Published online April 3, 2006
PEDIATRICS Vol. 117 No. 4 April 2006, pp. 1450 (doi:10.1542/peds.2005-2980)
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Emergency Contraception: In Reply

Jonathan Klein, MD, MPH
Chair, AAP Committee on Adolescence

In Reply.—The American Academy of Pediatrics (AAP) Committee on Adolescence welcomes Dr Gold's letter and the opportunity to correct the dose and product recommendations of readily available emergency contraceptive (EC) products. Although the position paper1 was current at the time it was written and approved by the AAP, she is correct in noting that the availability of products has changed.

Drs Stanford and Mikolajczyk identify several additional references that selectively address the lack of evidence for reductions in abortion rates for populations for which EC is available. However, whether populations in Scotland and China are reasonably extrapolated to the United States is not clear; in addition, recent studies suggesting that EC is associated with responsible sexual behavior in Scotland were not reviewed in our article or in the letter.

Their reading of the policy also somewhat misses the point. It is appropriate for primary care organizations to judge the available evidence and make recommendations for best clinical practices even when extensive efficacy data are not available. The AAP believes that "[e]mergency contraception has the potential to further decrease the rate of unintended teen pregnancies in the United States."

REFERENCE

  1. American Academy of Pediatrics, Committee on Adolescence. Emergency contraception. Pediatrics. 2005;116 :1026 –1035[Abstract/Free Full Text]
PEDIATRICS (ISSN 1098-4275). ©2006 by the American Academy of Pediatrics

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