Oral and IUD emergency contraception provision among a national sample of obstetrician-gynecologists.

Autor: Castleberry NM; Research Department, American College of Obstetricians and Gynecologists (ACOG), 409 12th Street SW, Washington, DC, 20024, USA; Department of Public Administration and Policy, School of Public Affairs, The American University, 4400 Massachusetts Ave NW, Washington, DC, 20016, USA. Electronic address: mc0837a@american.edu., Stark L; Research Department, American College of Obstetricians and Gynecologists (ACOG), 409 12th Street SW, Washington, DC, 20024, USA., Schulkin J; Department of Obstetrics and Gynecology, Univ. of Washington School of Medicine, Box 356460, Seattle, WA, 98195, USA. Electronic address: schulkin@uw.edu., Grossman D; Advancing New Standards in Reproductive Health (ANSIRH), Bixby Center for Global Reproductive Health, Department of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco, Oakland, CA, USA. Electronic address: Daniel.Grossman@ucsf.edu.
Jazyk: angličtina
Zdroj: Contraception [Contraception] 2020 Dec; Vol. 102 (6), pp. 406-408. Date of Electronic Publication: 2020 Sep 06.
DOI: 10.1016/j.contraception.2020.08.013
Abstrakt: Objective: To assess obstetrician-gynecologists' practices related to emergency contraception (EC). We performed a survey of ACOG Fellows and Junior Fellows between August 2016 and March 2017.
Results: The final sample was 1280 respondents (52.2% response rate). The majority (84%) reported offering at least one form of EC, with 18% offering ulipristal acetate and 29% offering copper IUDs. Fifty-seven percent of those offering IUDs reported recommending them in the last 12 months. Few had placed IUDs for EC. Half of ob-gyns reported not recommending copper IUDs because patients rarely seek EC.
Conclusion: Many obstetrician-gynecologists are not offering the most effective forms of EC.
Implications: Both patients and clinicians need more outreach about the most effective methods of emergency contraception.
(Copyright © 2020 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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