
ef
 Step 2: aemufxyfaq;(20)vHk;tm; (12)em&D}umvsifxyfaomuf&ef?
pkpkaygif; (40)vHk;
 Step 3:
(3)ywftwGif;&moDaoG;rvmvsifudk,f0ef&Sdr&Sdppfaq;&efaq;cefodk@oGm;jyo
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ifhonf?
 Postcoital IUD Insertion
vdifqufqHjyD;aemufom;tdrfxJypPnf;xnfhjcif;?
 oufa&muffonfhenf;vrf;
 okwfaumiftm;rrsdK;OqDra&mufatmif[ef@wm;jcif;tm;jzifh
oaE<<<rwnfatmifumuG,fay;onf?
 om;tdrfeH&HYoaE<om;rwG,fuyfEdkifatmifajymif;vJypfonf?

 xda&mufr_E_ef;
 ratmifjrifonfhE_ef;rSm(1%)&Sdonf?

1Over 18
8,400 postcoital copper-bearing IUD insertions have been performed since 1976.
Pregnancy rate of 0.1%. Source: Hatcher et al 1998.
 Postcoital IUD Insertion
vdifqufqHjyD;aemufom;tdrfxJypPnf;xnfhjcif;?tquf-
 tEW&m,fuif;r_
 ab;xGufqdk;usdK;r&Sdyg?
(udk,f0eftm;rwm;qD;EdkifvsifypPnf;tm;,lxkwf&rnf?)
 umvom;a&m*gul;pufcH&zdk@tcGifhtvrf;&SdaomtrsdK;orD;rsm;wGiftoHk;r
jyKoifhay?
(e.g., HBV, HIV/AIDS)

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 IUDs tm; Emergency Contraception
twGuftoHk;jyK&eftn$ef;

 Step 1:
ypPnf;tm;tumuG,frJ@vdifqufqHjyF;(5)&uftwGif;xnfh&ef?
 Step 2: (3)ywftwGif;&moDaoG;rvmvsifudk,f0ef&Sdr&Sdppfaq;&ef?
 Step 3: tu,fIudk,f0ef&vmvsift}uHay;aqG;aEG;r_jyK&rnf?

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