{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T03:15:10Z","timestamp":1787022910300,"version":"build-2736575974"},"reference-count":65,"publisher":"American Academy of Pediatrics (AAP)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,12,1]]},"abstract":"<jats:p>Despite significant declines over the past 2 decades, the United States continues to experience birth rates among teenagers that are significantly higher than other high-income nations. Use of emergency contraception (EC) within 120 hours after unprotected or underprotected intercourse can reduce the risk of pregnancy. Emergency contraceptive methods include oral medications labeled and dedicated for use as EC by the US Food and Drug Administration (ulipristal and levonorgestrel), the \u201coff-label\u201d use of combined oral contraceptives, and insertion of a copper intrauterine device. Indications for the use of EC include intercourse without use of contraception; condom breakage or slippage; missed or late doses of contraceptives, including the oral contraceptive pill, contraceptive patch, contraceptive ring, and injectable contraception; vomiting after use of oral contraceptives; and sexual assault. Our aim in this updated policy statement is to (1) educate pediatricians and other physicians on available emergency contraceptive methods; (2) provide current data on the safety, efficacy, and use of EC in teenagers; and (3) encourage routine counseling and advance EC prescription as 1 public health strategy to reduce teenaged pregnancy.<\/jats:p>","DOI":"10.1542\/peds.2019-3149","type":"journal-article","created":{"date-parts":[[2019,11,18]],"date-time":"2019-11-18T08:25:45Z","timestamp":1574065545000},"source":"Crossref","is-referenced-by-count":39,"title":["Emergency Contraception"],"prefix":"10.1542","volume":"144","author":[{"given":"Krishna K.","family":"Upadhya","sequence":"first","affiliation":[{"name":"Children\u2019s National Health System, Washington, District of Columbia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"COMMITTEE ON ADOLESCENCE","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cora C.","family":"Breuner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth M.","family":"Alderman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura K.","family":"Grubb","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laurie L.","family":"Hornberger","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Makia E.","family":"Powers","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephenie B.","family":"Wallace","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"417","published-online":{"date-parts":[[2019,12,1]]},"reference":[{"issue":"8","key":"2021120915584374600_B1","first-page":"CD001324","article-title":"Interventions for emergency contraception","volume":"8","author":"Shen","year":"2017","journal-title":"Cochrane Database Syst Rev"},{"issue":"209","key":"2021120915584374600_B2","first-page":"1","article-title":"Sexual activity, contraceptive use, and childbearing of teenagers aged 15\u201319 in the United States","author":"Martinez","year":"2015","journal-title":"NCHS Data Brief"},{"issue":"31","key":"2021120915584374600_B3","first-page":"1","article-title":"Teenagers in the United States: sexual activity, contraceptive use, and childbearing, 2006\u20132010 national survey of family growth","author":"Martinez","year":"2011","journal-title":"Vital Health Stat 23"},{"issue":"6","key":"2021120915584374600_B4","doi-asserted-by":"crossref","first-page":"1","DOI":"10.15585\/mmwr.ss6506a1","article-title":"Youth risk behavior surveillance - United States, 2015","volume":"65","author":"Kann","year":"2016","journal-title":"MMWR Surveill Summ"},{"issue":"4","key":"2021120915584374600_B5","doi-asserted-by":"crossref","first-page":"313","DOI":"10.1016\/j.ambp.2007.04.002","article-title":"Sexual victimization and reproductive health outcomes in urban youth","volume":"7","author":"Trent","year":"2007","journal-title":"Ambul Pediatr"},{"issue":"2","key":"2021120915584374600_B6","doi-asserted-by":"crossref","first-page":"157","DOI":"10.1177\/1077559517733814","article-title":"Sexual abuse of children with learning disabilities","volume":"23","author":"Helton","year":"2018","journal-title":"Child Maltreat"},{"issue":"2","key":"2021120915584374600_B7","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1136\/ip.2007.016451","article-title":"National study of physical and sexual assault among women with disabilities","volume":"14","author":"Casteel","year":"2008","journal-title":"Inj Prev"},{"issue":"5","key":"2021120915584374600_B8","doi-asserted-by":"crossref","first-page":"577","DOI":"10.1016\/j.jadohealth.2016.06.024","article-title":"Understanding the decline in adolescent fertility in the United States, 2007\u20132012","volume":"59","author":"Lindberg","year":"2016","journal-title":"J Adolesc Health"},{"key":"2021120915584374600_B9","unstructured":"US Department of Health and Human Services. 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