Tímarit hjúkrunarfræðinga - 01.08.2000, Síða 16

hjúkrunarfræðingar, Ijósmæður og ef til vill lyfjafræðingar
geti afgreitt hana, jafnvel án endurgjalds.
Óvíst er hvenær byrjað var að nota neyðargetnaðarvörn
hér á landi og hversu mikið hún hefur verið notuð þar sem
erfitt er að meta fjölda samsettra getnaðarvarnapilla sem
gefnar hafa verið í þessum tilgangi. Hér á landi þarf að efla
þekkingu og breyta viðhorfum fagfólks, ekki síst hjúkrunar-
fræðinga og Ijósmæðra, til þess að þessir faghópar geti
veitt konum /stúlkum (pörum) góða fræðslu og ráðgjöf um
neyðargetnaðarvörnina og jafnframt um öruggar getnaðar-
varnir. Við ráðgjöfina þarf heilbrigðisstarfsfólk að taka tillit til
sérþarfa ungs fólks. í framhaldi af því þarf víða að auglýsa
þessa aðferð, hversu fljótt þurfi að gera ráðstafanir og hvar
sé hægt að nálgast hana. Koma þarf þekkingu um
neyðargetnaðarvörn inn í kynfræðslu í skólum landsins svo
ungt fólk viti um þessa leið frá upphafi.
Til þess að hafa góða stjórn á barneignum þarf að hafa
gagnlegar upplýsingar um getnaðarvarnir, þar með talda
neyðargetnaðarvörn. Með breyttri stöðu kvenna hafa
konur gert meiri kröfur til þjónustunnar; kröfur um að taka
vaxandi þátt í að stuðla að eigin heilsu, ekki síst á sviði
kynlífs- og frjósemisheilbrigðis.
Abstract
This article is written to introduce the so called emergency
contraception. As the name implies this contracetpion is
used in emergency situations but not on a regular basis.
Emergency situations arise when it has not been possible to
use contraception, contraceptive method has failed, e.g. the
condom breaks or slips off or when the pill has been
forgotten. It is also used in case of rape. It is used after
sexual intercourse to prevent unwanted pregnancy. In spite
of the awareness of this method for decades there has been
a reluctance for a long time to make it available both abroad
and here in lceland. In the Netherlands it has been available
for almost forty years and there teenage fertility rates are the
lowest in the Western world. In this article emergency
contraception is described, its historical development,
possible explanations of this limited availability and ways to
improve availability are presented. It is important in this
country to make emergency contraception better available,
e.g. because of high teenage pregnancy rates. Improved
availability is dependent on positive attitudes to emergency
contraception which is based on good knowledge about the
method. More health care professionals like nurses and
midwives should be able to provide it. Also the public needs
to be well informed about the method.
Key words: Emergency contraception, availability,
knowledge, attitudes, role of health care professionals.
Heimildir
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Tímarit hjúkrunarfræðinga • 3. tbl. 76. árg. 2000