Abstract
NPs play a pivotal role in preventing unintended pregnancies in the US. This article provides a comprehensive update on emergency contraception (EC) trends, emphasizing the persistent challenge of reducing unintended pregnancies—a key health priority in the Healthy People 2030 initiative. Despite a declining trend in unintended pregnancy rates from 2010 to 2019, national goals have not been met, and healthcare disparities persist. NPs should be aware of EC methods and prescribing implications. In addition, NPs should be aware of ongoing research focusing on EC options such as levonorgestrel intrauterine devices and the promising addition of cyclooxygenase-2 inhibitors to oral EC options.