Cargando…
Counseling Patients on Preventing Prenatal Environmental Exposures - A Mixed-Methods Study of Obstetricians
OBJECTIVE: Describe the attitudes, beliefs, and practices of U.S. obstetricians on the topic of prenatal environmental exposures. STUDY DESIGN: A national online survey of American Congress of Obstetricians and Gynecologists (ACOG) fellows and 3 focus groups of obstetricians. RESULTS: We received 2,...
Autores principales: | , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2014
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4070906/ https://www.ncbi.nlm.nih.gov/pubmed/24964083 http://dx.doi.org/10.1371/journal.pone.0098771 |
_version_ | 1782322742742220800 |
---|---|
author | Stotland, Naomi E. Sutton, Patrice Trowbridge, Jessica Atchley, Dylan S. Conry, Jeanne Trasande, Leonardo Gerbert, Barbara Charlesworth, Annemarie Woodruff, Tracey J. |
author_facet | Stotland, Naomi E. Sutton, Patrice Trowbridge, Jessica Atchley, Dylan S. Conry, Jeanne Trasande, Leonardo Gerbert, Barbara Charlesworth, Annemarie Woodruff, Tracey J. |
author_sort | Stotland, Naomi E. |
collection | PubMed |
description | OBJECTIVE: Describe the attitudes, beliefs, and practices of U.S. obstetricians on the topic of prenatal environmental exposures. STUDY DESIGN: A national online survey of American Congress of Obstetricians and Gynecologists (ACOG) fellows and 3 focus groups of obstetricians. RESULTS: We received 2,514 eligible survey responses, for a response rate of 14%. The majority (78%) of obstetricians agreed that they can reduce patient exposures to environmental health hazards by counseling patients; but 50% reported that they rarely take an environmental health history; less than 20% reported routinely asking about environmental exposures commonly found in pregnant women in the U.S.; and only 1 in 15 reported any training on the topic. Barriers to counseling included: a lack of knowledge of and uncertainty about the evidence; concerns that patients lack the capacity to reduce harmful exposures; and fear of causing anxiety among patients. CONCLUSION: U.S. obstetricians in our study recognized the potential impact of the environment on reproductive health, and the role that physicians could play in prevention, but reported numerous barriers to counseling patients. Medical education and training, evidence-based guidelines, and tools for communicating risks to patients are needed to support the clinical role in preventing environmental exposures that threaten patient health. |
format | Online Article Text |
id | pubmed-4070906 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-40709062014-06-27 Counseling Patients on Preventing Prenatal Environmental Exposures - A Mixed-Methods Study of Obstetricians Stotland, Naomi E. Sutton, Patrice Trowbridge, Jessica Atchley, Dylan S. Conry, Jeanne Trasande, Leonardo Gerbert, Barbara Charlesworth, Annemarie Woodruff, Tracey J. PLoS One Research Article OBJECTIVE: Describe the attitudes, beliefs, and practices of U.S. obstetricians on the topic of prenatal environmental exposures. STUDY DESIGN: A national online survey of American Congress of Obstetricians and Gynecologists (ACOG) fellows and 3 focus groups of obstetricians. RESULTS: We received 2,514 eligible survey responses, for a response rate of 14%. The majority (78%) of obstetricians agreed that they can reduce patient exposures to environmental health hazards by counseling patients; but 50% reported that they rarely take an environmental health history; less than 20% reported routinely asking about environmental exposures commonly found in pregnant women in the U.S.; and only 1 in 15 reported any training on the topic. Barriers to counseling included: a lack of knowledge of and uncertainty about the evidence; concerns that patients lack the capacity to reduce harmful exposures; and fear of causing anxiety among patients. CONCLUSION: U.S. obstetricians in our study recognized the potential impact of the environment on reproductive health, and the role that physicians could play in prevention, but reported numerous barriers to counseling patients. Medical education and training, evidence-based guidelines, and tools for communicating risks to patients are needed to support the clinical role in preventing environmental exposures that threaten patient health. Public Library of Science 2014-06-25 /pmc/articles/PMC4070906/ /pubmed/24964083 http://dx.doi.org/10.1371/journal.pone.0098771 Text en © 2014 Stotland et al http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly credited. |
spellingShingle | Research Article Stotland, Naomi E. Sutton, Patrice Trowbridge, Jessica Atchley, Dylan S. Conry, Jeanne Trasande, Leonardo Gerbert, Barbara Charlesworth, Annemarie Woodruff, Tracey J. Counseling Patients on Preventing Prenatal Environmental Exposures - A Mixed-Methods Study of Obstetricians |
title | Counseling Patients on Preventing Prenatal Environmental Exposures - A Mixed-Methods Study of Obstetricians |
title_full | Counseling Patients on Preventing Prenatal Environmental Exposures - A Mixed-Methods Study of Obstetricians |
title_fullStr | Counseling Patients on Preventing Prenatal Environmental Exposures - A Mixed-Methods Study of Obstetricians |
title_full_unstemmed | Counseling Patients on Preventing Prenatal Environmental Exposures - A Mixed-Methods Study of Obstetricians |
title_short | Counseling Patients on Preventing Prenatal Environmental Exposures - A Mixed-Methods Study of Obstetricians |
title_sort | counseling patients on preventing prenatal environmental exposures - a mixed-methods study of obstetricians |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4070906/ https://www.ncbi.nlm.nih.gov/pubmed/24964083 http://dx.doi.org/10.1371/journal.pone.0098771 |
work_keys_str_mv | AT stotlandnaomie counselingpatientsonpreventingprenatalenvironmentalexposuresamixedmethodsstudyofobstetricians AT suttonpatrice counselingpatientsonpreventingprenatalenvironmentalexposuresamixedmethodsstudyofobstetricians AT trowbridgejessica counselingpatientsonpreventingprenatalenvironmentalexposuresamixedmethodsstudyofobstetricians AT atchleydylans counselingpatientsonpreventingprenatalenvironmentalexposuresamixedmethodsstudyofobstetricians AT conryjeanne counselingpatientsonpreventingprenatalenvironmentalexposuresamixedmethodsstudyofobstetricians AT trasandeleonardo counselingpatientsonpreventingprenatalenvironmentalexposuresamixedmethodsstudyofobstetricians AT gerbertbarbara counselingpatientsonpreventingprenatalenvironmentalexposuresamixedmethodsstudyofobstetricians AT charlesworthannemarie counselingpatientsonpreventingprenatalenvironmentalexposuresamixedmethodsstudyofobstetricians AT woodrufftraceyj counselingpatientsonpreventingprenatalenvironmentalexposuresamixedmethodsstudyofobstetricians |