Knowledge, attitudes, and practices of intrauterine adhesion prevention among healthcare providers and patients: a cross-sectional study in western China

Abstract Objective The aim was to assess the current knowledge, attitudes, and practices (KAP) of obstetricians, gynaecologists and women of childbearing age attending gynaecology/hysteroscopy clinics regarding intrauterine adhesions (IUA) by conducting a survey in various hospitals in western China...

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Main Authors: Jingyi Zhang, Sang Luo, Liwei Yuan, Yiran Jin, Dan Liu
Format: Article
Language:English
Published: BMC 2025-05-01
Series:BMC Medical Education
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Online Access:https://doi.org/10.1186/s12909-025-07273-w
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author Jingyi Zhang
Sang Luo
Liwei Yuan
Yiran Jin
Dan Liu
author_facet Jingyi Zhang
Sang Luo
Liwei Yuan
Yiran Jin
Dan Liu
author_sort Jingyi Zhang
collection DOAJ
description Abstract Objective The aim was to assess the current knowledge, attitudes, and practices (KAP) of obstetricians, gynaecologists and women of childbearing age attending gynaecology/hysteroscopy clinics regarding intrauterine adhesions (IUA) by conducting a survey in various hospitals in western China. Design In this study, a cross-sectional survey design was used to select seven representative hospitals in western China between January and June 2023.questionnaires were administered to 210 obstetricians and gynaecologists in these seven hospitals and to 306 women of childbearing age visiting the obstetrics and gynaecology/hysteroscopy clinics of these hospitals. Results A total of 506 valid responses were obtained. The interviewed doctors exhibited a high level of knowledge regarding postabortion management, which correlated positively with their years of experience and the hospital level. Approximately 96.12% of the doctors expressed a willingness to apply this knowledge in clinical practice. On the basis of their knowledge and attitudes towards abortion management, 87.86% of the doctors would choose to implement these measures effectively to protect patients’ future fertility. The patients’ knowledge significantly improved after treatment, with 92.33% of the patients agreeing that protective measures should be taken during sexual intercourse when procreation is not intended. However, in practice, only 47.67% of the women voluntarily used safety measures. Conclusion Enhancing doctors’ understanding of fertility protection and perioperative management can reduce the abortion rate and increase patient awareness of the potential harm caused by abortion. Strengthening reproductive health education for women of childbearing age and improving their access to relevant knowledge during preabortion education can deepen their understanding of uterine cavity adhesions. Clinical trial number Not applicable.
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spelling doaj-art-6df05ef5a2fc434cb0849a71e46de1312025-08-20T03:09:20ZengBMCBMC Medical Education1472-69202025-05-0125111010.1186/s12909-025-07273-wKnowledge, attitudes, and practices of intrauterine adhesion prevention among healthcare providers and patients: a cross-sectional study in western ChinaJingyi Zhang0Sang Luo1Liwei Yuan2Yiran Jin3Dan Liu4College of Clinical Medicine, Ningxia Medical UniversityInstitute of Medical Sciences, General Hospital of Ningxia Medical UniversityDepartment of Gynecology, General Hospital of Ningxia Medical UniversityInstitute of Medical Sciences, General Hospital of Ningxia Medical UniversityInstitute of Medical Sciences, General Hospital of Ningxia Medical UniversityAbstract Objective The aim was to assess the current knowledge, attitudes, and practices (KAP) of obstetricians, gynaecologists and women of childbearing age attending gynaecology/hysteroscopy clinics regarding intrauterine adhesions (IUA) by conducting a survey in various hospitals in western China. Design In this study, a cross-sectional survey design was used to select seven representative hospitals in western China between January and June 2023.questionnaires were administered to 210 obstetricians and gynaecologists in these seven hospitals and to 306 women of childbearing age visiting the obstetrics and gynaecology/hysteroscopy clinics of these hospitals. Results A total of 506 valid responses were obtained. The interviewed doctors exhibited a high level of knowledge regarding postabortion management, which correlated positively with their years of experience and the hospital level. Approximately 96.12% of the doctors expressed a willingness to apply this knowledge in clinical practice. On the basis of their knowledge and attitudes towards abortion management, 87.86% of the doctors would choose to implement these measures effectively to protect patients’ future fertility. The patients’ knowledge significantly improved after treatment, with 92.33% of the patients agreeing that protective measures should be taken during sexual intercourse when procreation is not intended. However, in practice, only 47.67% of the women voluntarily used safety measures. Conclusion Enhancing doctors’ understanding of fertility protection and perioperative management can reduce the abortion rate and increase patient awareness of the potential harm caused by abortion. Strengthening reproductive health education for women of childbearing age and improving their access to relevant knowledge during preabortion education can deepen their understanding of uterine cavity adhesions. Clinical trial number Not applicable.https://doi.org/10.1186/s12909-025-07273-wChildbearing ageIntrauterin adhesionKnowledge attitudes practiceObstetrician-gynecologist
spellingShingle Jingyi Zhang
Sang Luo
Liwei Yuan
Yiran Jin
Dan Liu
Knowledge, attitudes, and practices of intrauterine adhesion prevention among healthcare providers and patients: a cross-sectional study in western China
BMC Medical Education
Childbearing age
Intrauterin adhesion
Knowledge attitudes practice
Obstetrician-gynecologist
title Knowledge, attitudes, and practices of intrauterine adhesion prevention among healthcare providers and patients: a cross-sectional study in western China
title_full Knowledge, attitudes, and practices of intrauterine adhesion prevention among healthcare providers and patients: a cross-sectional study in western China
title_fullStr Knowledge, attitudes, and practices of intrauterine adhesion prevention among healthcare providers and patients: a cross-sectional study in western China
title_full_unstemmed Knowledge, attitudes, and practices of intrauterine adhesion prevention among healthcare providers and patients: a cross-sectional study in western China
title_short Knowledge, attitudes, and practices of intrauterine adhesion prevention among healthcare providers and patients: a cross-sectional study in western China
title_sort knowledge attitudes and practices of intrauterine adhesion prevention among healthcare providers and patients a cross sectional study in western china
topic Childbearing age
Intrauterin adhesion
Knowledge attitudes practice
Obstetrician-gynecologist
url https://doi.org/10.1186/s12909-025-07273-w
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