Conhecimento de médicos residentes em ginecologia e obstetrícia sobre o aborto medicamentoso

Detalhes bibliográficos
Autor(a) principal: Rodolfo de Carvalho Pacagnella
Data de Publicação: 2020
Outros Autores: 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
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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spelling 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
dc.type.driver.fl_str_mv 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
identifier_str_mv 1678-4464
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv Cadernos de Saúde Pública
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv pdf
application/pdf
dc.publisher.none.fl_str_mv 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
dc.source.none.fl_str_mv reponame:Repositório Institucional da UFMG
instname:Universidade Federal de Minas Gerais (UFMG)
instacron:UFMG
instname_str Universidade Federal de Minas Gerais (UFMG)
instacron_str UFMG
institution UFMG
reponame_str Repositório Institucional da UFMG
collection Repositório Institucional da UFMG
repository.name.fl_str_mv Repositório Institucional da UFMG - Universidade Federal de Minas Gerais (UFMG)
repository.mail.fl_str_mv repositorio@ufmg.br
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