title: [Nurse delivery of oral contraception following an initial prescription for minors and uninsured patients in family planning centers of the Val-de-Marne].
abstract: BACKGROUND
  Since 2012 in France, nurses are allowed to renew the medical prescription of oral contraceptives (OC). To support this plan, a service protocol in family planning centers allows nurse delivery of OC.
  
  
  METHODS
  This is a pilot feasibility study. After a medical prescription of OC, the nurse is authorized to deliver OC for 3months after a nursing interview. The duration of the nursing follow-up is determined by the physician.
  
  
  RESULTS
  A total of 244 nurses interviews of 170 women were conducted between January 2012 and July 2013. All women have benefited from a delivery of contraceptives by the nurse. Analysis shows that 40 interviews (16%) had one or more abnormal criteria. Of these, more than a quarter found poor tolerance of contraception and/or the appearance of gynecological symptoms (27%) or unprotected sex with a new partner (25%). In these cases, an orientation to the physician was more frequent (85% versus 62%, P=0.005) and faster (median 33days versus 90days, P<0.001) than if the nurse interview was normal.
  
  
  CONCLUSIONS
  Our study shows the feasibility of delivery protocol of oral contraception by nurses following an initial prescription by the physician.
authors.affiliation: Conseil départemental de Val-de-Marne, direction de la protection maternelle et infantile et promotion de la santé, 80, avenue du Général-de-Gaulle, 94000 Créteil, France. Electronic address: Jean-pierre.menard@valdemarne.fr.
authors.forename: J-P
authors.initials: JP
authors.lastname: Menard
authors.affiliation: Conseil départemental de Val-de-Marne, direction de la protection maternelle et infantile et promotion de la santé, 80, avenue du Général-de-Gaulle, 94000 Créteil, France.
authors.forename: F
authors.initials: F
authors.lastname: Hennequin
authors.affiliation: Conseil départemental de Val-de-Marne, direction de la protection maternelle et infantile et promotion de la santé, 80, avenue du Général-de-Gaulle, 94000 Créteil, France.
authors.forename: I
authors.initials: I
authors.lastname: Buresi
mesh_terms: D000293:Adolescent; D000328:Adult; D000554:Ambulatory Care Facilities / Q000458:organization & administration*; D003276:Contraceptives, Oral / Q000627:therapeutic use*; D003695:Delivery of Health Care / Q000379:methods*; D011307:Drug Prescriptions / Q000451:nursing*; D005193:Family Planning Services / Q000379:methods*; D005240:Feasibility Studies; D005260:Female; D005602:France; D006801:Humans; D008875:Middle Aged; D024802:Nurse's Role; D055815:Young Adult
chemical_list: D003276:Contraceptives, Oral
keywords: Centre de planification et éducation familiale; Contraception; Délivrance infirmière; Family planning center; Nurse delivery; Oral contraceptive