Knowledge on medical abortion among Brazilian medical residents in Gynecology and Obstetrics

Author(s):Show less -

Pacagnella, Rodolfo de Carvalho ^[1] ; Bento, Silvana Ferreira ^{[2, 3]} ; Fernandes, Karayna Gil ^{[4, 1]} ; Araujo, Danielle Miyamoto ^[1] ; Fahl, Isabela Dias ^[3] ; Fanton, Tatiana de Figueiredo ^[2] ; Benaglia, Tatiana ^[5] ; Duarte Osis, Maria Jose ^{[4, 1]} ; Duarte, Graciana Alves ^[2] ; de Padua, Karla Simonia ^{[2, 3]} ; Faundes, Anibal ^{[1, 2]} ; Santos de Menezes, Carlos Augusto ; Medeiros Paiva, Claudio Sergio ; do Nascimento, Denis Jose ; Pereira Rocha da Silva, Edilberto Alves ; Dantas Moises, Elaine Christine ; Henrique Lotufo, Fatima Aparecida ; Carvalho Bastos, Fernando Artur ; de Lucena Feitosa, Francisco Edson ; Machado Viana, Francisco Jose ; Pereira de Sousa, Francisco Lazaro ; Brum, Ione Rodrigues ; de Castro Moreira, Joaquim Luiz ; de Souza Lima, Marcelo Marques ; Correa Junior, Mario Dias ; dos Santos Rocha, Marla Niag ; Sass, Nelson ; de Moraes Filho, Olimpio Barbosa ; Mattar, Rosiane ; Quintana, Silvana Maria ; Medeiros Borges, Vera Therezinha ; Coelho, Yalli ; Brasil, Grp Estudos Aborto

Affiliation

^[1] Univ Estadual Campinas, Fac Ciencias Med, Campinas - Brazil

^[2] Ctr Pesquisas Saude Reprod Campinas, Campinas - Brazil

^[3] Univ Estadual Campinas, Hosp Mulher Prof Doutor Jose Aristodemo Pinotti, Campinas - Brazil

^[4] Fac Med Jundiai, Jundiai - Brazil

^[5] Univ Estadual Campinas, Inst Matemat Estat & Comp Cient, Campinas - Brazil

• Document type: Journal article
• Source: Cadernos de Saúde Pública; v. 36, n. 1 2020.
• Web of Science Citations: 2

Abstract

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 maimed 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 (682%) 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. (AU)

• FAPESP's process: 12/23129-6 - Medical abortion: knowledge and attitude among Brazilian resident gynecologist
• Grantee: Anibal Eusébio Faúndes Latham
• Support Opportunities: Regular Research Grants