TY - JOUR T1 - <span hwp:id="article-title-1" class="article-title">Starting oral contraceptives immediately or during next menses did not differ for continued contraceptive use or pregnancy at 6 months</span><span hwp:id="article-title-2" class="sub-article-title">Commentary</span> JF - Evidence Based Nursing JO - Evid Based Nurs SP - 10 LP - 10 DO - 10.1136/ebn.11.1.10 VL - 11 IS - 1 AU - Karen Moore Schaefer Y1 - 2008/01/01 UR - http://ebn.bmj.com/content/11/1/10.abstract N2 - C WesthoffCorrespondence to: Dr C Westhoff, 630 West 168 St, New York, NY, USA; clw3@columbia.eduIn young women, does directly observed, immediate initiation of oral contraceptives (OCs) increase continuation rates and reduce pregnancy compared with standard delayed initiation (during next menses)?Design:randomised controlled trial.Allocation:{concealed}.*Blinding:unblinded.Follow-up period:3 and 6 months.Setting:3 urban family planning clinics in Atlanta, New York, and Dallas, USA.Patients:1720 women &lt;25 years of age who were sexually active, requesting OCs, and had a current negative pregnancy test. Exclusion criteria were use of OCs within 7 days or Depo-Provera within 6 months, desire for pregnancy within the next 6 months, lactational amenorrhoea, or women &lt;18 years of age who were postpartum or postabortion.Intervention:864 women were allocated to the Quick Start group. During the initial clinic visit, they opened the OC … ER -