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Original Article08-15-2022
Support Systems and Limitations in Therapeutic Abortion Care by the Gynecologist-Obstetrician of Public Hospitals in Peru
Revista Brasileira de Ginecologia e Obstetrícia. 2022;44(6):560-566
Abstract
Original ArticleSupport Systems and Limitations in Therapeutic Abortion Care by the Gynecologist-Obstetrician of Public Hospitals in Peru
Revista Brasileira de Ginecologia e Obstetrícia. 2022;44(6):560-566
Views199See moreAbstract
Objective
To identify the barriers to provide to women and adequately train physicians on therapeutic abortions in public hospitals in Peru.
Methods
Descriptive cross-sectional survey-based study. We invited 400 obstetrics and gynecology specialists from 7 academic public hospitals in Lima and 8 from other regions of Peru. Expert judges validated the survey.
Results
We collected survey results from 160 participants that met the inclusion criteria. Of those, 63.7% stated that the hospital where they work does not offer abortion training. Most of the participants consider that the position of the Peruvian government regarding therapeutic abortion is indifferent or deficient. The major limitations to provide therapeutic abortions included Peruvian law (53.8%), hospital policies (18.8%), and lack of experts (10.6%).
Conclusion
Most surveyed physicians supported therapeutic abortions and showed interest in improving their skills. However, not all hospitals offer training and education. The limited knowledge of the physicians regarding the law and institutional policies, as well as fear of ethical, legal, and religious repercussions, were the main barriers for providing abortions.
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Original Article08-26-2020
Evaluation of a Laparoscopic Multi-approach Training for Obstetrics and Gynecology Residents
Revista Brasileira de Ginecologia e Obstetrícia. 2020;42(7):404-410
Abstract
Original ArticleEvaluation of a Laparoscopic Multi-approach Training for Obstetrics and Gynecology Residents
Revista Brasileira de Ginecologia e Obstetrícia. 2020;42(7):404-410
Views159See moreAbstract
Objective
To analyze the applicability and efficiency of amulti-approach laparoscopic training in improving basic laparoscopic skills of obstetrics and gynecology (OBGYN) residents.
Methods
Cross-sectional, observational and descriptive study, developed at the Experimentation and Surgery Training Center (CETEC, in the Portuguese acronym) of the Hospital Israelita Albert Einstein with OBGYN residents. Theoretical and practical tests were applied to 24 OBGYN residents to assess their laparoscopic skills before and after their participation in an 8-week course. The course involved theoretical lectures and practical laparoscopic surgery exercises developed using rubber models, black boxes, virtual simulators and animal models (pigs).
Results
There was an overall improvement in the ability of the residents, with an increase in the number of correct answers in the theoretical evaluation and decrease in the time needed to perform practical tests (needle holder assembly and laparoscopic node). The course was evaluated by the students as highly relevant for both improving their surgical skills and motivating them to continue practicing.
Conclusion
Laparoscopic training using multiple approaches resulted in significant improvement of surgical skills with a high satisfaction level of the participants. Further studies are still needed to measure the long-term retention of these acquired skills.
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