{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,11]],"date-time":"2025-09-11T18:51:22Z","timestamp":1757616682288,"version":"3.44.0"},"reference-count":9,"publisher":"BMJ","issue":"3","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["J Fam Plann Reprod Health Care"],"accepted":{"date-parts":[[2014,2,26]]},"published-print":{"date-parts":[[2014,7]]},"abstract":"<jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>When initiating contraception after emergency contraception (EC), conventional practice had been to wait until the next menses. Since 2010, UK guidelines have endorsed quick starting (QS) contraception, namely offering immediate start when requested. We conducted an audit to assess clinical practice before and after QS guidance publication.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>A full cycle audit was performed on the clinical notes of women requesting EC during two 2-month periods in 2010 and 2011 in an Integrated Sexual Health Service. All case notes were identified using the National Sexual Health database of sexual health records (Scotland). Information was collated and interpreted using Microsoft Excel and SPSS V.17.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>During January and February 2010 and 2011, 190 and 180 women, respectively, attended for EC, of whom 96 and 97 were identified as potential quick starters. Between 2010 and 2011, a statistically significant increase in QS practice was noted from 20.8% (<jats:italic>n<\/jats:italic>=20) to 37.1% (<jats:italic>n<\/jats:italic>=36) (<jats:italic>p<\/jats:italic>=0.011), with a corresponding decrease in the percentage of women traditionally started on hormonal contraception (HC): 24% (<jats:italic>n<\/jats:italic>=23) and 14.6% (<jats:italic>n<\/jats:italic>=14), respectively. There was also a decrease in those advised to return for commencement of HC [55.2% (<jats:italic>n<\/jats:italic>=53) vs 49% (<jats:italic>n<\/jats:italic>=47)]. Of those advised to return, 26.4% (<jats:italic>n<\/jats:italic>=14) and 31.9% (<jats:italic>n<\/jats:italic>=15) had no further contact with the service within at least 6\u2005months.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>QS practice increased after the introduction of clinical guidelines. However, overall provision of HC remained low, with only around half of women prescribed a hormonal method.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/jfprhc-2013-100648","type":"journal-article","created":{"date-parts":[[2014,4,5]],"date-time":"2014-04-05T01:44:23Z","timestamp":1396662263000},"page":"184-189","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Quick starting contraception after emergency contraception: have clinical guidelines made a difference?"],"prefix":"10.1136","volume":"40","author":[{"given":"Janine","family":"Simpson","sequence":"first","affiliation":[{"name":"ST1, Community Sexual and Reproductive Health, NHS Greater Glasgow and Clyde, Sandyford Sexual Health Service, Glasgow, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julie","family":"Craik","sequence":"additional","affiliation":[{"name":"Researcher, Faculty of Sexual & Reproductive Health Clinical Effectiveness Unit, Glasgow, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Louise","family":"Melvin","sequence":"additional","affiliation":[{"name":"Consultant, Community Sexual and Reproductive Health, NHS Greater Glasgow and Clyde, Sandyford Sexual Health Service, Glasgow, UK, and Clinical Director, Faculty of Sexual & Reproductive Health Clinical Effectiveness Unit, Glasgow, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2014,4,4]]},"reference":[{"key":"2025090512462269000_40.3.184.1","unstructured":"Faculty of Sexual & Reproductive Healthcare Clinical Effectiveness Unit. Quick Starting Contraception. 2010. http:\/\/www.fsrh.org\/pdfs\/CEUGuidanceQuickStartingContraception.pdf [accessed 4 March 2012]."},{"key":"2025090512462269000_40.3.184.2","first-page":"CD001324","article-title":"Interventions for emergency contraception","volume":"2","author":"Cheng","year":"2008","journal-title":"Cochrane Database Syst Rev"},{"key":"2025090512462269000_40.3.184.3","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpag.2003.11.005"},{"key":"2025090512462269000_40.3.184.4","doi-asserted-by":"crossref","unstructured":"Lopez LM Newmann SJ Grimes DA . Immediate start of hormonal contraceptives for contraception. Cochrane Database Syst Rev 2008;2. doi: 10.1002\/1465185810.1002\/14651858. CD006260.pub2 [accessed 4 March 2012].","DOI":"10.1002\/14651858.CD006260.pub2"},{"key":"2025090512462269000_40.3.184.5","doi-asserted-by":"crossref","first-page":"368","DOI":"10.1016\/j.contraception.2011.02.012","article-title":"Ongoing contraception after use of emergency contraception from a specialist contraceptive service","volume":"84","author":"Cameron","year":"2011","journal-title":"Contraception"},{"key":"2025090512462269000_40.3.184.6","doi-asserted-by":"publisher","DOI":"10.1136\/jfprhc-2012-100467"},{"key":"2025090512462269000_40.3.184.7","unstructured":"NHS Greater Glasgow and Clyde. Sandyford Services. Clinical Management and Protocols. http:\/\/www.sandyford.org\/clinicians\/clinical-management-and-protocols.aspx [accessed 4 March 2012]."},{"key":"2025090512462269000_40.3.184.8","unstructured":"NHS Greater Glasgow and Clyde. Patient Group Direction (PGD) for Nurses and Midwives. Combined Hormonal Contraception. October 2011. GG&C PGD ref no: 2011\/909 [accessed 4 March 2012]."},{"key":"2025090512462269000_40.3.184.9","unstructured":"NHS Greater Glasgow and Clyde. Patient Group Direction (PGD) for Nurses and Midwives. Levonorgestrel. April 2011. GG&C PGD ref no: 2011\/851 [accessed 4 March 2012]."}],"container-title":["Journal of Family Planning and Reproductive Health Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/jfprhc-2013-100648","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,5]],"date-time":"2025-09-05T19:46:29Z","timestamp":1757101589000},"score":1,"resource":{"primary":{"URL":"https:\/\/jfprhc.bmj.com\/lookup\/doi\/10.1136\/jfprhc-2013-100648"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,4,4]]},"references-count":9,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2014,6,17]]},"published-print":{"date-parts":[[2014,7]]}},"alternative-id":["10.1136\/jfprhc-2013-100648"],"URL":"https:\/\/doi.org\/10.1136\/jfprhc-2013-100648","relation":{},"ISSN":["1471-1893","2045-2098"],"issn-type":[{"type":"print","value":"1471-1893"},{"type":"electronic","value":"2045-2098"}],"subject":[],"published":{"date-parts":[[2014,4,4]]}}}