Human Reproduction Update, Vol.5, No.6 pp.621-626, 1999
© European Society of Human Reproduction and Embryology 1999; all rights reserved
Social consequences. The public health implications of the 1995 'pill scare'
British Pregnancy Advisory Service, Austy Manor, Wooten Wawen, Solihull, West Midlands B95 6BX, UK
Abstract
The warning issued by the UK Committee on Safety Medicines in October 1995, followed by their 'Dear Doctor' letter of October 18, 1995, that oral contraceptive pills containing gestodene or desogestrel were associated with a higher risk of venous thromboembolism has had a negative impact on public health. A significant number of women either switched brands or ceased contraception altogether following the announcement. National data suggest a strong association between the pill scare and a substantial increase in the number of unintended pregnancies, particularly significant among younger women, with use of oral contraception falling from 40 to 27% of under 16s between 1995-1996 and 1996-1997. The resulting cost of the increase in births and abortions to the National Health Service has been estimated at about £21 million for maternity care and from £46 million for abortion provision. The level of risk should, in future, be more carefully assessed and advice more carefully presented in the interests of public health.
Key words: oral contraception/public health/pill scare