Knowledge and attitude towards emergency contraception among undergraduate medical students
DOI:
https://doi.org/10.18203/2319-2003.ijbcp20171111Keywords:
Emergency contraception, KAP study, Medical students, Unwanted pregnancyAbstract
Background: Studying the knowledge and attitude of medical students towards emergency contraception, as they are the future medical professionals and they will serve as the main channel for providing proper knowledge and making positive impression of it in general population. The objective of the study was to assess the knowledge and attitude of undergraduate medical students towards emergency contraception.
Methods: Medical students were given pre-validated questionnaire and divided in two groups. Group A students did not learn about emergency contraception, whereas group B students learnt about it. Interview of both groups were conducted separately. For group A, 1 hour seminar was conducted and after 7 days, same questionnaire was provided again for data collection.
Results: 154 students were included in group A whereas 162 students in group B. Average knowledge and attitude was significantly increased after seminar in group A [knowledge 41±16.88% vs. 59.32±14.46%; P<0.05; attitude 36.24±10.93 vs. 41.5±10.87; P<0.05]. Average knowledge of group B students was 64.73±12.15% whereas average attitude score was 42.9±9.79. Amongst all, 86.4%, 87% and 89.3% students were not able to describe about emergency contraception, different methods and advantages of intra-uterine device as emergency contraception, respectively. There are 82.1% students showed positive interest in learning more about emergency contraception and 70.1% agreed to recommend its use in future. Students having good knowledge showed more positive attitude towards emergency contraception [r= 0.41, P<0.05].
Conclusions: Students have poor knowledge of special issues arises with emergency contraception. Proper attention should be given to these aspects during their teaching. Students have shown their positive interest to learn more about emergency contraception. Objective based seminar will be more helpful in improving knowledge and attitude.
References
Chaudhuri SK. Editor. Practice of fertility control, 7th ed. New Delhi: Elsevier. 2008;170.
Ahmed FA, Moussa KM, Petterson KO. Assessing knowledge, attitude, and practice of emergency contraception: a cross-sectional study among Ethiopian undergraduate female students. BMC Public Health. 201212:110.
Chopra S, Dhaliwal L. Knowledge, attitude and practices of contraception in urban population of North India. Arch Gynecol Obstet. 2010;281(2):273-7.
Trussell J, Stewart F, Guest F. Emergency Contraceptive Pills: a simple proposal to reduce unintended pregnancies. Fam Plann Perspect. 1992;24:269-73.
Tesfaye T, Tilahun T, Girma E. Knowledge, attitude and practice of emergency contraceptive among women who seek abortion care at Jimma University specialized hospital, southwest Ethiopia. BMC Womens Health. 2012;12:3.
Parey B, Addison L, Mark JK, Maurice B, Tripathi V, Wahid S, et al. Knowledge, attitude and practice of emergency contraceptive pills among tertiary level students in Trinidad: a cross-sectional survey. West Indian Medical Journal. 2010;59(6):650-5.
Dixit P, Ram F, Dwivedi LK. Determinants of unwanted pregnancy in India using mathced case-control designs. BMC Pregnancy Childbirth. 2012;12:84.
International Consortium for Emergency Contraception: Emergency Contraceptive Pills. 2nd edition. Washington, DC: US Department of Health; 2004.
Schwarz EB, Gerbet B, Gonzales R. Needs for emergency contraception in urgent care settings. Contraception. 2007;75:285-8.
Giri PA, Bangal VB, Phalke DB. Knowledge and Attitude of Medical Undergraduate, Interns and Postgraduate Students in India Towards Emergency Contraception. N Am J Med Sci. 2013;5(1):37-0.
Singh S, Mittal S, Anandalakshmy PN, et al. Emergency contraception: Knowledge and views of doctors in Delhi. Health Popul Perspect Issues. 2002;25:45-54.
Linden JA. Clinical practice. Care of the adult patient after sexual assault. N Engl J Med. 2011;365(9):834-41.
Cleland K, Zhu H, Goldstuck N, et al. The efficacy of intrauterine devices for emergency contraception: a systematic review of 35 years of experience. Hum Reprod. 2012;27(7):1994-0.
Chen QJ, Xiang WP, Zhang DK, Wang RP, Luo YF, Kang JZ, et al. Efficacy and safety of a levonorgestrel enteric-coated tablet as an over-the-counter drug for emergency contraception: a Phase IV clinical trial. Human reproduction. 2011;26(9):2316-21.
Roey MM. Emergency contraception: A simple, safe, and effective approach to preventing pregnancy after unprotected intercourse. BC Medical Journal. 2002; 44(1):30-5.
Halpern V, Raymond EG, Lopez LM. Repeated use of pre- and postcoital hormonal contraception for prevention of pregnancy. Cochrane Database Syst Rev. 2010;(1):7595.
