| Provider knowledge, attitudes, and treatment preferences for early pregnancy failure. | |
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MedLine Citation:
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PMID: 20227674 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: We sought to describe health care provider knowledge, attitudes, and treatment preferences for early pregnancy failure (EPF). STUDY DESIGN: We surveyed 976 obstetrician/gynecologists, midwives, and family medicine practitioners on their knowledge and attitudes toward treatment options for EPF, and barriers to adopting misoprostol and office uterine evacuations. We used descriptive statistics to compare practices by provider specialty and logistic regression to identify associations between provider factors and treatment practices. RESULTS: Seventy percent of providers have not used misoprostol and 91% have not used an office uterine evacuation to treat EPF in the past 6 months. Beliefs about safety and patient preferences, and prior induced abortion training were significantly associated with use of both of these treatments. CONCLUSION: Increasing education and training on the use of misoprostol and office uterine evacuation, and clarifying patient treatment preferences may increase the willingness of providers to adopt new practices for EPF treatment. |
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Authors:
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Vanessa K Dalton; Lisa H Harris; Katherine J Gold; Lisa Kane-Low; Jay Schulkin; Ken Guire; A Mark Fendrick |
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Publication Detail:
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Type: Journal Article; Research Support, U.S. Gov't, P.H.S. Date: 2010-03-15 |
Journal Detail:
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Title: American journal of obstetrics and gynecology Volume: 202 ISSN: 1097-6868 ISO Abbreviation: Am. J. Obstet. Gynecol. Publication Date: 2010 Jun |
Date Detail:
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Created Date: 2010-05-31 Completed Date: 2010-06-22 Revised Date: 2011-07-28 |
Medline Journal Info:
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Nlm Unique ID: 0370476 Medline TA: Am J Obstet Gynecol Country: United States |
Other Details:
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Languages: eng Pagination: 531.e1-8 Citation Subset: AIM; IM |
Copyright Information:
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Copyright 2010 Mosby, Inc. All rights reserved. |
Affiliation:
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Department of Obstetrics and Gynecology, University of Michigan Medical School, Ann Arbor, MI, USA. daltonvk@med.umich.edu |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Abortifacient Agents, Nonsteroidal Abortion, Spontaneous / therapy* Attitude of Health Personnel* Female Gynecology Health Care Surveys Health Knowledge, Attitudes, Practice* Health Personnel Humans Male Misoprostol Obstetrics Patient Satisfaction Physician's Practice Patterns* Physician-Patient Relations Pregnancy Questionnaires |
| Grant Support | |
ID/Acronym/Agency:
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1 K08 JS015491//PHS HHS; K12 HD001438-08/HD/NICHD NIH HHS; K23 MH085882-02/MH/NIMH NIH HHS; L30 HD059213-01/HD/NICHD NIH HHS |
| Chemical | |
Reg. No./Substance:
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0/Abortifacient Agents, Nonsteroidal; 59122-46-2/Misoprostol |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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