全国妇产科医生抽样中口服和宫内节育器紧急避孕的提供情况。

Oral and IUD emergency contraception provision among a national sample of obstetrician-gynecologists.

机构信息

Research Department, American College of Obstetricians and Gynecologists (ACOG), 409 12th Street SW, Washington, DC, 20024, USA; Department of Public Administration and Policy, School of Public Affairs, The American University, 4400 Massachusetts Ave NW, Washington, DC, 20016, USA.

Research Department, American College of Obstetricians and Gynecologists (ACOG), 409 12th Street SW, Washington, DC, 20024, USA.

出版信息

Contraception. 2020 Dec;102(6):406-408. doi: 10.1016/j.contraception.2020.08.013. Epub 2020 Sep 6.

DOI:10.1016/j.contraception.2020.08.013

PMID:32898546

Abstract

OBJECTIVE

To assess obstetrician-gynecologists' practices related to emergency contraception (EC). We performed a survey of ACOG Fellows and Junior Fellows between August 2016 and March 2017.

RESULTS

The final sample was 1280 respondents (52.2% response rate). The majority (84%) reported offering at least one form of EC, with 18% offering ulipristal acetate and 29% offering copper IUDs. Fifty-seven percent of those offering IUDs reported recommending them in the last 12 months. Few had placed IUDs for EC. Half of ob-gyns reported not recommending copper IUDs because patients rarely seek EC.

CONCLUSION

Many obstetrician-gynecologists are not offering the most effective forms of EC.

IMPLICATIONS

Both patients and clinicians need more outreach about the most effective methods of emergency contraception.

摘要

目的

评估妇产科医生在紧急避孕（EC）方面的实践情况。我们于 2016 年 8 月至 2017 年 3 月对 ACOG 研究员和初级研究员进行了一项调查。

结果

最终样本为 1280 名受访者（响应率为 52.2%）。大多数（84%）报告至少提供了一种 EC 形式，其中 18%提供了乌利司他酮，29%提供了铜宫内节育器。57%提供宫内节育器的人报告在过去 12 个月内推荐了它们。很少有人因 EC 而放置宫内节育器。一半的妇产科医生报告不建议使用铜宫内节育器，因为患者很少寻求 EC。