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April 20, 2005

Direct Access to Emergency Contraception

JAMA. 2005;293(15):1856-1857. doi:10.1001/jama.293.15.1856-b

To the Editor: In their randomized controlled trial, Dr Raine and colleagues1 conclude that direct access to EC would not compromise contraceptive or sexual behaviors in women. We would like to raise the following points about their trial.

First, we are not aware of evidence that potentially harmful behavioral changes due to the perception of effectiveness and safety of EC would be detected within 6 months, so that a longer trial period might be necessary. Second, the proportion of pregnancies after the 6-month follow-up was high in all 3 study groups (between 7.1% and 8.0%) despite the relatively easy access to EC for each group, suggesting that providing easy access to EC may not reduce the pregnancy rate.

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