Department of Obstetrics and Gynecology, Washington University in Saint Louis School of Medicine, Box 8219, Saint Louis, MO 63110, USA.
Contraception. 2010 Feb;81(2):112-6. doi: 10.1016/j.contraception.2009.08.002. Epub 2009 Sep 16.
Many obstacles to intrauterine contraception (IUC) use exist, including provider and patient misinformation, high upfront cost and clinician practice patterns. The aim of our study was to investigate knowledge and attitudes about IUC among obstetricians and gynecologists in the area of Saint Louis.
We mailed a self-administered, anonymous survey to 250 clinicians who provide obstetric and gynecologic care in Saint Louis City and County which included questions about demographics, training, family planning visits and intrauterine contraceptive knowledge and use.
The overall survey response rate among eligible clinicians was 73.7%. Clinicians who had recently finished training or saw higher numbers of contraceptive patients per week were more likely to insert IUC than clinicians who completed training prior to 1989 or saw fewer contraceptive patients. Several misconceptions among clinicians were identified, including an association between intrauterine contraceptives and an elevated risk of pelvic inflammatory disease.
Physician misconceptions about the risks of IUC continue to occur. Improved clinician education is greatly needed to facilitate the use of these highly effective, long-acting, reversible methods of contraception.
宫内节育器（IUC）的使用存在诸多障碍，包括提供者和患者信息错误、前期成本高以及临床医生的实践模式。我们研究的目的是调查圣路易斯地区妇产科医生对 IUC 的知识和态度。
我们向在圣路易斯市和县提供产科和妇科护理的 250 名临床医生邮寄了一份自我管理的匿名调查，其中包括关于人口统计学、培训、计划生育就诊以及宫内节育器知识和使用的问题。
符合条件的临床医生的总体调查回复率为 73.7%。与 1989 年之前完成培训或每周看更多避孕患者的临床医生相比，最近完成培训或每周看更多避孕患者的临床医生更有可能插入 IUC。调查中发现了一些临床医生的误解，包括宫内节育器与盆腔炎风险升高之间的关联。
医生对 IUC 风险的误解仍在继续。需要加强对临床医生的教育，以促进这些高效、长效、可逆的避孕方法的使用。
