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Opinions and Perceptions of gynecologists and Midwives on the Use of the Intrauterine Device in Senegal

Open Journal of Obstetrics and Gynecology 2021年第11期11卷 1484-1493页

作者： Hadja Maimouna Barro Daff Khalifa Babacar Mansour Fall Youssoupha Touré Aïssatou Mbodji Moussa Diallo Abdoul Aziz Diouf Magatte Mbaye Khalifa Babacar Gueye Babacar Biaye Alassane Diouf Public Institution Aristide-Le Dantec Health Center Gynecological and Obstetric Clinic Cheikh Anta Diop University of Dakar Dakar Senegal Department of Obstetrics and Gynecology Phillipe Maguilene Senghor Center Yoff Senegal Department of Obstetrics and Gynecology Pikine University Hospital Thiaroye Pikine Senegal

Objective: The purpose of this study was to analyze the opinions of gynecologists, midwives, and interns/Specialist students practicing in Senegal about the use of IUD, and to assess factors that stand as obstacles to IUD prescribing. Patients and methods: An online questionnaire was developed to assess providers’ IUD practices and attitudes. The questionnaire was based on the one used in a Swiss study on the same topic. The platform used was Google forms. The questionnaire was shared in associative platforms involving gynecologists, midwives and interns/Specialist students. Results and comments: We received 292 feedbacks. Gynecologists represented 13.7% of the sample, interns and specialist students 11.3% and midwives 76%. Parity is a determining factor in IUD selection. The care-providers were concerned about the followings, which might have prevented the use of IUD, even though it was indicated: infections (75.7%), pelvic pain (61.3%), expulsion (48.3%), increased risk of perforation (46.9%), women’s appreciation (45.2%), ectopic pregnancy (33.9%) and sexual behavior (28.4%). Conclusion: Our study reveals that providers’ apprehensions and concerns severely limit the availability of IUDs. These concerns are often unf

关键词： Intrauterine Device IUD Parity gynecologists Midwives Interns

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Medicalization of Abortion in Poland: How Medicine Affects the Lives of Women

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Sociology Study 2021年第5期11卷 195-210页

作者： RafałMaciąg Department of Development of Nursing Social and Medical SciencesFaculty of Health SciencesMedical University of WarsawWarsawPoland

The process of medicalization of abortion in Poland began when pregnancy termination procedures were legalized in *** context in which that was possible is important:it happened under the communist rule as part of the Soviet *** main goal of communism was to promote scientific approach to medicine and to eliminate popular folk *** communist rule was also characterized by state feminism,which involved mass employment of women in industry and other *** positive side to the changes was the fact that health care was free of ***,the system excluded the care of village healers and abortionists who were replaced by obstetricians-gynecologists,usually *** to the official propaganda,an abortion that was not performed by a medical professional was dangerous for a woman’s health and could cause her ***,abortion-related mortality decreased,but the rate of abortion itself did not fall;it gradually *** is typical for countries with no free market,including communist ones,where access to contraceptive pills is very limited with abortion being the primary method of birth *** the fall of communism in Poland,access to abortion was severely restricted;nevertheless,contraceptive pills and morning-after pills are available on prescription from *** total fertility rate decreased in comparison to the period of communism and its broad access to ***,I maintain that the process of medicalization of abortion has not ended despite the partial disenfranchisement of women.

关键词： medicalization abortion gynecologists communism feminism pro-life movement church

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