DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20175866

Preventive gynaecology: awareness, attitude and practices of gynecologists

Smita S. Patne, Aditi J. Upadhye, Shantanu C. Shembekar, Chaitanya A. Shembekar, Jayshree J. Upadhye

Abstract


Background: Gynecologists are aware of screening tests of all gynecological malignancies. However, attitude and practices do not match with this. Present study was conducted in 214 gynecologists to evaluate awareness, attitude and practices of preventive gynecology.

Methods: A survey was conducted among 214 gynecologists of Nagpur, using a questionnaire. This evaluated implementation of screening and preventive measures used by them for self-protection as well as for the women seeking their services. Their attitude regarding HPV vaccine as a preventive measure was also noted.

Results: In present study, 160 (74.76%) gynecologists routinely advice pap smear to the patients, 54 (25.23%) gynecologists advice pap smear to the patients only if it is indicated. 102 (47.66%) gynecologists and spouses have got their own pap smear done. 192 (89.71%) were doing their self breast examination regularly and 66 (30.84%) had done their mammography. 168 (78.50%) had their ultrasound done and 98 (45.79%) had their P/V done. 132 (61.68%) are advising HPV vaccination to the patients routinely and 48 (22.42%) gynecologists had given HPV vaccination to their daughters.

Conclusions: Proper and effective utilization of available facilities would depend on creating better understanding and change in their outlook. Stepping up and strengthening of preventive health care services is essential.


Keywords


Cervical cancer, HPV vaccine, Mammography, Pap smear

Full Text:

PDF

References


Izetbegovic S, Alazbegovic J, Mutevelic A, Pasagic A, Masic I. Prevention of diseases in Gynaecology. Int J Prev Med. 2013 Dec; 4(12):1347-58.

Stanimirović B, Kovacević Z. The national program for the early detection and treatment of premalignant and malignant diseases of the lower genital system in women. Srp Arh Celok Lek. 1997;125(5-6):181-4.

White LN. An overview of screening and early detection of gynecologic malignancies. Cancer. 1993 Feb 15;71(S4):1400-5.

Radha KR, Reena RP, Jacob KJ. Preventive gynecology: attitude and practice among gynecologists of Central Kerala. Int J Reprod Contracept Obstet Gynecol. 2017 May 25;6(6):2318-22.

Tripathi N, Kadam YR, Dhobale RV, Gore AD. Barriers for early detection of cancer amongst Indian rural women. South Asian J Cancer. 2014 Apr;3(2):122.

Wang B, He M, Chao A, Engelgau MM, Saraiya M, Wang L, Wang L. Cervical cancer screening among adult women in China, 2010. Oncologist. 2015 Jun 1;20(6):627-34.

Grimes DA, Economy KE. Primary prevention of gynecologic cancers. Am J Obstet Gynecol. 1995 Jan;172(1 Pt 1):227-35.

Centers for Disease Control and Prevention (CDC) Recommendations on the use of quadrivalent human papillomavirus vaccine in males: Advisory Committee on Immunization Practices (ACIP). MMWR. 2011;2011;60:1705-8.

Centers for Disease Control and Prevention (CDC) National and state vaccination coverage among adolescents aged 13–17 years: United States. MMWR. 2011;2012;61:671-7.

Auersperg N, Wong AS, Choi KC, Kang SK, Leung PC. Ovarian surface epithelium: Biology, endocrinology, and pathology. Endocr Rev. 2001;22:255-88.

Claes E, Evers‐Kiebooms G, Boogaerts A, Decruyenaere M, Denayer L, Legius E. Communication with close and distant relatives in the context of genetic testing for hereditary breast and ovarian cancer in cancer patients. Am J Med Genet A. 2003;116A:11-19.

Finlay E, Stopfer JE, Burlingame E, Evans KG, Nathanson KL, Weber BL, et al. Factors determining dissemination of results and uptake of genetic testing in families with known BRCA1/2 mutations. Genet Test. 2008;12:81-91.

Hadley DW, Jenkins J, Dimond E, Nakahara K, Grogan L, Liewehr DJ, et al. Genetic counseling and testing in families with hereditary nonpolyposis colorectal cancer. Arch Intern Med. 2003;163:573-82.

Sasieni P, Castanon A, Cuzick J. Effectiveness of cervical screening with age: population based case control study of prospectively recorded data. BMJ. 2009;339:b2968.