Attitudes and knowledge of Argentinian Ob-Gyns regarding intrauterine contraception for nulliparous women
ESC Congress Library. Bahamondes L. May 4, 2016; 126986; A-160
Prof. Dr. Luis Bahamondes
Prof. Dr. Luis Bahamondes
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To assessed attitudes and knowledge about intrauterine contraceptives (IUC) for nulligravida women among 100 Ob-Gyns in Argentina.



A survey was conducted online and answers from 100 Argentinian Ob-Gyns were analysed



60, 16 and 24 had private, public practice and a different practice, respectively and attending from 20 to 200 patients on contraception/day. When asking about time of experience, 24%, 36% and 40% had 1-10 years; 11-20% and more than 20 years, respectively. Ninety per cent of them inserted IUC by themselves as well as trained and supervised the insertion by other HCPs. About the number of insertion of IUC/month, 69%, 22% and 5% inserted 1-5; 6-10 and 11-15, respectively. When asked about main drivers of IUC, the responses were: convenient, long term contraception, cost-effective and high efficacy. When asking about barriers to use IUC, the Ob-Gyns reported that nulliparity, PID and cost were the more frequent concerns. When asking about barriers to use IUC in nulliparous, the interviewed reported that PID, difficulty for insertion and infertility were the more frequent concerns. When asked about the insertion of IUC in nulliparous, 70% accept to do it and 30% never do it. Only 10% of the Ob-Gyns considered IUC when counselling about contraception to nulliparous <18 years old and 28% in nulliparous between 18-29 years old. When a nulliparous woman asked for an AIU, only 17% of the participants placed in <18 years old and 43% in 18-29 years old. 90% considered the efficacy of AIU in nulliparous is the same than in parous women, 8% a little less in nulliparous and 2% much less in nulliparous. 6% considered the risk of PID much higher and 59% a little higher in nulliparous than in parous. 76% considered a little bit more difficult and 15% much more difficult to insert an IUC in nullips. 75% considered a little more pain and 16% much more pain when inserting an IUC in nullips vs. parous women. 54% knew the correct category of use of IUC among nulliparous according to the MEC of WHO (benefits outweigh risks), 11% considered a MEC 3 and 0% a MEC 4 (contraindicated).



Misperceptions regarding IUC for nulligravida women are widespread in Argentina, even between Ob-Gyns.

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