Obstetrician–gynecologist physicians' beliefs about emergency contraception: a national survey

Lawrence, Ryan E.; Rasinski, Kenneth A.; Yoon, John D.; Curlin, Farr A.

doi:10.1016/j.contraception.2010.04.151

Cited by 41 publications

(37 citation statements)

References 36 publications

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“…Notably, studies reporting EC discussions between patients and health care providers limit findings to conversations with female patients (Corbett et al, 2006;Kavanaugh & Schwarz, 2008;Lawrence, Rasinski, Yoon, & Curlin, 2010;Vahratian, Patel, Wolff, & Xu, 2008). Although males may be interested in accessing it, EC continues to be predominantly viewed as a female issue.…”

Section: Men's Knowledge Of Ec Methodsmentioning

confidence: 99%

U.S. Men’s Perceptions and Experiences of Emergency Contraceptives

et al. 2015

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Research suggests that men should be included in reproductive health decision making to help enhance positive health outcomes for their partners. Men affect the use of contraception and what method is used. Men's decisions may be affected by different factors such as gender, education, and the nature of their sexual relationship. A qualitative study was conducted to explore males' experiences and perceptions about emergency contraception (EC), and the meanings males assign to EC. Semistructured in-depth focus groups were held with 15 men who engage in heterosexual activity recruited from a university setting in the United States. Participants expressed egalitarian views of the contraception decision-making processes, a sense of responsibility regarding reproductive decision making, and that society has a negative stigma toward those who use EC. However, there was a lack of knowledge regarding the copper intrauterine device, which was not viewed as a method of EC. Exploring the role and needs of men in reproductive health care discussions and research is an important and growing area. Recommendations are provided for health care practitioners, policy, and future research around men and EC.

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Section: Men's Knowledge Of Ec Methodsmentioning

confidence: 99%

U.S. Men’s Perceptions and Experiences of Emergency Contraceptives

et al. 2015

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“…[14] In SA, the public sector is the main provider of contraceptives. EC is available in the form of the combined oral contraceptive (COC) pill, the copper intra-uterine contraceptive device (Cu-IUCD) and progesterone-only pills (POPs).…”

Section: Researchmentioning

confidence: 99%

“…[13] A national survey of obstetricians and gynaecologists in the USA between October 2008 and January 2009 showed that gender, religion and divergent beliefs about EC influenced their practices. [14] In SA, the public sector is the main provider of contraceptives. EC is available in the form of the combined oral contraceptive (COC) pill, the copper intra-uterine contraceptive device (Cu-IUCD) and progesterone-only pills (POPs).…”

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confidence: 99%

Knowledge, attitudes and practices of health professionals in public health institutions on emergency contraception in Pietermaritzburg, KwaZulu-Natal Province, South Africa

Sibanda

Titus²

2017

S Afr J OG

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RESEARCHBackground. Although emergency contraception (EC) is widely available, its use is surrounded by many controversies. Overall, it seems to be underutilised worldwide. Objectives. To determine healthcare professionals᾽ knowledge, attitudes and perceptions regarding EC, and how frequently they encounter, educate and issue it to patients. Methods. A questionnaire-based survey of doctors and nurses (volunteers) working in obstetrics and gynaecology was conducted in 3 public hospitals and 17 clinics in Pietermaritzburg, KwaZulu-Natal Province, South Africa. Data were analysed using SPSS. Results. Sixty-seven (25%) doctors and 201 (75%) nurses participated in the survey. Awareness of the three ECs available in the public sector overall was 56.4%, and 62.7% of participants could prescribe one EC correctly. Only 39.6% knew that EC pills prevent ovulation. Seventy-six percent thought that the use of EC could lead to high-risk sexual behaviour, high risk of transmission of HIV and non-use of other forms of contraception. Only 7.8% saw patients seeking EC often, 5.6% issued it often and 23.5% educated patients about it often. Conclusion. Participants were familiar with EC, but lacked accurate and detailed knowledge about its mechanism of action and had misperceptions on its social impact. They seldom prescribed it. It is estimated that about 41.0% of the 208 million pregnancies that occurred worldwide in 2008 were unintended.[1] East and Central Africa have the highest rates of unintended pregnancies and about 14 million unintended pregnancies are estimated to occur in subSaharan Africa annually. [1,2] Unintended pregnancies are resolved differently by women. Globally, there were an estimated 42 million induced abortions in 2003, of which 48% were unsafe and 97% of the unsafe abortions were performed in developing countries.[3] The World Health Organization (WHO) estimated that 21.6 million unsafe abortions occurred worldwide in 2008, an increase from 19.7 million in 2003, [4] with Eastern and Central Africa having the highest rates.[5] Unsafe abortions have a negative impact on maternal morbidity and mortality. A reduction in unintended pregnancies may result in a reduction of unsafe abortions, hence lowering maternal mortality.In situations where there is unprotected sexual intercourse or contraceptive method failure, emergency contraception (EC) may be used to prevent unintended pregnancies. Although EC is widely available in many countries, its use has been marred with controversies and misperceptions, especially concerning its mode of action, impact on behaviour and safety. EC pills prevent pregnancy by inhibiting or delaying ovulation, but they cannot disrupt an established pregnancy. However, an analysis of 1 077 articles in 113 newspapers between 1992 and 2002 showed that 44.5% of them included at least one instance of confusion between EC and medical abortion, with 31.0% of the articles inaccurately portraying the mode of action of EC as medical abortion.[6] The use of EC varies in different countries, and o...

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“…A 2008 survey of U.S. obstetrician/gynecologists found that approximately onehalf (51%) offer EC to all women (12). Only 4% of women who had received either a Pap test or pelvic examination in the past year reported that they received counseling about EC in 2002 (13).…”

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confidence: 98%

“…Although several prominent medical organizations have recommended incorporating counseling about EC into routine clinical care for reproductive-age women (8)(9)(10)(11), these recommendations have not been universally implemented (12,13). A 2008 survey of U.S. obstetrician/gynecologists found that approximately onehalf (51%) offer EC to all women (12).…”

mentioning

confidence: 99%