Intrauterine device (IUS) as emergency contraceptive: knowledge, attitude and practice among health providers in Latin-America. Survey
DOI:
https://doi.org/10.18597/rcog.569Keywords:
emergency contraception, IUD, survey, health providersAbstract
Introduction: about 20 million abortions are carried out each year around the world in risk conditions as a result of unplanned pregnancies causing more than 600,000 maternal deaths. Even though the prevalence of using family-planning methods would increased, situations will still occur warranting, "Emergency Contraception" (EC), whether with hormone preparation or Copper T (IUD) following unprotected sexual relations. The objective of carrying out this survey among health providers in Latin American Region, including our country, was to determine the knowledge, attitudes and practice about EC, specifically in relation to IUD use in EC.
Materials and methods: design: cross-sectional study. Population: Latin-American gynaeco-obstetricians working in sexual and reproductive health services. 92 addresses were randomly chosen from a computer-generated list of 1.500 e-mail addresses. Sample size: 46 surveys based on 20% supposed knowledge amongst EC service providers, 5% worse but acceptable and 99% confidence interval. Procedure: electronic survey. The researchers only received files containing the surveys as all electronic correspondence had been eliminated. Knowledge, attitudes and practice were evaluated.
Results: 55 people surveyed replied (59.78%). 100% agreed with EC. 49% knew about all available EC options, only 60% mentioned the Levonorgestrel pill and 69% IUD. Around 40% did not agree with using IUD as they considered it: abortion-inducing (9/21) or having low effectiveness (9/21) and there was no wide knowledge regarding the limit of time for using it in EC.
Conclusion: there are great differences between knowledge, attitudes and practice amongst health service-providers in Latin-America regarding EC.
Author Biographies
Pio Iván Gómez
Hernando Guillermo Gaitán
References
FNUAP. El Estado de la Población Mundial. PNUD; 2001. p. 3-7.
Gómez PI. Planificación familiar una visión integral. Universidad Nacional de Colombia; 1998. p.15-16
Gómez PI. Mortalidad materna. En: gómez PI, Ruiz AI. Temas de Interés en Obstetricia y Ginecología. 1a. Edición. Edit. Universidad Nacional de Colombia; 1998. p. 21-30.
Task Force On Post Ovulatory Methods of Fertility Regulation. Randomized controlled trial of Levonorgestrel versus The Yuzpe regimen of combined oral contraception for emergency contraception. Lancet 1998;352:428-33.
Ministerio de Salud. Norma Planificación Familiar para hombres y mujeres. Resolución 412 del 25 de febrero de 2000.
Morris JM, Van Wagenen G. Compounds interfering with ovum implantation and development. 3. The role of estrogens. Am J Obstet Gynecol 1966;96:804-15.
Trussell J, Ellertson C, Stewart F. The effectiveness of the Yuzpe regimen of emergency contraception. Fam Plann Perspect 1997;29:60.
Van Look PFA, Von Hertzen H. Emergency contraception. Br Med Bull 1993;49:158-70.
Ho PC, Kwan MSW. A Prospective randomized comparison of levonorgestrel with Yuzpe regimen in post coital contraception. Hum Reprod 1993;8:389-92.
Hatche RD, Trussell J, Stewart F, Howells S, Russell CR, Kowal D. Emergency Contraception. The National Best Keep Secret. Decatur GA: Bridging The Gap Communications; 1995.
Emergency contraception. Planned Parenthood Federation of America, Inc. In: http://www.plannedparenthood.org/library/BIRTHCONTROL/EmergContra.htm. Consultado en Julio 16 de 2004.
Copper T. IUD as Emergency Contraception. Princeton University. In: http://princeton.edu/info/eciud.html. Consultado en marzo 14 de 2004.
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