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]

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PEDIATRICS (ISSN 1098-4275). ©2006 by the American Academy of Pediatrics

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This Article Extract Full Text (PDF) Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services E-mail this article to a friend Related articles in Pediatrics Similar articles in this journal Similar articles in Web of Science Alert me to new issues of the journal Add to My File Cabinet Download to citation manager Request Permissions Citing Articles Citing Articles via HighWire Citing Articles via CrossRef Citing Articles via Google Scholar Google Scholar Articles by Klein, J. Search for Related Content PubMed Articles by Klein, J. Related Collections Office Practice Social Bookmarking                         What's this?