Understanding the barriers and myths limiting the use of intrauterine contraception in nulliparous women: results of a survey of European/Canadian healthcare providers.
Eur J Obstet Gynecol Reprod Biol
; 183: 146-54, 2014 Dec.
Article
en En
| MEDLINE
| ID: mdl-25461369
ABSTRACT
OBJECTIVES:
To evaluate healthcare providers' (HCPs') knowledge, attitudes and beliefs regarding intrauterine contraception (IUC). STUDYDESIGN:
HCPs in eight European countries and Canada who saw at least 20 women per month for contraception completed an online questionnaire. Responses were evaluated by country.RESULTS:
In total, 1103 HCPs completed the survey 633 obstetrician-gynecologists, 335 general practitioners and 135 family planning clinicians (physician, midwife or nurse). When respondents in different countries were asked to report their three main barriers to considering IUC, predominant concerns were nulliparity (34-69%) and pelvic inflammatory disease (PID; 14-83%) for women in general, and insertion difficulty (25-83%), PID (17-83%), insertion pain (7-60%) and infertility (6-55%) for nulliparous women. In addition, 4-59% of HCPs reported that they never proactively include IUC in contraceptive counseling for a nulliparous woman, regardless of her age. Furthermore, only 30-61% of respondents correctly identified that, in the World Health Organization medical eligibility criteria for IUC, nulliparity is category 2 (benefits outweigh risks).CONCLUSIONS:
HCPs in Europe and Canada have clear gaps in their knowledge regarding IUC and misplaced concerns persist, particularly regarding use of IUC in nulliparous women; the predominant misconceptions are about PID, insertion difficulty and insertion pain. Further education on the evidence is needed so that IUC is recognized as being suitable for young and nulliparous women and is included in contraceptive counseling.Palabras clave
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Paridad
/
Actitud del Personal de Salud
/
Competencia Clínica
/
Dispositivos Intrauterinos
Tipo de estudio:
Prognostic_studies
Límite:
Female
/
Humans
País/Región como asunto:
America do norte
/
Europa
Idioma:
En
Revista:
Eur J Obstet Gynecol Reprod Biol
Año:
2014
Tipo del documento:
Article