Actitudes y conocimientos en la prescripción de medicamentos a embarazadas por los médicos rurales de la provincia del Azuay en el año 2011

Abstract

Objective: To assess the attitudes and knowledge in prescribing drugs to pregnant women by rural physicians in province of Azuay in 2011. Method and Materials: A cross-sectional study period from June 2010 through April 2011, we worked with the universe of all rural physicians in province of Azuay they are 122. For the data collection we used a validated questionnaire, the same as used by Baldon Josiane, et al, in Brazil in 2006, the original questionnaire was adapted to be answered by rural physicians. RESULTS: In this study 11 physicians did not participate in the study. On average, 67.75% of participants answered correctly. 6.5% did not feel safe prescribing. The 25.41% chose the wrong option. The Lower success rate corresponded to the requirements of prednisone, levothyroxine, (30.63% each one). The highest success rate occurred with paracetamol (100%). The Cases that produce more doubts were related to the use of prednisone (13.51%) and levothyroxine (18. 92.7%). the source of Information most consulted are books of OB / GYN , 55 physicians (49.55%) consulted those books. and 41 physicians (36.94%) use textbooks of pharmacology. Nobody uses the information provided by pharmaceutical visitors (0%). 34.23% of rural physicians always consult patients in childbearing age the possibility of pregnancy, 54.05% almost always and 11.71% sometimes. Most of rural physicians have appropriate knowledge and attitudes to prescribe drugs to pregnant women. The percentage of indecision and errors are remarkable. This problem might have negative effects in mother or fetus.