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  • Editorial

    The Insertion of Intrauterine Devices in the Immediate Postpartum Period Remains an Important Missed Opportunity to Prevent Unplanned Pregnancies in Brazil

    Rev Bras Ginecol Obstet. 2023;45(9):501-502

    Summary

    Editorial

    The Insertion of Intrauterine Devices in the Immediate Postpartum Period Remains an Important Missed Opportunity to Prevent Unplanned Pregnancies in Brazil

    Rev Bras Ginecol Obstet. 2023;45(9):501-502

    DOI 10.1055/s-0043-1774737

    Views3
    Unplanned pregnancy continues to be a public health problem in Brazil, particularly for the most vulnerable segment of the population. According to data from the Birth in Brazil study, 55% of pregnancies are unplanned, a proportion that reaches 65.3% among adolescents. Although the copper IUD is a highly effective long-term contraceptive method, it is still […]
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  • Original Article

    Knowledge, Attitude, and Practice of Brazilian Physicians about Immediate Postpartum and Postabortion Intrauterine Device Insertion

    Rev Bras Ginecol Obstet. 2023;45(9):524-534

    Summary

    Original Article

    Knowledge, Attitude, and Practice of Brazilian Physicians about Immediate Postpartum and Postabortion Intrauterine Device Insertion

    Rev Bras Ginecol Obstet. 2023;45(9):524-534

    DOI 10.1055/s-0043-1772187

    Views3

    Abstract

    Objective

    To assess the knowledge, attitude, and practice of Brazilian physicians about immediate postpartum and postabortion intrauterine device insertion.

    Methods

    Cross-sectional online survey involving physicians on duty in public Brazilian hospitals. Participants answered an anonymous questionnaire with close-ended questions to assess their knowledge, attitude, and experience on the immediate postpartum and postabortion insertion of copper intrauterine devices.

    Results

    One hundred twenty-seven physicians working in 23 hospitals in the 5 geographic regions of Brazil completed the questionnaire. Most were female (68.5%) and worked in teaching hospitals (95.3%). The mean (standard deviation) knowledge score (0–10 scale) was 5.3 (1.3); only 27.6% of the participants had overall scores ≥7.0. Most physicians (73.2%) would insert a postpartum intrauterine device in themselves/family members. About 42% of respondents stated that they had not received any training on postpartum or postabortion intrauterine device insertion. In the past 12 months, 19.7%, 22.8%, and 53.5% of respondents stated they had not inserted any intrauterine device during a cesarean section, immediately after a vaginal delivery, or after an abortion, respectively.

    Conclusion

    Most study participants have a positive attitude toward the insertion of intrauterine devices in the immediate postpartum period, but they have limited knowledge about the use of this contraceptive method. A large percentage of respondents did not have previous training on postpartum and postabortion intrauterine device insertion and had not performed any such insertions in the last 12 months. Strategies are needed to improve the knowledge, training, and experience of Brazilian physicians on immediate postpartum and postabortion intrauterine device insertion.

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