Emergency Contraception: Pediatricians' Knowledge,  Attitudes, and Opinions

Golden, Neville H.; Seigel, Warren M.; Fisher, Martin; Schneider, Marcie; Quijano, Emilyn; Suss, Amy; Bergeson, Rachel; Seitz, Michele; Saunders, Deborah

doi:10.1542/peds.107.2.287

Cited by 83 publications

(74 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…This observation is in line with other previous studies 10,13,14 and, in our opinion, several factors might be involved, such as the particular professional's moral views, and organisational aspects. Physicians may feel not at ease in prescribing the drug if they judge this to be immoral, but they may also experience discomfort, because they consider that going to an ED and asking for a prescription of EC pills is an inappropriate use of emergency resources and service.…”

Section: Discussionsupporting

confidence: 93%

“…Second, it was conducted in a health system where women who go to an ED and ask for a prescription of LNG-EC pills can be seen either by emergency physicians or by gynaecologists, so that we could make a comparison between these two groups of professionals. Third, it examined the level of knowledge of the pharmacokinetic and pharmacodynamic characteristics of LNG-EC pills by ED medical staff, an aspect that other studies on record did not take into consideration 11,12,14,15 .…”

Section: Strengths and Limitations Of The Studymentioning

confidence: 99%

See 1 more Smart Citation

Availability of emergency contraception: A survey of hospital emergency department gynaecologists and emergency physicians in Piedmont, Italy

Casagranda

Charrier

et al. 2012

The European Journal of Contraception & Reproductive Health

View full text Add to dashboard Cite

Objectives To compare the knowledge and the willingness of emergency physicians and gynaecologists caring for women in Italian emergency departments (EDs) to prescribe levonorgestrel-only emergency contraceptive pills (LNG-EC pills).Methods A cross-sectional survey was conducted in 2009; anonymous postal questionnaires were mailed to the medical staff working at the 30 EDs located in Piedmont (Italy).Results Emergency physicians and gynaecologists have similar knowledge of the pharmacokinetics and pharmacodynamics of LNG-EC pills, but do not feel at ease in prescribing these and consider the prescription of LNG-EC pills an inappropriate activity for ED staff.Conclusions In Italy, unlike in most other European countries, LNG-EC pills are still prescription drugs. Thus it may be useful to further investigate the reasons why Italian ED medical staff do not feel the prescription of LNG-EC pills should be within their remit and whether women can successfully obtain the prescription from physicians working in other services that can be accessed around the clock.

show abstract

Section: Discussionsupporting

confidence: 93%

Section: Strengths and Limitations Of The Studymentioning

confidence: 99%

Availability of emergency contraception: A survey of hospital emergency department gynaecologists and emergency physicians in Piedmont, Italy

Casagranda

Charrier

et al. 2012

The European Journal of Contraception & Reproductive Health

View full text Add to dashboard Cite

show abstract

“…Few studies have examined physicians' attitudes toward ECP provision by physician characteristics. Golden et al 35 found that although younger pediatricians were more likely than older pediatricians to have been confronted with the decision to prescribe ECP, there were no differences in their comfort level about prescribing ECP. Our study, however, indicates that older physicians were significantly more likely than younger physicians to support OTC provision of ECP or offer advance prescriptions to patients.…”

Section: Discussionmentioning

confidence: 99%

“…7,18,28,[35][36][37][38] Few concerns about the safety and efficacy of taking ECP were raised by physicians. Rather, some respondents worried that use of ECP may discourage regular contraceptive use (17%) or encourage promiscuity (6%).…”

Section: Physicians' Attitudes On Ecp Provision 495mentioning

confidence: 99%

Emergency Contraception Provision: A Survey of Michigan Physicians from Five Medical Specialties

Vahratian

Patel

et al. 2007

Journal of Women's Health

View full text Add to dashboard Cite

Objective: Despite the controversy over expanding delivery options for emergency contraceptive pills (ECP), little is known about physicians' attitudes toward over-the-counter (OTC) provision of ECP, and prior research on physicians' practices often has focused on a single specialty. This study examined the attitudes and practices regarding advance provision and OTC status of ECP among physicians in five medical specialties likely to encounter patients in need of ECP.Methods: A mail survey of a random sample of 850 Michigan physicians in family/general medicine, internal medicine, obstetrics/gynecology, pediatrics, and emergency medicine was conducted. Respondents' ECP-related attitudes and practices were assessed, and differences by physician characteristics were examined using chi-square tests and multivariable logistic regression analyses.Results: Two hundred seventy-one physicians responded to the survey (response rate ‫؍‬ 32%), with 42% of them favoring OTC provision of ECP and 40% opposing it. Half of respondents never routinely initiated discussions about ECP with their sexually active, female patients, and 77% of respondents did not routinely offer advance prescriptions. After adjusting for other factors, including medical specialty, older physicians (Ն50 years) were significantly more likely than their younger counterparts to support OTC provision of ECP (OR ‫؍‬ 2.9, 95% CI 1.7-4.9) or offer advance prescriptions (OR ‫؍‬ 2.5, 95% CI 1.1-5.8). Physicians with a specialty in obstetrics/gynecology were 3.5 times (95% CI 1.3-9.8) as likely as physicians in family/general medicine to offer advance prescriptions for ECP, and female physicians were 2.5 (95% CI 1.05-6.0) times as likely as male physicians to offer advance prescriptions. Graduation from a medical school within the United States and practicing in a private practice were marginally associated with a lower likelihood of supporting OTC status of ECP (OR ‫؍‬ 0.5, 95% CI: 0.2-1.0; and OR ‫؍‬ 0.6, 95% CI 0.3-1.1, respectively).Conclusions: Certain physician characteristics were significantly associated with their ECPrelated attitudes and practices. The majority of physicians surveyed in this study did not offer advance prescriptions for ECP, and few had initiated discussions on ECP with patients, which may pose critical barriers to patients' timely access. 489

show abstract

“…1,26,29,30 In addition, negative attitudes about providing adolescent sexual health care have been previously reported among pediatric HCPs, especially surrounding emergency contraception. 1,26,31 Many studies describe the challenges involved in changing HCP attitudes and behaviors; implementing an innovative intervention such as a sexual health educator provides an alternative strategy to meet adolescent sexual health needs. 27,[32][33][34] Interestingly, despite some concerns and negative attitudes expressed by participants in our study, most stated that they would support this ED intervention to provide sexual health care.…”

Section: Discussionmentioning

confidence: 99%

54. Providing Adolescent Sexual Health Care in the Pediatric Emergency Department: Views of Health Care Providers

Miller

Kelly

Goggin

et al. 2013

Journal of Adolescent Health

View full text Add to dashboard Cite

Emergency Contraception: Pediatricians' Knowledge, Attitudes, and Opinions

Cited by 83 publications

References 14 publications

Availability of emergency contraception: A survey of hospital emergency department gynaecologists and emergency physicians in Piedmont, Italy

Availability of emergency contraception: A survey of hospital emergency department gynaecologists and emergency physicians in Piedmont, Italy

Emergency Contraception Provision: A Survey of Michigan Physicians from Five Medical Specialties

54. Providing Adolescent Sexual Health Care in the Pediatric Emergency Department: Views of Health Care Providers

Contact Info

Product

Resources

About