Women's Beliefs About Medicines and Adherence to Pharmacotherapy in Pregnancy: Opportunities for Community Pharmacists
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Ceulemans, Michael
Lupattelli, Angela

Nordeng, Hedvig
Odalović, Marina

Twigg, Michael J.

Foulon, Veerle
Article (Published version)

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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 / counsellingSource:
Current Pharmaceutical Design, 2019, 25, 5, 469-482Publisher:
- Bentham Science Publ Ltd, Sharjah
DOI: 10.2174/1381612825666190321110420
ISSN: 1381-6128
PubMed: 30907309
WoS: 000470079500002
Scopus: 2-s2.0-85067290018
Collections
Institution/Community
PharmacyTY - 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 . .