Assessment of Knowledge, Attitude and Practice of Gynecology and Obstetrics Residents about Pain Management of First Trimester Surgical Abortion via Suction and Curettage in Tikur Anbesa Specialized Hospital, Ghandi Memorial Hospital and Zewditu Memorial Hospital Addis Ababa, Ethiopia, 2017
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Date
2018-05
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Addis Ababa Universty
Abstract
Background: First Trimester Surgical Abortions (FTSA) especially cervical dilation and suction aspiration are associated with pain. Researchers estimated that in Ethiopia, in 2008, as many as 103,140 of induced abortions were performed in health facilities. Between 2008 and 2014, the proportion of abortions occurring in facilities rose from 27% to 53%.There is no available data or guideline to know the pain management practice during first trimester abortions In Ethiopia. There is also lack of available study done to assess the level of knowledge, attitude and practice of physicians toward pain management practice during First Trimester Surgical Abortion.
Objectives: The aim of this research is to assess knowledge, attitude and practice of Gynecology and Obstetrics Residents in the management of pain during First Trimester Surgical Abortion via Suction and curettage in TASH, GMH and ZMH.
Methods: Multi center cross-sectional study in three hospitals (TASH, GMH and ZMH) was conducted during the month of October 2 – November 6, 2017 to assess knowledge, attitude and practice of GOR in the management of FTSA. A total of 62 residents participated in this study from a total population of 76. Structured, self-administered questionnaire was used to collect the data. The collected data was analyzed through SPSS version 20 software.
Results: The proportion of residents who had good knowledge regarding pain management during first trimester surgical abortion was found to be only 11%. The residents who had good practice of pain management were 6.5% and there were 83.5% of residents who had favorable attitude regarding pain management. There was significant association between the knowledge of the respondents and attaching in TASH with (n=7) and P value of 0.004. Attitude index of the respondents has also significant association with year of residency with a p value of 0.0329.
Conclusion and Recommendations: There was very low measured knowledge and attitude level of the physicians. And also the physicians own assessment of the suboptimal pain management practice of their hospital leads us to recommend further training on pain management options suitable for our setup.
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Pain management, First trimester, Knowledge, Attitude, Practice.