Conhecimento de médicos residentes em ginecologia e obstetrícia sobre o aborto medicamentoso
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Institucional da UFMG |
Texto Completo: | https://doi.org/10.1590/0102-311X00187918 http://hdl.handle.net/1843/51908 https://orcid.org/0000-0002-5739-0009 https://orcid.org/0000-0003-3048-2250 https://orcid.org/0000-0003-4014-6277 https://orcid.org/0000-0001-6080-3196 https://orcid.org/0000-0003-4275-8031 https://orcid.org/0000-0002-5610-4154 https://orcid.org/0000-0003-4111-3864 https://orcid.org/0000-0003-3625-1525 https://orcid.org/0000-0003-3979-3944 https://orcid.org/0000-0001-7365-5161 https://orcid.org/0000-0003-4178-6030 https://orcid.org/0000-0001-9099-4544 https://orcid.org/0000-0002-6715-0439 https://orcid.org/0000-0001-6884-8583 https://orcid.org/0000-0003-4198-0546 https://orcid.org/0000-0001-7187-1004 https://orcid.org/0000-0003-1405-5371 https://orcid.org/0000-0002-9311-786X |
Resumo: | 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 returned 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 (68.2%) 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. |
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Conhecimento de médicos residentes em ginecologia e obstetrícia sobre o aborto medicamentosoKnowledge on medical abortion among brazilian medical residents in gynecology and obstetricsAborto legalAbortoConhecimentoCorpo clínico hospitalarAborto legalMisoprostolCorpo clínico hospitalarMedicamentosMedical 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 returned 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 (68.2%) 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.O aborto medicamentoso ou farmacológico tem demonstrado ser um meio eficaz para a interrupção da gravidez. Entretanto, o treinamento de provedores no uso do misoprostol tem sido limitado. O presente artigo tem como objetivo identificar o grau de conhecimento dos médicos residentes em Ginecologia e Obstetrícia sobre aborto medicamentoso. Realizou-se um estudo transversal multicêntrico com residentes regularmente inscritos no programa de residência em Ginecologia e Obstetrícia de vinte e um hospitais de ensino. Foi utilizado um questionário de autorresposta. As respostas corretas a cada uma das alternativas foram identificadas e uma variável de resposta binária (≥ P70, < P70) foi definida pelo percentil 70 do número de perguntas sobre o misoprostol. Quatrocentos e sete médicos residentes devolveram o questionário, sendo que 404 estavam preenchidos e três em branco. A maioria (56,3%) dos residentes tinha até 27 anos de idade, era do sexo feminino (81,1%) e não vivia junto com um(a) companheiro(a) (70%). A maior proporção (68,2%) estava cursando o primeiro ou segundo ano da residência. Apenas 40,8% dos participantes acertaram 70% ou mais das afirmativas. Na análise múltipla, cursar o terceiro ano de residência ou superior (OR = 2,18; IC95%: 1,350-3,535) e ter participado do atendimento a uma mulher com abortamento induzido ou provavelmente induzido (OR = 4,12; IC95%: 1,761-9,621) mostraram-se associados a um maior conhecimento sobre o tema. Entre os médicos brasileiros residentes em Ginecologia e Obstetrícia, o conhecimento sobre o aborto medicamentoso é muito reduzido e constitui um obstáculo para o bom atendimento dos casos de interrupção legal da gestação.FAPEMIG - Fundação de Amparo à Pesquisa do Estado de Minas GeraisUniversidade Federal de Minas GeraisBrasilHCL - HOSPITAL DAS CLINICASMED - DEPARTAMENTO DE GINECOLOGIA OBSTETRÍCIAUFMG2023-04-12T22:25:30Z2023-04-12T22:25:30Z2020info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlepdfapplication/pdfhttps://doi.org/10.1590/0102-311X001879181678-4464http://hdl.handle.net/1843/51908https://orcid.org/0000-0002-5739-0009https://orcid.org/0000-0003-3048-2250https://orcid.org/0000-0003-4014-6277https://orcid.org/0000-0001-6080-3196https://orcid.org/0000-0003-4275-8031https://orcid.org/0000-0002-5610-4154https://orcid.org/0000-0003-4111-3864https://orcid.org/0000-0003-3625-1525https://orcid.org/0000-0003-3979-3944https://orcid.org/0000-0001-7365-5161https://orcid.org/0000-0003-4178-6030https://orcid.org/0000-0001-9099-4544https://orcid.org/0000-0002-6715-0439https://orcid.org/0000-0001-6884-8583https://orcid.org/0000-0003-4198-0546https://orcid.org/0000-0001-7187-1004https://orcid.org/0000-0003-1405-5371https://orcid.org/0000-0002-9311-786XporCadernos de Saúde PúblicaRodolfo de Carvalho PacagnellaSilvana Ferreira BentoKarayna Gil FernandesDanielle Miyamoto AraújoIsabela Dias FahlTatiana de Figueiredo FantonTatiana BenagliaMaria José Duarte OsisGraciana Alves DuarteKarla Simônia de PáduaAnibal FaúndesCarlos Augusto Santos de MenezesClaudio Sérgio Medeiros PaivaDênis José do NascimentoEdilberto Alves Pereira Rocha da SilvaElaine Christine Dantas MoisésFátima Aparecida Henrique LotufoFernando Artur Carvalho BastosFrancisco Edson de Lucena FeitosaFrancisco José Machado VianaFrancisco Lázaro Pereira de SousaIone Rodrigues BrumJoaquim Luiz de Castro MoreiraMarcelo Marques de Souza LimaMário Dias Côrrea JúniorMarla Niag dos Santos RochaNelson SassOlímpio Barbosa de Moraes FilhoRosiane MattarSilvana Maria QuintanaVera Therezinha Medeiros BorgesYalli Coelhoinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFMGinstname:Universidade Federal de Minas Gerais (UFMG)instacron:UFMG2023-04-12T22:25:30Zoai:repositorio.ufmg.br:1843/51908Repositório InstitucionalPUBhttps://repositorio.ufmg.br/oairepositorio@ufmg.bropendoar:2023-04-12T22:25:30Repositório Institucional da UFMG - Universidade Federal de Minas Gerais (UFMG)false |
dc.title.none.fl_str_mv |
Conhecimento de médicos residentes em ginecologia e obstetrícia sobre o aborto medicamentoso Knowledge on medical abortion among brazilian medical residents in gynecology and obstetrics |
title |
Conhecimento de médicos residentes em ginecologia e obstetrícia sobre o aborto medicamentoso |
spellingShingle |
Conhecimento de médicos residentes em ginecologia e obstetrícia sobre o aborto medicamentoso Rodolfo de Carvalho Pacagnella Aborto legal Aborto Conhecimento Corpo clínico hospitalar Aborto legal Misoprostol Corpo clínico hospitalar Medicamentos |
title_short |
Conhecimento de médicos residentes em ginecologia e obstetrícia sobre o aborto medicamentoso |
title_full |
Conhecimento de médicos residentes em ginecologia e obstetrícia sobre o aborto medicamentoso |
title_fullStr |
Conhecimento de médicos residentes em ginecologia e obstetrícia sobre o aborto medicamentoso |
title_full_unstemmed |
Conhecimento de médicos residentes em ginecologia e obstetrícia sobre o aborto medicamentoso |
title_sort |
Conhecimento de médicos residentes em ginecologia e obstetrícia sobre o aborto medicamentoso |
author |
Rodolfo de Carvalho Pacagnella |
author_facet |
Rodolfo de Carvalho Pacagnella Silvana Ferreira Bento Karayna Gil Fernandes Danielle Miyamoto Araújo Isabela Dias Fahl Tatiana de Figueiredo Fanton Tatiana Benaglia Maria José Duarte Osis Graciana Alves Duarte Karla Simônia de Pádua Anibal Faúndes Carlos Augusto Santos de Menezes Claudio Sérgio Medeiros Paiva Dênis José do Nascimento Edilberto Alves Pereira Rocha da Silva Elaine Christine Dantas Moisés Fátima Aparecida Henrique Lotufo Fernando Artur Carvalho Bastos Francisco Edson de Lucena Feitosa Francisco José Machado Viana Francisco Lázaro Pereira de Sousa Ione Rodrigues Brum Joaquim Luiz de Castro Moreira Marcelo Marques de Souza Lima Mário Dias Côrrea Júnior Marla Niag dos Santos Rocha Nelson Sass Olímpio Barbosa de Moraes Filho Rosiane Mattar Silvana Maria Quintana Vera Therezinha Medeiros Borges Yalli Coelho |
author_role |
author |
author2 |
Silvana Ferreira Bento Karayna Gil Fernandes Danielle Miyamoto Araújo Isabela Dias Fahl Tatiana de Figueiredo Fanton Tatiana Benaglia Maria José Duarte Osis Graciana Alves Duarte Karla Simônia de Pádua Anibal Faúndes Carlos Augusto Santos de Menezes Claudio Sérgio Medeiros Paiva Dênis José do Nascimento Edilberto Alves Pereira Rocha da Silva Elaine Christine Dantas Moisés Fátima Aparecida Henrique Lotufo Fernando Artur Carvalho Bastos Francisco Edson de Lucena Feitosa Francisco José Machado Viana Francisco Lázaro Pereira de Sousa Ione Rodrigues Brum Joaquim Luiz de Castro Moreira Marcelo Marques de Souza Lima Mário Dias Côrrea Júnior Marla Niag dos Santos Rocha Nelson Sass Olímpio Barbosa de Moraes Filho Rosiane Mattar Silvana Maria Quintana Vera Therezinha Medeiros Borges Yalli Coelho |
author2_role |
author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author |
dc.contributor.author.fl_str_mv |
Rodolfo de Carvalho Pacagnella Silvana Ferreira Bento Karayna Gil Fernandes Danielle Miyamoto Araújo Isabela Dias Fahl Tatiana de Figueiredo Fanton Tatiana Benaglia Maria José Duarte Osis Graciana Alves Duarte Karla Simônia de Pádua Anibal Faúndes Carlos Augusto Santos de Menezes Claudio Sérgio Medeiros Paiva Dênis José do Nascimento Edilberto Alves Pereira Rocha da Silva Elaine Christine Dantas Moisés Fátima Aparecida Henrique Lotufo Fernando Artur Carvalho Bastos Francisco Edson de Lucena Feitosa Francisco José Machado Viana Francisco Lázaro Pereira de Sousa Ione Rodrigues Brum Joaquim Luiz de Castro Moreira Marcelo Marques de Souza Lima Mário Dias Côrrea Júnior Marla Niag dos Santos Rocha Nelson Sass Olímpio Barbosa de Moraes Filho Rosiane Mattar Silvana Maria Quintana Vera Therezinha Medeiros Borges Yalli Coelho |
dc.subject.por.fl_str_mv |
Aborto legal Aborto Conhecimento Corpo clínico hospitalar Aborto legal Misoprostol Corpo clínico hospitalar Medicamentos |
topic |
Aborto legal Aborto Conhecimento Corpo clínico hospitalar Aborto legal Misoprostol Corpo clínico hospitalar Medicamentos |
description |
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 returned 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 (68.2%) 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. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020 2023-04-12T22:25:30Z 2023-04-12T22:25:30Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://doi.org/10.1590/0102-311X00187918 1678-4464 http://hdl.handle.net/1843/51908 https://orcid.org/0000-0002-5739-0009 https://orcid.org/0000-0003-3048-2250 https://orcid.org/0000-0003-4014-6277 https://orcid.org/0000-0001-6080-3196 https://orcid.org/0000-0003-4275-8031 https://orcid.org/0000-0002-5610-4154 https://orcid.org/0000-0003-4111-3864 https://orcid.org/0000-0003-3625-1525 https://orcid.org/0000-0003-3979-3944 https://orcid.org/0000-0001-7365-5161 https://orcid.org/0000-0003-4178-6030 https://orcid.org/0000-0001-9099-4544 https://orcid.org/0000-0002-6715-0439 https://orcid.org/0000-0001-6884-8583 https://orcid.org/0000-0003-4198-0546 https://orcid.org/0000-0001-7187-1004 https://orcid.org/0000-0003-1405-5371 https://orcid.org/0000-0002-9311-786X |
url |
https://doi.org/10.1590/0102-311X00187918 http://hdl.handle.net/1843/51908 https://orcid.org/0000-0002-5739-0009 https://orcid.org/0000-0003-3048-2250 https://orcid.org/0000-0003-4014-6277 https://orcid.org/0000-0001-6080-3196 https://orcid.org/0000-0003-4275-8031 https://orcid.org/0000-0002-5610-4154 https://orcid.org/0000-0003-4111-3864 https://orcid.org/0000-0003-3625-1525 https://orcid.org/0000-0003-3979-3944 https://orcid.org/0000-0001-7365-5161 https://orcid.org/0000-0003-4178-6030 https://orcid.org/0000-0001-9099-4544 https://orcid.org/0000-0002-6715-0439 https://orcid.org/0000-0001-6884-8583 https://orcid.org/0000-0003-4198-0546 https://orcid.org/0000-0001-7187-1004 https://orcid.org/0000-0003-1405-5371 https://orcid.org/0000-0002-9311-786X |
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1678-4464 |
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Cadernos de Saúde Pública |
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info:eu-repo/semantics/openAccess |
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openAccess |
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pdf application/pdf |
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Universidade Federal de Minas Gerais Brasil HCL - HOSPITAL DAS CLINICAS MED - DEPARTAMENTO DE GINECOLOGIA OBSTETRÍCIA UFMG |
publisher.none.fl_str_mv |
Universidade Federal de Minas Gerais Brasil HCL - HOSPITAL DAS CLINICAS MED - DEPARTAMENTO DE GINECOLOGIA OBSTETRÍCIA UFMG |
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reponame:Repositório Institucional da UFMG instname:Universidade Federal de Minas Gerais (UFMG) instacron:UFMG |
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Universidade Federal de Minas Gerais (UFMG) |
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UFMG |
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Repositório Institucional da UFMG |
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Repositório Institucional da UFMG - Universidade Federal de Minas Gerais (UFMG) |
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repositorio@ufmg.br |
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