Women's questions about medicines in pregnancy – An analysis of calls to an Australian national medicines call centre

Pijpers, Eva L.; Kreijkamp-Kaspers, Sanne; McGuire, Treasure; Deckx, Laura; Brodribb, Wendy; Driel, Mieke van

doi:10.1111/ajo.12531

Cited by 16 publications

(22 citation statements)

References 26 publications

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“…28 Lim et al used the non-adherence subscale of the Beliefs and Behaviour Questionnaire to assess nonadherence in 58 women. 22 Median scores in the two study groups were 8 (6-11) and 7.5 (6)(7)(8)(9)(10)(11); scores could theoretically range from 4 to 20 with higher scores indicating non-adherence. However, no cut-off values were provided to indicate when a participant was considered non-adherent to prescribed therapy; thus, prevalence data on ICS non-adherence were unavailable.…”

Section: Adherence To Ics During Pregnancymentioning

confidence: 98%

“…In an American survey of 501 women of childbearing age with asthma, 39% discontinued or reduced their asthma medication during pregnancy; of this group, one third did not consult with their physician first . Furthermore, an Australian study of 4573 pregnancy‐related calls to a national medicines call centre found that 53% of the pregnant women indicated that inadequate information was their motivation to call . Whilst Pijpers et al did not specifically report on asthma medication, a second Australian study identified a lack of adequate information about asthma medication during qualitative interviews with 23 pregnant women with asthma …”

Section: Introductionmentioning

confidence: 99%

“…10 Furthermore, an Australian study of 4573 pregnancy-related calls to a national medicines call centre found that 53% of the pregnant women indicated that inadequate information was their motivation to call. 11 Whilst Pijpers et al did not specifically report on asthma medication, a second Australian study identified a lack of adequate information about asthma medication during qualitative interviews with 23 pregnant women with asthma. 12 No previous studies have systematically reviewed ICS use among pregnant women with asthma.…”

Section: Introductionmentioning

confidence: 99%

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Inhaled corticosteroid use during pregnancy among women with asthma: A systematic review and meta‐analysis

Robijn

Jensen

McLaughlin

et al. 2019

Clin Experimental Allergy

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Background Studies demonstrate the prescription rate for inhaled corticosteroids (ICS) decreases in early pregnancy, possibly increasing exacerbation risk. This could be related to non‐adherence to prescribed asthma medication or medication cessation by the patient or doctor. ICS use during pregnancy has not previously been summarized in a systematic review. Objective The aim of this systematic review and meta‐analysis was to evaluate the use of ICS during pregnancy among asthmatic women, specifically: (1) the prevalence of use, (2) changes of use during pregnancy compared with pre‐pregnancy and (3) medication adherence among ICS users. Methods We systematically searched literature in Embase, MEDLINE, CINAL and Cochrane, using terms related to asthma, pregnancy and medication use. All English articles reporting ICS among pregnant women with asthma were included. Prevalence, changes in ICS use during pregnancy and ICS adherence were pooled using STATA (version 15.0, StataCorp USA). Results A total of 4237 references were retrieved in the initial search. Screening and review led to the inclusion of 52 articles for one or more aims (Aim 1: N = 45; Aim 2, N = 13; and Aim 3, N = 5). The pooled prevalence of ICS use during pregnancy was 41% (95%CI 36%‐45%); 49% (95%CI 44%‐55%) in Europe, 39% (95%CI 32%‐47%) in Australia and 34% (95%CI 27%‐41%) in North America. In eight prescription databases, ICS prescription rates lowered in the first trimester of pregnancy, compared with pre‐pregnancy, increased in the second trimester and decreased in the third trimester. Five studies reported ICS adherence among pregnant women, using four measures of self‐reported non‐adherence. In two comparable studies, pooled ICS non‐adherence was 40% (95%CI 36%‐44%). Conclusions The prevalence of ICS use among pregnant women with asthma is 41% and varies widely between countries and continents, and prescription rates for ICS change throughout pregnancy. More studies are needed to investigate ICS adherence during pregnancy in women with asthma.

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Section: Adherence To Ics During Pregnancymentioning

confidence: 98%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Inhaled corticosteroid use during pregnancy among women with asthma: A systematic review and meta‐analysis

Robijn

Jensen

McLaughlin

et al. 2019

Clin Experimental Allergy

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“… Notes: a Enquiry topics of studies, besides those by Pijper et al 13 are listed according to their frequency in each individual study. In some studies, one call could contain more than one enquiry topic.…”

Section: Figurementioning

confidence: 99%

How to meet patients' individual needs for drug information - a scoping review

Kusch¹,

Haefeli²,

Seidling³

2018

PPA

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PurposeThe aim of this study was to 1) describe drug information desired by patients and 2) analyze how such information could be customized to be presented to patients according to their individual information needs.Materials and methodsWe performed a scoping literature search and identified relevant drug information topics by assessing and clustering 1) studies analyzing patients’ enquiries to drug information hotlines and services, and 2) qualitative studies evaluating patient drug information needs. For the two most frequently mentioned topics, we further analyzed which components (ie, information domains) the topics contained and examined patients’ and health care professionals’ (HCPs) views on these components.ResultsOf 27 identified drug information topics in the literature search, patients most frequently requested information on adverse drug reactions (ADRs) and drug–drug interactions (DDIs). Hypothetically, those topics are composed of seven distinct information domains each (eg, ADR and DDI classification by frequency, severity, or onset; information on management strategies, monitoring, and prevention strategies). Patients’ and HCPs’ appraisal concerning the information content of these domains varies greatly and is even lacking sometimes.ConclusionPatients particularly request information on ADRs and DDIs. Approaches to customize such information are sparse. The identified information domains of each topic could be used to structure corresponding drug information and to thus facilitate customization to individual information needs.

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“…The force of contractions of the uterus, opens the cervix and this opening is usually reported in cms that is determined by internal examination with one or two fingers. Full opening of the cervix is about 10 centimeters (6)(7)(8). Recently, according to research conducted for normal delivery, high attention has been given to those who already have a C-section (9)(10)(11)(12).…”

Section: Introductionmentioning

confidence: 99%

Frequency of Vaginal Delivery in Women with Previous Cesarean Section : A Single Referral Center Experience

Heidari¹,

Malek-Sadeghi²,

Sheikhi³

2018

ME-JFM

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Women's questions about medicines in pregnancy – An analysis of calls to an Australian national medicines call centre

Cited by 16 publications

References 26 publications

Inhaled corticosteroid use during pregnancy among women with asthma: A systematic review and meta‐analysis

Inhaled corticosteroid use during pregnancy among women with asthma: A systematic review and meta‐analysis

How to meet patients' individual needs for drug information - a scoping review

Frequency of Vaginal Delivery in Women with Previous Cesarean Section : A Single Referral Center Experience

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Women's questions about medicines in pregnancy – An analysis of calls to an Australian national medicines call centre

Cited by 16 publications

References 26 publications

Inhaled corticosteroid use during pregnancy among women with asthma: A systematic review and meta‐analysis

Inhaled corticosteroid use during pregnancy among women with asthma: A systematic review and meta‐analysis

How to meet patients&#39; individual needs for drug information - a scoping review

Frequency of Vaginal Delivery in Women with Previous Cesarean Section : A Single Referral Center Experience

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Product

Resources

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How to meet patients' individual needs for drug information - a scoping review