Attitudes and knowledge of Colombian HCPs regarding intrauterine contraception for nulliparous women
ESC Congress Library. Marin V. May 4, 2016; 126993; A-167
Victor Marin
Victor Marin
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To assessed attitudes and knowledge about intrauterine contraceptives (IUC) for nulligravida women among 100 HCPs in Colombia.


A survey was conducted online and answers from 100 Colombian HCPs (70 Ob-Gyns and 30 General Practitioners) were analysed


59 and 41 had office based and hospital-based practice, respectively, and attending from 20 to 200 patients on contraception/day. When asking about time of experience, 45%, 38% and 17% had 1-10 years; 11-20% and more than 20 years, respectively. 76% 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, 43%, 25%, 6% and 9% inserted 1-5; 6-10; 11-15 and 15-20, respectively. When asked about main drivers of IUC, the responses were: high efficacy, long term contraception and cost-effectiveness. When asking about barriers to use IUC in general, the Colombian HCPs reported that PID, having no baby and cost were the more frequent concerns. When asking about barriers to use IUC in nulliparous, the interviewed reported that PID, infertility, difficulty and pain during insertion were the more frequent concerns. When asked about the insertion of IUC in nulliparous, 84% accept to do it and 16% never do it. Only 9% of the Ob-Gyns considered IUC when counselling about contraception to nulliparous <18 years old and 51% in nulliparous between 18-29 years old. When a nulliparous woman asked for an AIU, only 18% of the participants placed in <18 years old and 49% in 18-29 years old. 70% considered the efficacy of AIU in nulliparous is the same than in parous women, 7% a little better in nulliparous and 7% a little less in nulliparous. 7% considered the risk of PID much higher and 60% a little higher in nulliparous than in parous. 60% considered a little bit more difficult and 34% similar difficult to insert an IUC in nullips. 57% considered a little more pain and 13% much more pain when inserting an IUC in nullips vs. parous women. 51% knew the correct category of use of IUC among nulliparous according to the MEC of WHO (benefits outweigh risks), 9% considered a MEC 3 and 3% a MEC 4 (contraindicated).


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

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