Emergency contraception among doctors and people without higher medical degree

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Abstract

Background. In Russia, adherence to planned highly effective methods of contraception is still at a low level; therefore, emergency contraception (EC) can be the option for protection against unplanned pregnancy.

Study design, materials and methods. The current analysis was undertaken to determine the frequency of EC use among women with and without higher medical degree (MD) and to find out the level of awareness about EC among women and men of the same categories. In order to this, the method of anonymous voluntary questioning was used. The questionnaire included items about the theoretical aspects of EC (filled in by both men and women) and data on the gynecological history and experience of EC application (filled in by women only).

Results. Half of respondents (49.8%) had experience of EC use, 80% of them used EC only if unprotected sexual intercourse occurred in the middle of the menstrual cycle. Every forth (24.6%, n = 29) obstetrician-gynecologist mistakenly believes that repeated application of EC can lead to infertility. 45% (n = 64) participants without MD and 42% (n = 61) of doctors of other specialties have the same opinion. The use of EC is considered justified by 86% (n = 227) of doctors and 65% (n = 94) participants without MD. Every tenth responder, irrespective of education level, mistakenly believes in not using EC due to severe negative side effects.

Conclusion. Almost a third (30%) of obstetrician-gynecologists do not possess complete information on EC. Awareness about EC is extremely inadequate and comparable to that of doctors of other specialties and people without MD.

About the authors

Sergey S. Aganezov

North-Western State Medical University named after I.I. Mechnikov

Author for correspondence.
Email: aganezov@mail.ru

MD, PhD, Associate Professor of the Department of Obstetrics and Gynecology

Russian Federation, Saint Petersburg

Anastasiya V. Morotskaya

North-Western State Medical University named after I.I. Mechnikov

Email: morotskayaanastasia@yandex.ru

MD, Post-Graduate Student

Russian Federation, Saint Petersburg

Natalia V. Aganezova

North-Western State Medical University named after I.I. Mechnikov

Email: aganezova@mail.ru

MD, PhD, DSci (Medicine), Associate Professor, Professor of the Department of Obstetrics and Gynecology

Russian Federation, Saint Petersburg

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Copyright (c) 2018 Aganezov S.S., Morotskaya A.V., Aganezova N.V.

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