The vacuum-aspiration introduction into the ObGyn out-patient practice: the role of training
ESC Congress Library. Dikke G. May 28, 2014; 50530; A-115
Prof. Galina Dikke
Prof. Galina Dikke
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Abstract
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The modern technologies are rarely used for unwanted pregnancy termination in Russia. So, the vacuum aspiration (VA) is used for artificial abortion only in 24.6%, medical abortion is conducted in 6.2% (2011) - strictly up to 6 weeks. Due lacking skills among providers the use of methods is complicated even when administrative decision is made.
Objective: training of obgyns in the VA technologies for up to 12 weeks pregnancy, introduction it into practice at Sverdlovsk region. It is an excerpt from the WHO's «Introduction of safe technologies of the first trimester abortion» an operational research - evaluating the effectiveness of the training for the service providers.
Material: obgyns (n=24) of the hospital (n=12) and outpatient type of institutions (n=12) at Sverdlovsk region.
Methods: the course consists of theoretical, practical models, work in the operating theatre. An anonymous testing was conducted before and after the training. The obtained data was processed by the qualitative and quantitative methods.
Results: before the training 58,6% of participants gave the correct answers to the questions and 41.4% were incorrect (the score 3.1). After the course the correct answers were in 91,9% (p<0.001) and incorrect - 8,1% (p<0.001) (4,6 points - excellent) (p<0.001). A satisfactory answer was in 44%. As a result of the training quality of doctors' knowledge has substantially increased: excellent answers were given by 88 % and 12% - satisfactory, with no wrong answers. The difference of the obtained results was reliable in all cases (<0,001). For all the issues the average assessment of the quality of knowledge grew by 1.5 points of the 1.9 possible that accounts for 80%.
Conclusions: The training results showed significant improvement of knowledge, confirming the fulfillment of the study objectives.
Prospects: the survey is to be continued, the intermediate results will be presented in 6 months.


 


 

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