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  • Title: Practice, attitudes and knowledge of Czech and Slovak gynaecologists concerning contraception.
    Author: Visser A, Uzel R, Ketting E, Bruyniks N, Oddens B.
    Journal: Plan Parent Eur; 1994 Mar; 23(1):19-23. PubMed ID: 12288984.
    Abstract:
    155 Czech and Slovak gynecologists completed questionnaires during the National Gynecological Congress held during November 4-6, 1992. Information was solicited on experience in family planning and practice, knowledge, and attitudes concerning contraception. The average age was 42.8 years, 33% were women, and 52% had practiced as gynecologists for 6-20 years. 93% rejected abortion as a method of birth control, while 10% stated that abstinence is more detrimental to health than abortion. The combined pill and the IUD were prescribed always (80%) or very often (60%). Over 90% perceived OCs, the IUD, and male or female sterilization as very reliable. Also, 75-90% perceived vaginal douche, rhythm, withdrawal, and the cervical mucus methods as rather reliable. Fewer gynecologists working in outpatient clinics perceived the OC as completely reliable (31%) as compared to hospital staff gynecologists (61%). Younger gynecologists also tended to be more positive about OCs than older ones. Regarding safety, only 8% mentioned the IUD, and 10% mentioned injectables and implants. 85% of gynecologists living in Prague perceived condoms as very safe compared to 50% of their colleagues elsewhere. Gynecologists working in hospitals, those with postgraduate training, over 40 years of age, and with more than 10 years of experience were less positive about the safety of the IUD. The perceived safety of OCs and of the IUD influences prescription rates. IUDs, OCs, injectables and implants, female and male sterilization, condoms, diaphragms, and rhythm method were perceived as most convenient. Convenience was significantly correlated with the prescription rate of IUDs. The attitude concerning the suitability of contraceptives for women under 35 years of age was correlated with the prescription rate of OCs, IUDs, and condoms. 51% of the physicians were familiar with the action of hormonal contraception. Only 45% knew that OCs were also safe for smokers below 35 years. The perceived side effects and benefits of OCs and IUDs were also evaluated.
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