Physicians vs. Auxiliary Nurse-Midwives as Providers of IUD Services

A Study In Turkey and the Philippines

Bibliographic Data

ID10797391
AuthorsNimet Eren (corresponding author), R Ramos (0000-0001-8700-8301), R H Gray
Year1983
Volume14
Issue2
Pages43
Publication date1983-02-01
Open AccessNo
TypeARTICLE
VenueStudies in Family Planning (JOURNAL)
Journal identifiersISSN: 0039-3665 • E-ISSN: 1728-4465
PublisherJSTOR (PUBLISHER)
DOI10.2307/1965401
PMID6836665
OpenAlexW2013092059
LanguageEN
Citations received5
References cited2

Several studies have shown that nurses, nurse midwives, and paramedical personnel can provide satisfactory IUD services, but restrictions are still placed upon their provision of these services. A randomized trial of auxiliary nurse midwife and physician IUD services was conducted among 495 interval acceptors in Turkey and 510 postpartum acceptors in the Philippines between 1976 and 1979 to further evaluate this question. Discontinuations due to expulsion, removal, and pregnancy were comparable for physician and nurse midwife clients. Among Filipino women who experienced an early expulsion, nurse midwives reinserted a device in significantly more cases (54.5%) than physicians (31.3%). The diagnosis of contraindications or complications were similar in the 2 groups. Turkish women frequently refused to have pelvic examinations by male physicians, and in the Philippines, nurse midwives provided better follow up than physicians. It is concluded that auxiliary nurse midwives can provide clinical services comparable to those provided by doctors, and may give better continuity of care because they are more accessible and acceptable to clients

Developing country · Environmental health · Family medicine · Family planning · Nurse-Midwives · Obstetrics · Population · Pregnancy · Research methodology · Turkish · Global Maternal and Child Health · Maternal and fetal healthcare · Maternal and Perinatal Health Interventions · Medicine · Nursing

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