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Plan B has now been made Available Over-The-Counter (OTC) for Girls Under 18

(April, 2009)

“I am a board certified internal medicine physician in Amarillo, TX. I have spent 10 years working in Indigent Care. I do NOT support the idea of allowing Emergency Contraception (EC) to be dispensed over the counter.

"How can the low dose OC be regulated by prescription, but allow the higher dose of the same medicine be allowed to be sold OTC? EC is a serious medicine, with serious related medical implications. If EC is available OTC, who will be responsible for following the patient?

"Who is liable if the patient has a serious health consequence?  At what point did giving a potent reproductive related medication without having an established chain of responsibility become good medicine?

"A significant market for this EC would be assumed to be youth. If a girl is under 18 and trying to hide her consumption of and need for birth control, this OTC might appeal to her. However, the adverse consequences could be significant. It would seem to allow for safer sex, so I assume many women would have sex more frequently.

"I am very concerned the rate of STDs, including HIV, will rise as a result. As EC would be available with no restrictions, I assume many women would use it repeatedly, and quite possibly continuously. This is a very bad idea that needs to go away…”

[from AAPLOG, J. DeCook MD, 27Feb04]

 
CDC Overlooks Abortion Connection In Report on Women Drinking During Pregnancy (2002, 2004, 1/05) PDF Print E-mail

A study by the Centers for Disease Control found that 10 percent of pregnant American women consume alcohol during pregnancy, and that two percent of pregnant women drink frequently or engage in "binge drinking" (defined as consuming five or more alcoholic drinks on one occasion).

 

The CDC analyzed data for more than 64,000 women of childbearing age who were surveyed by the 2002 Behavioral Risk Factor Surveillance System (BRFSS), a random telephone survey. CDC researchers warned that women who are pregnant or might become pregnant should avoid consuming alcohol.

The use of alcohol during pregnancy can cause serious health problems both for mothers and their unborn child, including fetal alcohol syndrom, birth defects, low-birth weight, and death.

However, one factor the CDC researchers failed to take into account in their analysis was the high instance of substance abuse among pregnant women with a history of abortion.

According to an Elliot Institute study published in the American Journal of Obstetrics & Gynecology in 2004, among women who carry a pregnancy to term for the first time, women who had a history of abortion were five times more likely to use illicit drugs and twice as likely to consume alcohol during pregnancy compared to women who had not had a previous abortion.

"Drug and alcohol abuse can be a coping mechanism for women who have unresolved issues related to a past abortion, especially when those issues are exacerbated by the stress and reminders raised by a subsequent pregnancy," said Elliot Institute director Dr. David Reardon.

"The CDC should recommend that doctors and social workers who treat pregnant women who drink ask questions about their reproductive history and refer women to appropriate post-abortion counseling programs."

Source: PK Coleman et. al., "A History of Induced Abortion in Relationship to Substance Abuse During Subsequent Pregnancies Carried to Term," American Journal of Obstetrics & Gynecology, 1673-8, Dec. 2002.
[Elliot Institute News, vol.4, no.1, 12January05]

 
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