Evidence map›Paper›PMID 28900803›Full record

ArticleMaternal and child health journal2018

Making Decisions About Medication Use During Pregnancy: Implications for Communication Strategies.

Molly M Lynch, Linda B Squiers, Katherine M Kosa, Suzanne Dolina, Jennifer Gard Read, Cheryl S Broussard, Meghan T Frey, Kara N Polen, Jennifer N Lind, Suzanne M Gilboa and 1 more

Abstract read
In one paragraph

Article in Maternal and child health journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

37 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  13. Placental drug transport and fetal exposure during pregnancy is determined by drug molecular size, chemistry, and conformation.Journal of controlled release : official journal of the Controlled Release Society · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Molly M LynchRTI International, Center for Communication Science, 3040 E. Cornwallis Road, P.O. Box 12194, Research Triangle Park, NC, 27709, USA. mlynch@rti.org.
Linda B SquiersRTI International, Center for Communication Science, 3040 E. Cornwallis Road, P.O. Box 12194, Research Triangle Park, NC, 27709, USA.
Katherine M KosaRTI International, Center for Communication Science, 3040 E. Cornwallis Road, P.O. Box 12194, Research Triangle Park, NC, 27709, USA.
Suzanne DolinaRTI International, Center for Communication Science, 3040 E. Cornwallis Road, P.O. Box 12194, Research Triangle Park, NC, 27709, USA.
Jennifer Gard ReadRTI International, Center for Communication Science, 3040 E. Cornwallis Road, P.O. Box 12194, Research Triangle Park, NC, 27709, USA.
Cheryl S BroussardCenters for Disease Control and Prevention, Division of Congenital and Developmental Disorders, Atlanta, GA, 30341, USA.
Meghan T FreyCenters for Disease Control and Prevention, Division of Congenital and Developmental Disorders, Atlanta, GA, 30341, USA.
Kara N PolenCenters for Disease Control and Prevention, Division of Congenital and Developmental Disorders, Atlanta, GA, 30341, USA.
Jennifer N LindCenters for Disease Control and Prevention, Division of Congenital and Developmental Disorders, Atlanta, GA, 30341, USA.
Suzanne M GilboaCenters for Disease Control and Prevention, Division of Congenital and Developmental Disorders, Atlanta, GA, 30341, USA.
Janis BiermannMarch of Dimes Foundation, White Plains, NY, 10605, USA.

Funding

Intramural CDC HHS CC999999NCBDD CDC HHS FOA OT13-1302
6 · The paper itself

Abstract

Objective To explore women's perceptions of the risks and benefits associated with medication use during pregnancy and to better understand how women make decisions related to medication use in pregnancy. Methods We conducted online focus groups with 48 women who used medication during pregnancy or while planning a pregnancy, and 12 in-depth follow-up interviews with a subset of these women. Results We found that women were aware of general risks associated with medication use but were often unable to articulate specific negative outcomes. Women were concerned most about medications' impact on fetal development but were also concerned about how either continuing or discontinuing medication during pregnancy could affect their own health. Women indicated that if the risk of a given medication were unknown, they would not take that medication during pregnancy. Conclusion This formative research found that women face difficult decisions about medication use during pregnancy and need specific information to help them make decisions. Enhanced communication between patients and their providers regarding medication use would help address this need. We suggest that public health practitioners develop messages to (1) encourage, remind, and prompt women to proactively talk with their healthcare providers about the risks of taking, not taking, stopping, or altering the dosage of a medication while trying to become pregnant and/or while pregnant; and (2) encourage all women of childbearing age to ask their healthcare providers about medication use.

Indexed as

CommunicationDecision MakingHealth Knowledge, Attitudes, PracticePhysician-Patient RelationsAdolescentAdultFemaleFocus GroupsHumansInterviews as TopicNonprescription DrugsPerceptionPregnancyPregnant PeoplePrescription DrugsQualitative ResearchNonprescription DrugsPrescription DrugsChronic diseaseMedicationPreconception healthPregnancy

Identifiers

PMID28900803
PMCPMC5764786

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.