Emergency contraception - the morning-after pill

The Morning-After Pill as an Emergency Contraception

During the teleconsultation, a midwife can write out an e-prescription for emergency contraception, also known as the morning-after pill. This is a method of preventing pregnancy after unprotected sexual intercourse or in situations where other contraception methods have failed (e.g. a condom has broken or you have missed a dose of the pill).

How Does Emergency Contraception Work?

The emergency contraceptive pill works by delaying or stopping ovulation, which prevents the egg from being fertilised. It's important to note that emergency contraception is not designed to terminate an existing pregnancy and is not an abortion method.

There is one active ingredient and one medication available on the market that midwives can prescribe electronically: a medication containing ulipristal acetate (30 mg), which is effective up to 120 hours (5 days) after sexual intercourse – it blocks the effect of progesterone, which in turn delays ovulation.

Who Can Write Out E-Prescriptions for Emergency Contraception?

In Poland, doctors and midwives can prescribe emergency contraception. During the teleconsultation, a detailed medical interview is conducted to assess the patient's health and to rule out any possible contraindications to taking the medication.

If there are no contraindications, the midwife can generate an e-prescription, which is then stored in the e-prescription system and can be filled at any pharmacy in Poland.

Important Information About Taking the Morning-After Pill

• The sooner the pill is taken after sexual intercourse, the more effective it will be.
• The pill is an emergency contraceptive, not a regular method of contraception.
• Taking emergency contraception can disrupt your menstrual cycle, causing your period to come earlier, later or heavier.
• It is not recommended that you take the emergency contraceptive pill more than once in a single cycle.
• If you vomit within 3 hours of taking the pill, you may need to take a second pill.

If you are unsure about using emergency contraception, you may find it helpful to speak to a midwife via teleconsultation, who can give you detailed information and dispel any doubts you may have about using the medication.