New recommendations as regards forgetting to take the contraceptive pill

• Published in: Nederlands tijdschrift voor geneeskunde Vol. 151; no. 35; p. 1923
• Main Authors: Boukes, F S, Wiersma, T J, de Leest, K, Helmerhorst, F M, Picavet, Ch, van der Wijden, C L
• Format: Journal Article
• Language: Dutch
• Published: Netherlands 01-09-2007
• Subjects: Adolescent; Adult; Contraception Behavior; Contraceptives, Oral, Hormonal - administration & dosage; Female; Guidelines as Topic; Humans; Netherlands; Patient Compliance; World Health Organization; Netherlands
• ISSN: 0028-2162

Guidelines from the Dutch College of General Practitioners (NHG), the Scientific Institute of Dutch Pharmacists (WINAp), the Dutch Association for Obstetrics & Gynaecology (NVOG) and the Dutch Expert Centre on Sexuality (Rutgers Nisso Groep) all gave different recommendations on the use of the morning after pill in the event of the contraceptive pill being missed. This is an undesirable situation. Using the 2004 WHO-recommendations on missed pills as a starting point, new Dutch guidelines were drawn up. The consensus is that in the case of only one pill being missed, no extra precautions are necessary. This is by far the most frequent situation. The forgotten pill should be taken as soon as possible. Forgetting to take the pill more than once is a rare occurrence. Iftwo or more pills have been missed, advice will be given in accordance with the existing NHG guideline. The WHO has been requested to initiate research in order to establish if its current recommendations on forgetting more than one contraceptive pill can be supported by better data. The new recommendations will be implemented into harmonized guidelines thus enabling women to be given the same simple advice at every advisory centre.