Knowledge and attitude towards emergency contraception in females of urban area of Lucknow, Uttar Pradesh, India


  • Malvika Mishra Department of Obstetrics and Gynecology, Shri Ram Murti Smarak Institute of Medical Sciences, Bareilly, Uttar Pradesh, India
  • Shiv Shanker Tripathi Department of Emergency Medicine, Dr Ram Manohar Lohia Institute of Medical Sciences Lucknow, Uttar Pradesh, India
  • Manish Kumar Verma Department of Biochemistry, Career Institute of Medical Sciences and Hospital, Lucknow, Uttar Pradesh, India



Awareness, Attitude, Emergency contraception, Public health issue


Background: Emergency contraception are birth control measures that, if taken after unprotected sexual intercourse, contraceptive failure, incorrect use of contraceptives or in cases of sexual assault may prevent pregnancy. The aim of the study was to assess the knowledge and attitude of female living in urban part of Lucknow district from September 2015 to August 2016.

Methods: This was a descriptive, cross-sectional study conducted at RML Hospital, Lucknow from September 2015 to August 2016. A cross sectional study design was conducted and Participants were selected using simple random sampling method. Data was collected by using self-administered questionnaires. Data processing and analysis: The collected data was entered into a computer and analyzed using statistical package of social science version 20.0.

Results: In this study it was found that, Out of 385 subjects 54% (209) new the correct time interval for EC to be effective and 91% (350) new that this is for prevention of unplanned pregnancy. Out of 385 subjects 77% (345) reported that they had heard the word EC from different sources, however 23% (90) reported that they never heard about that it means that still there is a scope of health awareness activities and health education to improve the knowledge of EC. Different attitudes of females towards emergency contraception some different pair of questions was asked. Out of 385 subjects 85% (329) were reported that they have positive attitudes in terms of benefits of EC to reduce the risk of unplanned pregnancy. A few number of subjects i.e. 12% (48) reported negative attitudes towards EC where as 3 % (8) did not respond. The more than half subjects i.e. 68% (260) reported that they use EC even if their partners disagreed with them where as 11% (41). Cultural belief was found as an barrier in having negative attitudes towards EC. The Religion, Occupation and educational status affect knowledge and attitudes towards EC.

Conclusions: The results show that there is a scope of health awareness activities and health education to improve the knowledge and attitude towards EC.


Trussell J, Koenig J, Ellertson C, Stewart F. Preventing unintended pregnancy: The cost-effectiveness of three methods of emergency contraception. Am J Public Health. 1997;87:932-7.

WHO. Emergency Contraception – World Health Organization. [Last accessed on 2015 Oct 10]. Available from:

Mittal S. Emergency contraception-potential for women's health. Indian J Med Res. 2014;140(Suppl(1):S45-52.

Tolossa E, Meshesha B, Abajobir AA. Assessment of level of knowledge and utilization of emergency contraception among female students of Hawassa University, South Ethiopia. Adv Reprod Sci. 2013;1:51-6.

Saikia H, Lama A. OTC – Availability of emergency contraceptive Levonorgestrel: A review. J Pharm Res. 2011;4:67-71.

Rahaman H, Renjhen P, Kumar A, Pattanshetty S, Sagir A, Dubey H. A study on emergency contraceptive practice among nursing staff in Sikkim, India - A cross sectional study. AMJ. 2010;3:667-71.

Renjhen P, Kumar A, Pattanshetty S, Sagir A, Samarasinghe CM. A study on knowledge, attitude and practice of contraception among college students in Sikkim, India. J Turk Ger Gynecol Assoc. 2010;11:78-81.

Raina S. Assessment of knowledge, attitude, and practice in health care delivery. N Am J Med Sci. 2013;5:249-50.

Steyn PS, Mason D. Emergency contraception: a review. O and G Forum. 2009;19:127-33.

Olufunke ME, Osaretin E, Victor I. Health care providers’ knowledge of, attitudes toward and provision of emergency contraception in Lagos, Nigeria. Intl Fam Plann Perspect. 2006;32:89-93.

Kang HS, Moneyham L. Use of emergency contraceptive pills and condoms by college students: a survey. Int J Nurs Stud. 2008;45:775-83.

WHO/Division of Reproductive Health. Unsafe abortion. Global and regional estimates of incidence of and mortality due to unsafe abortion, with a listing of available country data (WHO/RHT/MSM/97.16) Geneva, Switzerland. World Health Organization (WHO), 1998.

Wallace JL, Weinstein J, Wu J. Emergency contraception: knowledge and attitudes of family medicine providers. Fam Med. 2004;36:417-22.

Baiden F, Awini E, Clerk C. Perceptions of university students in Ghana about emergency contraception. Contraception. 2002;66:23-6.

Schwarz EB, Gerbert B, Gonzales R. Need for emergency contraception in urgent care settings. Contraception. 2007;75:285-8.

Guidelines for Administration of Emergency Contraceptive Pills by Health Care Providers Family Planning Division Ministry of Health and Family Welfare Government of India. 2008. pp. 3-23.






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