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Pediatricians' knowledge, attitudes and practices surrounding menstruation and feminine products

Miriam R Singer1, Nikita Sood1, Eli Rapoport1

  • 1Department of Pediatrics, Steven and Alexandra Cohen Children's Medical Center of New York, Lake Success, NY, USA.

International Journal of Adolescent Medicine and Health
|March 12, 2020
PubMed

Insights

Many pediatricians do not follow American Academy of Pediatrics (AAP) guidelines for menstrual health education. Significant knowledge gaps exist, particularly among male pediatricians, impacting patient care.

Area of Science:

  • Pediatric Primary Care
  • Adolescent Health
  • Women's Health

Background:

  • The American Academy of Pediatrics (AAP) provides guidelines for anticipatory guidance on menstruation.
  • Routine evaluation of menstrual cycles and education on feminine products are recommended for pediatricians.
  • Pediatricians' knowledge and attitudes regarding menstrual health are crucial for adolescent well-being.

Purpose of the Study:

  • To assess primary care pediatricians' adherence to AAP recommendations on menstrual health.
  • To evaluate pediatricians' knowledge and attitudes concerning menstruation and feminine hygiene products.
  • To identify gaps in clinical practice and knowledge related to adolescent menstrual health.

Main Methods:

  • A 53-item online questionnaire was distributed to 2500 randomly selected AAP members.
  • Geographically-stratified sampling ensured national representation.
  • Statistical analyses included Mann-Whitney U tests, t-tests, and logistic regressions.

Main Results:

  • A 20.7% response rate was achieved, with 462 pediatricians meeting inclusion criteria.
  • Over half of pediatricians reported low familiarity with AAP guidelines on menarche.
  • Many pediatricians infrequently discussed menstruation or feminine products and did not routinely inquire about last menstrual period dates.

Conclusions:

  • A significant proportion of pediatricians do not adhere to AAP recommendations for menstrual health care.
  • Gaps in knowledge and clinical practice regarding menstruation were identified.
  • Improved integration of menstrual health education into pediatric practice is essential for addressing female patients' health needs.
Abstract

Keywords:
feminine hygienemenarchemenstruation

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