New guidance published by the National Institute for Health and Care
Excellence (NICE) has called for schools to offer free morning after
pills and condoms to teenage girls to reduce teenage pregnancy rates.
NICE even recommended those under the legal age of consent should be
provided with contraception.
The guidance aims for more accessible emergency contraception for under-25s; not just contraceptive pills and condoms but also the IUD (intrauterine device, or coil).
The new plans will involve qualified
nurses, including school nurses, and pharmacists being able to offer
free-of-charge emergency contraceptive pills in accordance with patient
group directions (PGDs).
Under PGDs, health workers are able to give medicine directly to the patient without a prescription being required.
Emergency contraceptive pills include Levonelle 1500,
which if taken within 72 hours (3 days) of sexual intercourse, will
usually prevent pregnancy. Levonelle 1500 can be taken following
unprotected sex or if a condom has accidentally come off or split and is
available right now from Medical Specialists™ Pharmacy for just £22.50.
Alternatively, women can take ellaOne within 120 hours (5 days) and
an IUD may be inserted up to five days following unprotected sex.
The guidance called for young women to be ‘encouraged to consider and
choose a suitable form of contraception for their future needs’.
NICE also say that in accordance with best practice guidance, health
professionals that are providing emergency contraception should
understand they are able to give it to under-16s even without the
knowledge or consent of the child’s parent(s).
“Health professionals, including pharmacists, who are unwilling (or
unable) to provide emergency contraception should give young women
details of other local services where they can be seen urgently”, the
guidance states.
Professor Mike Kelly, director of the centre for public health at
NICE, said: “It is really important that sexual health services offering
information and advice can be found in places where young people have
access to them. Evidence clearly shows that the availability of
contraception reduces the rate of unwanted pregnancies. Local planners
and providers of services must make sure that what they offer is right
for their area.”
He added: “Young people often find contraceptive services and advice
difficult to locate. This can be for a number of reasons. They may not
know where services are, who provides them or when they are open. They
can also be wrongly worried that information they give may not be
treated confidentially. For that reason, this guidance focuses on
ensuring they receive culturally sensitive, confidential, non-judgmental
and empathic advice and support tailored to their individual needs.”
Last month saw the Office for National Statistics release figures
showing UK pregnancy rates amongst under-18s is at its lowest since 1969
at 27.9% per 1,000 women aged 15 to 17.
It seems things are improving steadily with the number of pregnancies
within under-18s dropping to 27,834 in 2012 from 31,051 in 2011, a
decrease of around 10%. Meanwhile, 5,432 under-16s became pregnant in
2012, compared with 5,991 in 2011, a decrease of 9.3%.
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