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Women's Beliefs About Medicines and Adherence to Pharmacotherapy in Pregnancy: Opportunities for Community Pharmacists

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Authors
Ceulemans, Michael
Lupattelli, Angela
Nordeng, Hedvig
Odalović, Marina
Twigg, Michael J.
Foulon, Veerle
Article (Published version)
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Abstract
Background: During pregnancy, women might weigh the benefits of treatment against potential risks to the unborn child. However, non-adherence to necessary treatment can adversely affect both mother and child. To optimize pregnant women's beliefs and medication adherence, community pharmacists are ideally positioned to play an important role in primary care. Objective: This narrative review aimed to summarize the evidence on 1) pregnant women's beliefs, 2) medication adherence in pregnancy and 3) community pharmacists' counselling during pregnancy. Methods: Three search strategies were used in Medline and Embase to find original studies evaluating women's beliefs, medication adherence and community pharmacists' counselling during pregnancy. All original descriptive and analytic epidemiological studies performed in Europe, North America and Australia, written in English and published from 2000 onwards were included. Results: We included 14 studies reporting on women's beliefs, 11 studies... on medication adherence and 9 on community pharmacists' counselling during pregnancy. Women are more reluctant to use medicines during pregnancy and tend to overestimate the teratogenic risk of medicines. The risk perception varies with the type of medicine, level of health literacy, education level and occupation. Furthermore, low medication adherence during pregnancy is common. Finally, limited evidence showed that the current community pharmacists' counselling is insufficient. Barriers hindering pharmacists are insufficient knowledge and limited access to reliable information. Conclusion: Concerns about medication use and non-adherence are widespread among pregnant women. Community pharmacists' counselling during pregnancy is insufficient. Further education, training and research are required to support community pharmacists in fulfilling all the opportunities they have when counselling pregnant women.

Keywords:
Pregnancy / medicines / beliefs about medicines / risk perception / medication adherence / community pharmacist / counselling
Source:
Current Pharmaceutical Design, 2019, 25, 5, 469-482
Publisher:
  • Bentham Science Publ Ltd, Sharjah

DOI: 10.2174/1381612825666190321110420

ISSN: 1381-6128

PubMed: 30907309

WoS: 000470079500002

Scopus: 2-s2.0-85067290018
[ Google Scholar ]
17
11
URI
https://farfar.pharmacy.bg.ac.rs/handle/123456789/3348
Collections
  • Radovi istraživača / Researchers’ publications
Institution/Community
Pharmacy
TY  - JOUR
AU  - Ceulemans, Michael
AU  - Lupattelli, Angela
AU  - Nordeng, Hedvig
AU  - Odalović, Marina
AU  - Twigg, Michael J.
AU  - Foulon, Veerle
PY  - 2019
UR  - https://farfar.pharmacy.bg.ac.rs/handle/123456789/3348
AB  - Background: During pregnancy, women might weigh the benefits of treatment against potential risks to the unborn child. However, non-adherence to necessary treatment can adversely affect both mother and child. To optimize pregnant women's beliefs and medication adherence, community pharmacists are ideally positioned to play an important role in primary care. Objective: This narrative review aimed to summarize the evidence on 1) pregnant women's beliefs, 2) medication adherence in pregnancy and 3) community pharmacists' counselling during pregnancy. Methods: Three search strategies were used in Medline and Embase to find original studies evaluating women's beliefs, medication adherence and community pharmacists' counselling during pregnancy. All original descriptive and analytic epidemiological studies performed in Europe, North America and Australia, written in English and published from 2000 onwards were included. Results: We included 14 studies reporting on women's beliefs, 11 studies on medication adherence and 9 on community pharmacists' counselling during pregnancy. Women are more reluctant to use medicines during pregnancy and tend to overestimate the teratogenic risk of medicines. The risk perception varies with the type of medicine, level of health literacy, education level and occupation. Furthermore, low medication adherence during pregnancy is common. Finally, limited evidence showed that the current community pharmacists' counselling is insufficient. Barriers hindering pharmacists are insufficient knowledge and limited access to reliable information. Conclusion: Concerns about medication use and non-adherence are widespread among pregnant women. Community pharmacists' counselling during pregnancy is insufficient. Further education, training and research are required to support community pharmacists in fulfilling all the opportunities they have when counselling pregnant women.
PB  - Bentham Science Publ Ltd, Sharjah
T2  - Current Pharmaceutical Design
T1  - Women's Beliefs About Medicines and Adherence to Pharmacotherapy in Pregnancy: Opportunities for Community Pharmacists
VL  - 25
IS  - 5
SP  - 469
EP  - 482
DO  - 10.2174/1381612825666190321110420
ER  - 
@article{
author = "Ceulemans, Michael and Lupattelli, Angela and Nordeng, Hedvig and Odalović, Marina and Twigg, Michael J. and Foulon, Veerle",
year = "2019",
abstract = "Background: During pregnancy, women might weigh the benefits of treatment against potential risks to the unborn child. However, non-adherence to necessary treatment can adversely affect both mother and child. To optimize pregnant women's beliefs and medication adherence, community pharmacists are ideally positioned to play an important role in primary care. Objective: This narrative review aimed to summarize the evidence on 1) pregnant women's beliefs, 2) medication adherence in pregnancy and 3) community pharmacists' counselling during pregnancy. Methods: Three search strategies were used in Medline and Embase to find original studies evaluating women's beliefs, medication adherence and community pharmacists' counselling during pregnancy. All original descriptive and analytic epidemiological studies performed in Europe, North America and Australia, written in English and published from 2000 onwards were included. Results: We included 14 studies reporting on women's beliefs, 11 studies on medication adherence and 9 on community pharmacists' counselling during pregnancy. Women are more reluctant to use medicines during pregnancy and tend to overestimate the teratogenic risk of medicines. The risk perception varies with the type of medicine, level of health literacy, education level and occupation. Furthermore, low medication adherence during pregnancy is common. Finally, limited evidence showed that the current community pharmacists' counselling is insufficient. Barriers hindering pharmacists are insufficient knowledge and limited access to reliable information. Conclusion: Concerns about medication use and non-adherence are widespread among pregnant women. Community pharmacists' counselling during pregnancy is insufficient. Further education, training and research are required to support community pharmacists in fulfilling all the opportunities they have when counselling pregnant women.",
publisher = "Bentham Science Publ Ltd, Sharjah",
journal = "Current Pharmaceutical Design",
title = "Women's Beliefs About Medicines and Adherence to Pharmacotherapy in Pregnancy: Opportunities for Community Pharmacists",
volume = "25",
number = "5",
pages = "469-482",
doi = "10.2174/1381612825666190321110420"
}
Ceulemans, M., Lupattelli, A., Nordeng, H., Odalović, M., Twigg, M. J.,& Foulon, V.. (2019). Women's Beliefs About Medicines and Adherence to Pharmacotherapy in Pregnancy: Opportunities for Community Pharmacists. in Current Pharmaceutical Design
Bentham Science Publ Ltd, Sharjah., 25(5), 469-482.
https://doi.org/10.2174/1381612825666190321110420
Ceulemans M, Lupattelli A, Nordeng H, Odalović M, Twigg MJ, Foulon V. Women's Beliefs About Medicines and Adherence to Pharmacotherapy in Pregnancy: Opportunities for Community Pharmacists. in Current Pharmaceutical Design. 2019;25(5):469-482.
doi:10.2174/1381612825666190321110420 .
Ceulemans, Michael, Lupattelli, Angela, Nordeng, Hedvig, Odalović, Marina, Twigg, Michael J., Foulon, Veerle, "Women's Beliefs About Medicines and Adherence to Pharmacotherapy in Pregnancy: Opportunities for Community Pharmacists" in Current Pharmaceutical Design, 25, no. 5 (2019):469-482,
https://doi.org/10.2174/1381612825666190321110420 . .

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