4.3 Article

Beliefs about medicines and information needs among pregnant women visiting a tertiary hospital in Belgium

期刊

EUROPEAN JOURNAL OF CLINICAL PHARMACOLOGY
卷 75, 期 7, 页码 995-1003

出版社

SPRINGER HEIDELBERG
DOI: 10.1007/s00228-019-02653-w

关键词

Pregnancy; Beliefs about medicines; Health information; Information-seeking behavior; Internet; Belgium

资金

  1. Academic Foundation Leuven

向作者/读者索取更多资源

PurposeTo explore beliefs about medicines and information needs among pregnant women visiting a tertiary hospital in Belgium and to identify patient characteristics associated with beliefs about medicines.MethodsA cross-sectional study was performed at the outpatient obstetrics clinic of the University Hospital Leuven, Belgium, between December 2016 and March 2017. All pregnant women 18years were invited to complete a web survey. The survey consisted of general and pregnancy-specific statements of the Beliefs about Medicines questionnaire and questions about information needs. Descriptive statistics, chi-square tests, Fisher's exact tests, and multinomial logistic regression were used to analyze the findings.ResultsIn total, 372 pregnant women participated. Most women showed positive attitudes towards medicines in general. However, almost 90% of women agreed to have a higher threshold to use medicines during pregnancy compared with non-pregnant situations. Likewise, 40% preferred natural remedies during pregnancy. Education in healthcare and education level were the main determinants associated with beliefs, with highly educated women showing a higher threshold to use medicines during pregnancy (p=0.005). Most women searched online for pregnancy-related information (85%) and for information about medicines (74%). However, less than one-third discussed online-retrieved information with healthcare professionals (HCPs).ConclusionsPregnant women visiting a tertiary hospital in Belgium showed a higher threshold to use medicines during pregnancy compared with non-pregnant situations and had high information needs, including for information about medicines during pregnancy. HCPs should be aware of women's individual beliefs, guide them towards reliable websites, and discuss online-retrieved information during counseling.

作者

我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。

评论

主要评分

4.3
评分不足

次要评分

新颖性
-
重要性
-
科学严谨性
-
评价这篇论文

推荐

Article Medicine, Research & Experimental

Clinical, methodology, and patient/carer expert advice in pediatric drug development by conect4children

Katharine Cheng, Fenna Mahler, Irja Lutsar, Begonya Nafria Escalera, Stefanie Breitenstein, Gilles Vassal, Joana Claverol, Nuria Noel Palacio, Ron Portman, Gavin Pope, Martijn Bakker, Tessa van Der Geest, Mark A. A. Turner, Saskia N. N. de Wildt

Summary: Many medicines are used off-label in children outside the terms of the license. The Conect4children project aims to establish a pan-European pediatric clinical trial network to facilitate the development of new medicines for children. The project has successfully set up a multidisciplinary advice service, including the input of young patients and families, to optimize pediatric trial development and provide valuable advice to trial sponsors.

CTS-CLINICAL AND TRANSLATIONAL SCIENCE (2023)

Article Pharmacology & Pharmacy

Maternal drugs and breastfeeding: Risk assessment from pharmacokinetics to safety evidence-A contribution from the ConcePTION project

Evelina Cardoso, Anaelle Monfort, Ema Ferreira, Hedvig Nordeng, Ursula Winterfeld, Karel Allegaert, Peggy Gandia, Monia Guidi, Alice Panchaud

Summary: Human milk is the best nutrition for infants, and taking medication postpartum is common. Discontinuing breastfeeding is often wrongly advised due to concerns of adverse effects on the infant, even though only a few drugs are strictly prohibited while breastfeeding. Most drugs are transferred from the mother's blood to the milk, but the amount ingested by the infant is usually small. As there is limited population-based evidence on drug safety during breastfeeding, risk assessment relies on available clinical evidence, pharmacokinetic principles, and specialized sources of information for clinical decision-making. Risk assessment should consider both the potential risk to the infant and the benefits and risks associated with breastfeeding and maternal disease. Identifying situations with potential for drug accumulation in the infant is crucial for risk assessment. Healthcare providers should assume maternal concerns and utilize risk communication to ensure medication adherence without interrupting breastfeeding unnecessarily. Decision support algorithms and strategies can be used to minimize drug exposure in the breastfed infant, even when clinically not justified.

THERAPIE (2023)

Article Nutrition & Dietetics

Hepcidin Status in Cord Blood: Observational Data from a Tertiary Institution in Belgium

Michael Ceulemans, Joline van de Vel, Dorine W. W. Swinkels, Coby M. M. Laarakkers, Jaak Billen, Kristel Van Calsteren, Karel Allegaert

Summary: This observational study aimed to provide the first data on cord blood hepcidin levels in a Belgian cohort and determine variables associated with cord blood hepcidin concentrations. The study found a moderate correlation between cord blood hepcidin and cord blood ferritin and hemoglobin, as well as an association with mode of delivery.

NUTRIENTS (2023)

Article Peripheral Vascular Disease

Blood pressure and cardiovascular risk in relation to birth weight and urinary sodium: an individual-participant meta-analysis of European family-based population studies

Yu-Ling Yu, Paula Moliterno, De-Wei An, Anke Raaijmakers, Dries S. Martens, Katarzyna Stolarz-Skrzypek, Valerie Tikhonoff, Sofia Malyutina, Edoardo Casiglia, Babangida Chori, Jan Filipovsky, Marek Rajzer, Karel Allegaert, Kalina Kawecka-Jaszcz, Peter Verhamme, Tim S. Nawrot, Jan A. Staessen, Jose Boggia

Summary: This study did not confirm its previous hypothesis, but demonstrated a correlation between birth weight and adult weight, and suggested that low birth weight increases salt sensitivity.

JOURNAL OF HYPERTENSION (2023)

Article Pediatrics

Low agreement between various eGFR formulae in pediatric and young adult ADPKD patients

Pieter Schellekens, Marcelien Verjans, Peter Janssens, Angelique Dachy, Stephanie De Rechter, Luc Breysem, Karel Allegaert, Bert Bammens, Rudi Vennekens, Pieter Vermeersch, Hans Pottel, Djalila Mekahli

Summary: This study examined a cohort of 68 genotyped ADPKD patients and compared several commonly used equations for estimating eGFR. The CKiD and CKiDU25 equations showed age or sex differences, while the FAS equations were independent of age and sex. Therefore, having reliable methods to calculate eGFR is crucial for clinical follow-up and trials.

PEDIATRIC NEPHROLOGY (2023)

Article Psychiatry

Infant exposure to Fluvoxamine through placenta and human milk: a case series-A contribution from the ConcePTION project

Anaelle Monfort, Evelina Cardoso, Chin B. Eap, Celine J. Fischer Fumeaux, Myriam Bickle Graz, Mathilde Morisod Harari, Etienne Weisskopf, Peggy Gandia, Karel Allegaert, Hedvig Nordeng, Jean-Michel Hascoet, Olivier Claris, Manuella Epiney, Chantal Csajka, Monia Guidi, Ema Ferreira, Alice Panchaud

Summary: Two women diagnosed with depression were treated with 50 mg fluvoxamine during pregnancy and lactation. The results showed minimal exposure to fluvoxamine during lactation, which is consistent with previous studies. Larger clinical and pharmacokinetic studies are needed to assess the long-term safety of this drug during lactation and the variability of its exposure through breastmilk.

FRONTIERS IN PSYCHIATRY (2023)

Review Pediatrics

Development of a neonatal Gottingen Minipig model for dose precision in perinatal asphyxia: technical opportunities, challenges, and potential further steps

Marina-Stefania Stroe, Lieselotte Van Bockstal, Allan Valenzuela, Miriam Ayuso, Karen Leys, Pieter Annaert, Sebastien Carpentier, Anne Smits, Karel Allegaert, Adrian Zeltner, Antonius Mulder, Chris Van Ginneken, Steven Van Cruchten

Summary: Animal models provide valuable information on human disease mechanisms and (patho)physiological factors affecting drug development. Nonclinical data is critical for understanding pediatric disease conditions and developing new drug therapies. This study aimed to develop a neonatal Gottingen Minipig model for investigating the impact of systemic hypoxia and therapeutic hypothermia on drug disposition in perinatal asphyxia.

FRONTIERS IN PEDIATRICS (2023)

Article Pharmacology & Pharmacy

Generic Workflow to Predict Medicine Concentrations in Human Milk Using Physiologically-Based Pharmacokinetic (PBPK) Modelling-A Contribution from the ConcePTION Project

Nina Nauwelaerts, Julia Macente, Neel Deferm, Rodolfo Hernandes Bonan, Miao-Chan Huang, Martje Van Neste, David Bibi, Justine Badee, Frederico S. S. Martins, Anne Smits, Karel Allegaert, Thomas Bouillon, Pieter Annaert

Summary: Currently, there is limited information about the safety of maternal medicines for breastfed infants. This study developed a generic physiologically-based pharmacokinetic (PBPK) model to predict concentrations of ten different medicines in human milk. The PBPK models accurately predicted plasma concentrations for non-lactating individuals and reasonably predicted milk concentrations for lactating individuals. This generic PBPK model is an important tool for assessing the safety of maternal medication during lactation.

PHARMACEUTICS (2023)

Meeting Abstract Neurosciences

Pregnancy and neonatal outcome following agomelatine and pipamperone exposure during pregnancy: A case series from the Netherlands

Michael Ceulemans, Morgane Meylemans, Laurien Raskin, Laure Sillis, Veerle Foulon, Titia Hompes, Lore Lannoo, Anne Smits, Kristel Van Calsteren, Karel Allegaert, Loes de Vries, Saskia Vorstenbosch, Benedikte Cuppers, Anneke Passier

NEUROTOXICOLOGY AND TERATOLOGY (2023)

Meeting Abstract Neurosciences

The BELpREG registration system on perinatal medication use and mother-infant outcomes: preliminary insights into the cohort's characteristics (Presented at the ENTIS business meeting)

Laure Sillisa, Cleo Vandegoor, Cato Vercaeren, Karel Allegaert, Annick Bogaerts, Maarten De Vos, Titia Hompes, Anne Smits, Kristel Van Calsteren, Jan Y. Verbakel, Veerle Foulon, Michael Ceulemans

NEUROTOXICOLOGY AND TERATOLOGY (2023)

Article Pharmacology & Pharmacy

A Population Model of Time-Dependent Changes in Serum Creatinine in (Near)term Neonates with Hypoxic-Ischemic Encephalopathy During and After Therapeutic Hypothermia

Wojciech Krzyzanski, Pia Wintermark, Pieter Annaert, Floris Groenendaal, Suzan Sahin, Mehmet Yekta Oncel, Didem Armangil, Esin Koc, Malcolm R. Battin, Alistair J. Gunn, Adam Frymoyer, Valerie Y. -L. Chock, Elif Keles, Djalila Mekahli, John van den Anker, Anne Smits, Karel Allegaert

Summary: This study aims to use a population model to investigate the time course and variability of serum creatinine (sCr) in (near) term neonates with moderate to severe encephalopathy during and after therapeutic hypothermia (TH). The study found that acute kidney injury (AKI) has a strong impact on sCr kinetics and glomerular filtration rate (GFR). Birth weight and gestational age were not significant factors. Therapeutic hypothermia transiently increased sCr levels in neonates, while neonates with AKI exhibited delayed postnatal GFR increase and higher sCr synthesis rate.

AAPS JOURNAL (2023)

Article Medicine, General & Internal

The development of the Belgian paediatric clinical trial network

E. Degraeuwe, L. Persijn, L. Nuytinck, K. Allegaert, L. De Taeye, E. Gasthuys, D. Christiaens, S. Karamaria, A. Raes, M. Turner, J. Vande Walle

Summary: Pediatric clinical trials are often hindered by limited evidence-based dosing, lack of expertise, and regulatory burdens. The Belgian Paediatric Clinical Research Network has been relaunched in 2018 to address these issues and improve trial quality, safety, and efficiency. Collaboration, government support, and site-level improvements are crucial for lasting transformation in pediatric medicine research.

ACTA CLINICA BELGICA (2023)

Review Pharmacology & Pharmacy

Challenges Related to Acquisition of Physiological Data for Physiologically Based Pharmacokinetic (PBPK) Models in Postpartum, Lactating Women and Breastfed Infants-A Contribution from the ConcePTION Project

Martje Van Neste, Annick Bogaerts, Nina Nauwelaerts, Julia Macente, Anne Smits, Pieter Annaert, Karel Allegaert

Summary: Physiologically based pharmacokinetic (PBPK) modelling is a method to predict pharmacokinetics in specific populations based on population-specific and medicine-specific data. This review focuses on the challenges of developing PBPK models for postpartum, lactating women and breastfed infants, including factors such as postpartum weight retention, human milk intake, and changes in milk composition and enzymatic activities. The currently available models lack structured systematic acquisition of population-specific data, and future directions include systematic searches to fully identify physiological data and improve the models.

PHARMACEUTICS (2023)

Review Obstetrics & Gynecology

Management of preterm labor: Clinical practice guideline and recommendation by the WAPM-World Association of Perinatal Medicine and the PMF-Perinatal Medicine Foundation

Themistoklis Dagklis, Ranjit Akolekar, Cecilia Villalain, Ioannis Tsakiridis, Assaad Kesrouani, Aydin Tekay, Walter Plasencia, Sven Wellmann, Satoshi Kusuda, Nelly Jekova, Federico Prefumo, Nicola Volpe, Petya Chaveeva, Karel Allegaert, Asma Khalil, Cihat Sen

Summary: This practice guideline aims to improve the management of preterm labor and provides further guidance for healthcare practitioners on diagnosing preterm labor and the appropriate use of medications.

EUROPEAN JOURNAL OF OBSTETRICS & GYNECOLOGY AND REPRODUCTIVE BIOLOGY (2023)

Article Peripheral Vascular Disease

Blood pressure and renal function responses in workers exposed to lead for up to six years

Yu-Ling Yu, De-Wei An, Wen-Yi Yang, Peter Verhamme, Karel Allegaert, Tim S. Nawrot, Jan A. Staessen

Summary: The Study for Promotion of Health in Recycling Lead (SPHERL) assessed the blood pressure and renal function responses in workers without previous occupational lead exposure over a period of 6 years. The results showed that there was no significant correlation between the changes in blood pressure and renal function and the increase in blood lead level. Therefore, it can be concluded that modern lead-handling facilities operating under current safety rules are safe.

JOURNAL OF CLINICAL HYPERTENSION (2023)

暂无数据