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Emergency contraception: what do pediatricians know about this subject?
R Fernandes Barry1, M Sylvia De Souza Vitalle, F Calanca Da Silva
1Center of Medical Attention and, Support to Adolescents from the Discipline of Pediatric Specialties, Department of Pediatrics, Federal University of São Paulo, São Paulo School of Medicine, San Paolo, Brazil.
Minerva Pediatrica
|May 5, 2010
Summary
Pediatricians show limited knowledge and prescription rates for emergency contraception (EC), particularly those longer out of medical school. Lack of experience is the primary barrier to prescribing this safe and effective pregnancy prevention method.
Area of Science:
- Medical Science
- Public Health
- Reproductive Health
Background:
- Emergency contraception (EC) is crucial for preventing unintended pregnancies post-unprotected intercourse.
- Pediatricians play a role in reproductive health, yet their knowledge and prescribing practices for EC require evaluation.
Purpose of the Study:
- To assess pediatricians' and residents' knowledge of EC in São Paulo.
- To evaluate their attitudes and barriers regarding EC prescription.
Main Methods:
- A questionnaire surveyed pediatricians and residents on EC knowledge and attitudes.
- Statistical analyses included chi-squared, Fisher's exact, and Cochran's G tests.
Main Results:
- Only 14% of respondents were asked to prescribe EC, with 47% complying.
- Knowledge gaps exist, with 61.1% aware of the 72-hour window, but 51.1% felt uncomfortable prescribing.
- Lack of experience (64%) was the main reason for not prescribing EC.
Conclusions:
- Pediatricians, especially recent graduates, demonstrate insufficient knowledge and prescription of EC.
- Addressing the lack of experience is key to improving EC accessibility and utilization.
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