Norplant prescribing in family practice.
BACKGROUND
This study describes the Norplant prescribing experience, training, and attitudes of South Carolina family practice and general practice (FP/GP) physicians.


METHODS
A survey was mailed to all FP/GP physicians licensed in South Carolina, with two follow-up mailings to nonrespondents.


RESULTS
Responses were received from 520 physicians, representing 43% of all licensed FP/GP physicians and 73% of all board-certified FP physicians. Norplant had been inserted by 39% of the respondents, and fewer than 10% reported encountering complications during the insertion process. Norplant removal was reported by 135 physicians, averaging 4.4 removals per year. Complications during removal were reported by 52% of physicians, with the most common problem being difficulty finding the capsules. Some degree of training in Norplant insertion was reported by 82% of physicians; 69% reported having had some training, formal or informal, in removal; but only 57% reported having received formal training either during residency or at a workshop. Training reduced insertion time but did not affect removal time or the number of complications encountered. Formal training was more likely to prepare physicians to successfully manage procedural complications.


CONCLUSIONS
FP/GP physicians are important providers of Norplant. Improved training is needed to ensure that insertion is performed properly and to disseminate effective removal techniques.
Steadman
M S
MS
Department of Family and Preventive Medicine, University of South Carolina School of Medicine, Columbia 29203, USA.
Probst
J C
JC
Jones
W J
WJ
Keisler
D L
DL
D000328:Adult; D003430:Cross-Sectional Studies; D004343:Drug Implants / Q000009:adverse effects; D011307:Drug Prescriptions / Q000706:statistics & numerical data; D004502:Education, Medical, Continuing; D005194:Family Practice / Q000193:education / Q000706:statistics & numerical data; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D016912:Levonorgestrel / Q000008:administration & dosage / Q000009:adverse effects; D008875:Middle Aged; D010821:Physicians, Family / Q000193:education / Q000523:psychology; D010818:Practice Patterns, Physicians'; D013022:South Carolina; D013997:Time Factors
D004343:Drug Implants; D016912:Levonorgestrel