METHODOLOGY

Observational transversal multicentric study

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Gynecologist survey on Emergency Contraception

in France (end of 2012)

SCIENTIFIC COMMITTEE

Dr Michèle SCHEFFLER Fédération Nationale des Collèges de Gynécologie

Médicale

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Dr David SERFATYSociété Française de

Gynécologie

Sent questionnaires : 4152

Returned questionnaires : 520 (12,5%)

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Who were the participating gynecologists ?

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• Geographic distribution

• Age, gender, type of practice, area of specialization • Practice of emergency contraception

• Median age : 57 • % of women among participants : 82%• Private practice only (without any hospital or

Family Planning position) : 64%• Medical Gynecologists : 62%• Median seniority : 26 years

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• 250 patients per month (median number)• Among them, 40% for contraception initiation or

follow-up• Prescription of emergency contraception several

times a month by almost 65% of the participating gynecologists

• Oral emergency contraception is preferred by almost 100% of the gynecologists

• Women recognize to often run a risk of unwanted pregnancy (report from more than 85% of the participating gynecologists)

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Results of the Gynecur survey

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Do the gynecologists feel themselves well informed on emergency contraception ?

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I think that the gynecologists are informed enough on the emergency contraception in general

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93%YES

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% of Gynecologists

I think that gynecologists are informed enough onthe different methods of emergency contraception

90,8%YES

I think that gynecologists have all means to inform women on emergency contraception

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% of Gynecologists

88,3%YES

Gynecologists‘ opinion on women’s information about emergency

contraception ?

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I think that women know how to identify the risky situations of unwanted pregnancies

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% of Gynecologists

70%NO

I think that women know what to do after being exposed to a risk of unwanted pregnancy

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% of Gynecologists

83,3%NO

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% of Gynecologists

I think women know that emergency contraception is available over the counter in pharmacies

48,5%YES

54,4%NO

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% of Gynecologists

I think that women are informed enough about emergency contraception

84,4%NO

For the gynecologists,

the morning after pill is ….

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... A useful pill for my practice in contraception

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% of Gynecologists

94,1%YES

... A pill which is an integral part of my practice in contraception

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% of Gynecologists

83,5%YES

In which situations the gynecologists systematically or often

inform women on emergency contraception ?

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% of gynecologists taking preventive action according to the following situations :

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Gynecologists’ attitudes when they receive a demand of emergency contraception

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More than 45% of gynecologists cannot see the patient in such an emergency context

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% of Gynecologists

What gynecologists do in replacement of an emergency consultation ?

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They prepare They orientate They propose a consulta-a prescription the woman to a pharmacy tion in the near future

IN CONCLUSION

• The majority of the participating gynecologists :– Fell themselves well informed on emergency contraception– Prescribe emergency contraception several times a month– Take seriously their role in prevention, in particular in the most

risky situations– When they cannot see a woman who has been exposed to a risk of

unwanted pregnancy, they send a prescription by fax and/or send the woman to a pharmacy where the EC is available over the counter

• They are more dubious about :– the women’s capacity to identify a risky situation of unwanted

pregnancy– the women’s knowledge about emergency contraception

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