methodology observational transversal multicentric study 1 gynecologist survey on emergency...
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METHODOLOGY
Observational transversal multicentric study
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Gynecologist survey on Emergency Contraception
in France (end of 2012)
SCIENTIFIC COMMITTEE
Dr Michèle SCHEFFLER Fédération Nationale des Collèges de Gynécologie
Médicale
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Dr David SERFATYSociété Française de
Gynécologie
Sent questionnaires : 4152
Returned questionnaires : 520 (12,5%)
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Who were the participating gynecologists ?
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• Geographic distribution
• Age, gender, type of practice, area of specialization • Practice of emergency contraception
• Median age : 57 • % of women among participants : 82%• Private practice only (without any hospital or
Family Planning position) : 64%• Medical Gynecologists : 62%• Median seniority : 26 years
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• 250 patients per month (median number)• Among them, 40% for contraception initiation or
follow-up• Prescription of emergency contraception several
times a month by almost 65% of the participating gynecologists
• Oral emergency contraception is preferred by almost 100% of the gynecologists
• Women recognize to often run a risk of unwanted pregnancy (report from more than 85% of the participating gynecologists)
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Results of the Gynecur survey
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Do the gynecologists feel themselves well informed on emergency contraception ?
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I think that the gynecologists are informed enough on the emergency contraception in general
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93%YES
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% of Gynecologists
I think that gynecologists are informed enough onthe different methods of emergency contraception
90,8%YES
I think that gynecologists have all means to inform women on emergency contraception
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% of Gynecologists
88,3%YES
Gynecologists‘ opinion on women’s information about emergency
contraception ?
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I think that women know how to identify the risky situations of unwanted pregnancies
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% of Gynecologists
70%NO
I think that women know what to do after being exposed to a risk of unwanted pregnancy
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% of Gynecologists
83,3%NO
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% of Gynecologists
I think women know that emergency contraception is available over the counter in pharmacies
48,5%YES
54,4%NO
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% of Gynecologists
I think that women are informed enough about emergency contraception
84,4%NO
For the gynecologists,
the morning after pill is ….
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... A useful pill for my practice in contraception
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% of Gynecologists
94,1%YES
... A pill which is an integral part of my practice in contraception
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% of Gynecologists
83,5%YES
In which situations the gynecologists systematically or often
inform women on emergency contraception ?
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% of gynecologists taking preventive action according to the following situations :
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Gynecologists’ attitudes when they receive a demand of emergency contraception
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More than 45% of gynecologists cannot see the patient in such an emergency context
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% of Gynecologists
What gynecologists do in replacement of an emergency consultation ?
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They prepare They orientate They propose a consulta-a prescription the woman to a pharmacy tion in the near future
IN CONCLUSION
• The majority of the participating gynecologists :– Fell themselves well informed on emergency contraception– Prescribe emergency contraception several times a month– Take seriously their role in prevention, in particular in the most
risky situations– When they cannot see a woman who has been exposed to a risk of
unwanted pregnancy, they send a prescription by fax and/or send the woman to a pharmacy where the EC is available over the counter
• They are more dubious about :– the women’s capacity to identify a risky situation of unwanted
pregnancy– the women’s knowledge about emergency contraception
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