Personal choices and use of contraception by Nigerian trainee gynaecologists: Any influence on counseling practices?
Authors: Mohammed-Durosinlorun Amina, Akinlusi Fatimat, Adesiyun Adebiyi, Rabiu Kabiru, Ojabo Augustine and Kolawole Abimbola
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Physicians with gynaecological training often have correct information about contraceptive technologies, their effects and benefits. Their personal choices may affect their practice. The objectives of this study are to find out what contraceptives Nigerian trainee gynaecologists use, and if this affects the way they counsel their clients. This was a cross-sectional survey. Participation was voluntary and 150 trainees were to fill out a pretested, self-administered questionnaire eliciting general demographic information, academic post and years of training, information on personal contraceptive use and choices, and how it may influence their practices. Analysis was done using the statistical package for social science (SPSS) computer software, version 20. Descriptive analysis was performed, using frequency tables. Chi-square test was used to compare variables and assess significance. P value of <0.05 was considered significant. There was a response rate of 62%. About 25.8% of respondents were not currently using any form of contraception and 53% were currently using modern methods of contraception, most commonly barrier methods and intrauterine devices. There was poor uptake of male sterilization. Twenty four respondents (25.8%) had several objections to contraceptive use. The choice of contraception used was significantly associated with gender. Sixteen respondents (17.2%) felt their personal choices may affect how they counsel patients and prescribe contraceptive agents. The level of respondents and number of children significantly affected counseling practices. In conclusion, trainees prefer to use natural forms of contraception. However, larger studies will be required to verify that personal objections to contraceptives introduce bias to contraceptive counseling practices.
Keywords: Contraception, personal choices, gynaecologists, counseling practices.