Physicians’ information to patients and prescription of the emergency contraceptive pill according to their personal experience of using the method and perception of its mechanism of action

Abstract

The misconception that emergency contraception could cause a mini-abortion was associated with its denial to potential users, while physicians' personal experience of needing to use it favoured the likelihood of their informing potential users about it and prescribing it.

Physician Nonprofessional Cancer Experience and Ovarian Cancer Screening Practices: Results from a National Survey of Primary Care Physicians

“…Finally, Faundes et al’s analysis of a national survey of Brazilian obstetrician-gynecologists found that physicians who had personal experience with the emergency contraceptive pill (among women physicians or the partners of male physicians) reported greater willingness to provide information about the emergency contraceptive pill and to prescribe it. They 24 also found that those physicians who had experienced an unwanted pregnancy and had had an abortion, either themselves or with their partner, reported greater willingness to help a woman obtain an abortion if she requested one. 25…”

Why are pediatricians uncomfortable with prescribing emergency contraception for adolescents?

“…One-fifth of the gynecologists interviewed in a Brazilian study had misconceptions about the mechanism of action of LNG. 28 Even though 76.2% of the physicians studied here care for adolescents in their offices, most of them felt uncomfortable prescribing EC. The number of adolescents seen per month was associated with discomfort with EC prescription in the random forest model.…”

“…One-fifth of the gynecologists interviewed in a Brazilian study had misconceptions about the mechanism of action of LNG. 28 …”

Methods and Measures to Assess Health Care Provider Behavior and Behavioral Determinants in Reproductive, Maternal, Newborn, and Child Health: A Rapid Review

“…19,23,32,[40][41][42][43][44]53,54,64,66,67,69,74,[76][77][78] Several mixed methods studies used quantitative measures to assess provider behavior and incorporated qualitative methods to describe behavioral determinants influencing provider behaviors. 46,59 Among the few studies where associations between behavioral determinants and provider behavior were assessed, the majority considered predisposing factors such as knowledge and attitudes related to specific methods (e.g., emergency contraception and no-scalpel vasectomy), 24,51,79 services (e.g., postabortion care and referral for high-risk clients), 60,73 or clients' attributes 61 and their association with service provision. Only 2 studies considered reinforcing and enabling factors and their association with provider behaviors, specifically quality of care and provider performance.…”