Faculdade de Ciências Médicas, Universidade Estadual de Campinas, Campinas, Brasil.
Centro de Pesquisas em Saúde Reprodutiva de Campinas, Campinas, Brasil.
Cad Saude Publica. 2020 Feb 10;36Suppl 1(Suppl 1):e00187918. doi: 10.1590/0102-311X00187918. eCollection 2020.
Medical or drug-induced abortion has been proven as an effective means for termination of pregnancy. However, training of providers in the use of misoprostol has been limited. The current article aims to identify the degree of knowledge on medical abortion among Brazilian medical residents in Gynecology and Obstetrics. A multicenter cross-sectional study was performed with residents regularly enrolled in residency programs in Gynecology and Obstetrics in 21 teaching hospitals. A self-responded questionnaire was used. Correct responses to each of the alternatives were identified, and a binary response variable (≥ P70, < P70) was defined by the 70th percentile of the number of questions on misoprostol. Four hundred and seven medical residents returned the questionnaire, of which 404 were completed and three were blank. The majority (56.3%) of the residents were 27 years or younger, females (81.1%), and single or not living with a partner (70%). Two-thirds (68.2%) were in the first or second year of residency. Only 40.8% of the participants answered 70% or more of the questions correctly. In the multivariate analysis, enrollment in the third year of residency or greater (OR = 2.18; 95%CI: 1.350-3.535) and having participated in treatment of a woman with induced or probably induced abortion (OR = 4.12; 95%CI: 1.761-9.621) were associated with better knowledge on the subject. Among Brazilian medical residents in Gynecology and Obstetrics, knowledge on medical abortion is very limited and poses an obstacle to proper care in cases of legal termination of pregnancy.
医学或药物流产已被证明是终止妊娠的有效手段。然而，提供者在米索前列醇使用方面的培训一直受到限制。本文旨在确定巴西妇科和产科住院医师对药物流产的认识程度。这项多中心横断面研究纳入了 21 所教学医院定期参加妇科和产科住院医师培训项目的住院医师。使用自我回应式问卷进行研究。确定了对每个选项的正确回答，并通过米索前列醇问题数量的第 70 个百分位数定义了二进制应答变量（≥ P70，< P70）。共有 407 名住院医师返回了问卷，其中 404 份完整，3 份空白。大多数（56.3%）住院医师为 27 岁或以下，女性（81.1%），单身或未与伴侣同住（70%）。三分之二（68.2%）处于住院医师的第一或第二年。只有 40.8%的参与者答对了 70%或更多的问题。在多变量分析中，进入住院医师培训的第三年或更久（OR=2.18；95%CI：1.350-3.535）和参与治疗诱导或可能诱导流产的妇女（OR=4.12；95%CI：1.761-9.621）与更好地了解该主题相关。在巴西妇科和产科住院医师中，对药物流产的知识非常有限，这对合法终止妊娠的适当护理构成障碍。
