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哈科特港医生对紧急避孕的认知、态度及实践情况

Knowledge, attitude, and practice of emergency contraception among medical doctors in Port Harcourt.

作者信息

Oriji V K, Omietimi J E

机构信息

Department of Obstetrics and Gynaecology, University of Port Harcourt, Port Harcourt, Nigeria.

出版信息

Niger J Clin Pract. 2011 Oct-Dec;14(4):428-31. doi: 10.4103/1119-3077.91749.

DOI:10.4103/1119-3077.91749
PMID:22248943
Abstract

BACKGROUND

The contraceptive prevalence in our environment is very low with attendant increase in unwanted pregnancy and unsafe abortion. The use of emergency contraception (EC) in women with unprotected intercourse could be the only option that can avoid the unwanted pregnancy and unsafe abortion.

OBJECTIVE

The objective was to assess the knowledge, attitude, and practice of emergency contraception among doctors in Port Harcourt.

MATERIALS AND METHODS

This is a descriptive cross-sectional study of medical doctors practising in Port Harcourt. Self-administered questionnaires were completed by 100 participants randomly selected from medical doctors present at a general meeting in January 2006. Data collation and analysis was carried out with Microsoft Excel XP software and presented as percentages and proportions.

RESULTS

The awareness of EC was high among the doctors in Port Harcourt. However knowledge about its use was poor. Although 98% of them were aware of emergency contraception, 58% could not identify correctly any type. Oral mifepristone (RU486) was the most recognized form of EC identified by 38% of the doctors. Rape would be the commonest indication for emergency contraception as reported by 76% of the doctors, ahead of missed pills by 36% and incestuous sexual intercourse by 46% of the doctors. Postinor (levonorgestrel) given within 72 hours and IUCD inserted within 5 days of intercourse were the commonest forms of EC administered by 26% each of the doctors interviewed.

CONCLUSION

Although the awareness of EC is high among the doctors in Port Harcourt, the knowledge and use of EC is low. Therefore there is a need to improve both education and attitude to use of emergency contraception among medical doctors in Port Harcourt.

摘要

背景

在我们所处的环境中,避孕普及率很低,意外怀孕和不安全堕胎的情况随之增加。对于有过无保护性行为的女性而言,使用紧急避孕可能是避免意外怀孕和不安全堕胎的唯一选择。

目的

评估哈科特港医生对紧急避孕的知识、态度和实践情况。

材料与方法

这是一项对在哈科特港执业的医生进行的描述性横断面研究。从2006年1月一次全体会议上到场的医生中随机选取100名参与者,由他们自行填写问卷。使用Microsoft Excel XP软件进行数据整理和分析,并以百分比和比例的形式呈现。

结果

哈科特港的医生对紧急避孕的知晓率很高。然而,关于其使用的知识却很匮乏。尽管98%的医生知晓紧急避孕,但其中58%无法正确识别任何一种类型。口服米非司酮(RU486)是38%的医生识别出的最知名的紧急避孕形式。76%的医生报告称,强奸将是紧急避孕最常见的指征,领先于36%的医生认为的漏服避孕药和46%的医生认为的乱伦性交。在性交后72小时内服用的复方左旋炔诺孕酮片(毓婷)和在性交后5天内插入的宫内节育器是接受访谈的医生中各有26%使用的最常见的紧急避孕形式。

结论

尽管哈科特港的医生对紧急避孕的知晓率很高,但对紧急避孕的知识和使用情况却很低。因此,有必要提高哈科特港医生对紧急避孕的教育水平和使用态度。

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