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Guidelines for
Administration of
Emergency Contraceptive
Pills for Medical Officers
4. Client Assessment
History should be taken carefully focusing on the
following:
 Menstrual
history to exclude pregnancy. It should include the date of last menstrual
period, whether the flow and duration was normal. This is important to be
absolutely sure that the client is not pregnant.
Contraceptive
history to find out about the use of contraception, contraceptive failure or
accident. If using any contraceptive, ask about the method of use to find out
whether it is correct and is being used consistently. In case of Cu-T user,
ask about history of expulsion.
History
of intercourse to determine the timing of ‘first act’ of intercourse. Ask
carefully and sensitively questions to establish the timing of ‘first act’
and number of times of sexual intercourse. Explain why the questions are
being asked.
Other health assessment such as laboratory tests or
pelvic examination is not recommended routinely unless indicated to rule out
a suspected pregnancy or other conditions.
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