Barriers and myths that limit the use of intrauterine contraception in nulliparous women: a survey of Brazilian gynaecologists
| Autor: | Ana Luiza Lunardi Rocha, Márcia Mendonça Carneiro, Josefina Lira, Agnaldo L. Silva-Filho |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Adult
medicine.medical_specialty Attitude of Health Personnel media_common.quotation_subject Population Reproductive medicine Developing country Fertility Intrauterine device 03 medical and health sciences 0302 clinical medicine Surveys and Questionnaires medicine Humans 030212 general & internal medicine Medical prescription Practice Patterns Physicians' education media_common education.field_of_study 030219 obstetrics & reproductive medicine business.industry Obstetrics Intrauterine contraception General Medicine Parity Family planning Gynecology Female business Brazil Intrauterine Devices |
| Zdroj: | Postgraduate medical journal. 93(1101) |
| ISSN: | 1469-0756 |
| Popis: | Objective To understand the extent to which barriers and misperceptions about intrauterine contraception (IUC) remain among Brazilian gynaecologists, particularly for nulliparous women. Methods An online survey was developed to assess Brazilian gynaecologists’ knowledge and attitudes towards IUC. Data collected included demographic and professional data, main barriers when considering IUC for women in general and/or nulliparous women, attitudes towards inclusion of IUC in contraceptive counselling, and opinions on what could increase IUC prescription for nulliparous women. A question regarding knowledge about WHO medical eligibility criteria (WHO MEC) was also included in the survey. Results 101 gynaecologists completed the survey. The insertion rate in nulliparous women was 79.2%. Brazilian gynaecologists were more likely to consider IUC in counselling or provide it on request for parous than for nulliparous women (p Conclusions The three most commonly reported barriers to considering IUC as a contraceptive option for nulliparous woman were concerns about PID and difficult or painful insertion. The challenge is to ensure that gynaecologists understand the evidence and do not disregard IUC as a potential option for nulliparous women. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|