sábado, 19 de febrero de 2011

Provider knowledge, attitudes, and treatment prefe... [Am J Obstet Gynecol. 2010] - PubMed result




Am J Obstet Gynecol. 2010 Jun;202(6):531.e1-8. Epub 2010 Mar 15.

Provider knowledge, attitudes, and treatment preferences for early pregnancy failure.
Dalton VK, Harris LH, Gold KJ, Kane-Low L, Schulkin J, Guire K, Fendrick AM.

Department of Obstetrics and Gynecology, University of Michigan Medical School, Ann Arbor, MI, USA.
daltonvk@med.umich.edu

Abstract

OBJECTIVE: We sought to describe health care provider knowledge, attitudes, and treatment preferences for early pregnancy failure (EPF).

STUDY DESIGN: We surveyed 976 obstetrician/gynecologists, midwives, and family medicine practitioners on their knowledge and attitudes toward treatment options for EPF, and barriers to adopting misoprostol and office uterine evacuations. We used descriptive statistics to compare practices by provider specialty and logistic regression to identify associations between provider factors and treatment practices.

RESULTS: Seventy percent of providers have not used misoprostol and 91% have not used an office uterine evacuation to treat EPF in the past 6 months. Beliefs about safety and patient preferences, and prior induced abortion training were significantly associated with use of both of these treatments.

CONCLUSION: Increasing education and training on the use of misoprostol and office uterine evacuation, and clarifying patient treatment preferences may increase the willingness of providers to adopt new practices for EPF treatment.

Copyright 2010 Mosby, Inc. All rights reserved.
PMID: 20227674 [PubMed - indexed for MEDLINE]
PMCID: PMC2878908 [Available on 2011/6/1]

Provider knowledge, attitudes, and treatment prefe... [Am J Obstet Gynecol. 2010] - PubMed result

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