Evidence map›Paper›PMID 36858469›Full record

ArticleBMJ open2023

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

Julia Sanders, Rebecca Blaylock, Caitlin Dean, Irene Petersen, Heather Trickey, Clare Murphy

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
3.2field-weighted citation impact, top 9% of its field
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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
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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

6 authors at 3 institutions in 1 country.

Julia SandersSchool of Healthcare Sciences, Cardiff University, Cardiff, UK.
Rebecca BlaylockCentre for Reproductive Research & Communication, British Pregnancy Advisory Service, London, UK rebecca.blaylock@bpas.org.ORCID 0000-0003-4317-1638
Caitlin DeanPregnancy Sickness Support, Bodmin, UK.
Irene PetersenDepartment of Primary Care and Population Health, University College London, London, UK.
Heather TrickeySchool of Social Sciences, Cardiff University, Cardiff, UK.
Clare MurphyCentre for Reproductive Research & Communication, British Pregnancy Advisory Service, London, UK.
Cardiff University · GBBodmin Hospital · GBUniversity College London · GB

Funding

Wellcome TrustWellcome Trust 212089/Z/18/Z
6 · The paper itself

Abstract

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.

Indexed as

PregnancyPrescription DrugsEmotionsFearFemaleHumansUnited KingdomPrescription Drugsclinical pharmacologymaternal medicinepublic healthqualitative researchreproductive medicine

Identifiers

PMID36858469
PMCPMC9990671
OpenAlexW4322758857

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.