WRISK voices: A mixed-methods study of women's experiences of pregnancy-related public health advice and risk messages in the UK

Blaylock, Rebecca; Trickey, Heather; Sanders, Julia

doi:10.1016/j.midw.2022.103433

Cited by 13 publications

(10 citation statements)

References 27 publications

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“…We describe the survey and demographic characteristics of respondents in full in a previous publication. 16 For the purposes of this publication, we present free text responses from the survey pertaining to medication use in pregnancy only.…”

Section: Methodsmentioning

confidence: 99%

“…The study aimed to hear women’s voices through public involvement, quantitative and qualitative methodologies with a specific objective of exploring the views of women previously identified as feeling stigmatised or poorly served by current practice. 16 This paper focuses specifically on women’s experiences of medication use in pregnancy as reported in open free-text comments in the survey and in-depth interviews.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Women’s experiences of over-the-counter and prescription medication during pregnancy in the UK: findings from survey free-text responses and narrative interviews

Sanders

Blaylock²,

Dean

et al. 2023

BMJ Open

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ObjectivesTo explore women’s experiences of over-the-counter and prescription medication advice and use during pregnancy.DesignA study design consisting of an online survey and nested in-depth interviews with a subsample of participants. We analysed data from survey free-text responses and in-depth interviews using thematic analysis. Quantitative survey data is published elsewhere.SettingThe UK.ParticipantsWomen were eligible if living in the UK, aged 16–45 years, were pregnant or had been pregnant in the last 5 years regardless of pregnancy outcome. A total of 7090 women completed the survey, and 34 women who collectively had experienced 68 pregnancies were subsequently interviewed.ResultsMedication prescribing and use during pregnancy was common. The prescribing, dispensing and taking of some advised medications were restricted through women’s or prescribers’ fear of fetal harm. Lack of adherence to national prescribing guidance, conflicting professional opinion and poor communication resulted in maternal anxiety, avoidable morbidity and women negotiating complex and distressing pathways to obtain recommended medications. In contrast, some women felt overmedicated and that pharmacological treatments were used without exploring other options first.ConclusionIncreased translation of national guidance into practice and greater personalisation of antenatal care are needed to improve the safety, efficacy and personalisation of prescribing in pregnancy.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Women’s experiences of over-the-counter and prescription medication during pregnancy in the UK: findings from survey free-text responses and narrative interviews

Sanders

Blaylock²,

Dean

et al. 2023

BMJ Open

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“…Namun, menegosiasikan lanskap risiko dan sistem perawatan bersalin dapat terasa membingungkan dan melemahkan. Hubungan antara perempuan dan penyedia layanan kesehatan mereka adalah yang terpenting, tetapi mereka dapat dipengaruhi secara negatif oleh masalah kepercayaan dan otonomi (Blaylock et al, 2022).…”

Section: Pendahuluanunclassified

Tingkat Pengetahuan Terhadap Ibu Hamil Resiko Tinggi Melalui Kompetensi Soft Skill dan Kinerja Petugas Kesehatan

Rukina¹,

Pangastuti²

2022

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Pendahuluan: membangunan kesehatan merupakan cara untuk meningkatkan kesadaran, kemauan dan kemampuan untuk hidup sehat bagi setiap orang sehingga tingkat kesehatan masyarakat yang optimal dapat tercapai. Tujuan: mengetahui pengaruh tingkat pengetahuan terhadap ibu hamil resiko tinggi melalui kompetensi soft skill dan kinerja petugas kesehatan. Metode: Penelitian kuantitatif yang dilaksanakan. Populasi penelitian adalah seluruh ibu hamil. Tehnik sampling adalah simple random sampling dengan rumus slovin sehingga sampel penelitian ini adalah 126 orang. Teknik pengumpulan data melalui observasi, kuesioner, wawancara dan dokumentasi, sedangkan teknik analisis data menggunakan path analysis. Hasil: menunjukkan bahwa kehamilan resiko tinggi dapat ditangani dengan semakin baiknya tingkat pengetahuan, kompetensi soft skill dan juga kinerja tenaga kesehatan. Tingkat pengetahuan merupakan variabel yang memiliki pengaruh dominan terhadap kehamilan resiko tinggi yang ditunjukkan dengan tingginya advokasi dan pemberdayaan yang dilakukan oleh tenaga kesehatan dalam mendukung kualitas kehamilan. Kesimpulan: bahwa kehamilan resiko tinggi dapat ditangani dengan semakin baiknya tingkat pengetahuan, kompetensi soft skill dan juga kinerja tenaga kesehatan. Meskipun demikian kompetensi soft skill dan juga kinerja tenaga kesehatan memberikan kontribusi yang baik dalam meningkatkan kualitas kehamilan

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“…For carbon monoxide monitoring, women reported the use of ‘objective’ measures undermined their relationship with midwives. One interviewee felt the screening ‘strengthens the power imbalance between clinician and patient’ when any questions concerning smoking are routinely followed by an objective screen 33. The rights of privacy, confidentiality and trust are central to the fiduciary relationship between the patient and her midwife and, if threatened, could have a wider impact on the medical profession more widely.…”

Section: Not In Anyone’s Best Interestsmentioning

confidence: 99%

Using meconium to establish prenatal alcohol exposure in the UK: ethical, legal and social considerations

Arkell¹,

Lee

2022

J Med Ethics

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An expanding policy framework aimed at monitoring alcohol consumption during pregnancy has emerged. The primary justification is prevention of harm from what is termed ‘prenatal alcohol exposure’ (PAE), by enabling more extensive diagnosis of the disability labelled fetal alcohol spectrum disorder (FASD). Here we focus on proposals to include biomarkers as a PAE ‘screening tool’, specifically those found in meconium (the first newborn excrement), which are discussed as an ‘objective’ measure of PAE.We ask the overarching question, ‘Can routine screening of meconium to establish PAE be ethically or legally justified’, and we answer, ‘No’. To reach this conclusion, we discuss three areas. First, we consider the reasons why meconium screening should not be deemed ‘typical’ within the scope of accepted screening tools. We argue that given the aim and necessary timing of the screen, it cannot achieve what it promises. Second, we outline why patient autonomy and consent are not properly accounted for and cannot be reconciled with the ‘routinisation’ of the proposed ‘screening’. Last, we outline why the benefit of such a screen is not clear, focusing on the significance of trust in healthcare professionals (HCP) for the best interests of the future child and pregnant woman.While recognising the adverse effects of heavy alcohol consumption during pregnancy, we emphasise the case for robust ethical, legal and social considerations and the central need for trust between HCP and patients in maternity care. We conclude the permissibility of meconium screening has not been proven, and it is not justified.

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WRISK voices: A mixed-methods study of women's experiences of pregnancy-related public health advice and risk messages in the UK

Cited by 13 publications

References 27 publications

Women’s experiences of over-the-counter and prescription medication during pregnancy in the UK: findings from survey free-text responses and narrative interviews

Women’s experiences of over-the-counter and prescription medication during pregnancy in the UK: findings from survey free-text responses and narrative interviews

Tingkat Pengetahuan Terhadap Ibu Hamil Resiko Tinggi Melalui Kompetensi Soft Skill dan Kinerja Petugas Kesehatan

Using meconium to establish prenatal alcohol exposure in the UK: ethical, legal and social considerations

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