Attitudes and knowledge of Latin American health care professionals (HCPs) comparing to HCP from other countries regarding intrauterine contraception for nulliparous women
ESC Congress Library. Lira J. May 28, 2014; 50570; A-155
Dr. Josefina Lira
Dr. Josefina Lira
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Abstract
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Objective:
To assessed attitudes and knowledge about intrauterine contraceptives (IUC) for nulligravida women among 372 health care professionals (HCPs) in four Latin American (LA) countries and to compared with 1,415 HCPs from other 11 countries.
Methods:
A survey was conducted online. Answers from LA HCPs (Argentina, Brazil, Colombia, and Mexico) were compared with information provided by HCPs from other 11 countries (Australia, Canada, France, Germany, Ireland, Netherlands, Russia, Sweden, Turkey, UK, USA).
Results:
When asked about main drivers of IUC, the responses were very similar (long term contraception, convenience, high efficacy, additional benefits, and high compliance) in the 15 countries, and only cost-effectiveness seems to be comparatively more relevant in LA. When asking about barriers to use IUC in nullipara, the survey showed that HCPs from the 4 LA countries reported that concern about pain and difficulties at insertion were less frequent and concerns about infertility are more frequent, when compared with HCPs from the other 11 countries. However, when concerns about difficult insertion and future infertility are enquired, they were much higher when the woman is nulligravida than when she was parous (40% vs. 14% and 41% vs. 12%, respectively). The percentage of LA HCPs that consider high PID risk among nulligravidas using IUC (61%) was greater when compared to HCPs from the other countries. There was a greater level of knowledge about the category of use of IUC among nulliparous according to the MEC of WHO by LA HCPs (benefits outweigh risks). However, less than half of the LA HCPs consider IUC when counselling about contraception to nulliparous >18 years old. The opinion of LA HCPs about a higher risk of perforation and expulsion among nulligravidas was similar than the HCPs from the other countries.
Conclusion:
Misperceptions regarding IUC for nulligravidas women are widespread in LA and in some aspects higher than other countries.

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