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Knowledge, attitude and practices of obstetric care providers towards maternal red‐blood‐cell immunization during pregnancy
BACKGROUND AND OBJECTIVES: A successful routine RBC alloantibody screening programme should not lead to unnecessary emotional burden during pregnancy due to inadequate counselling on the risk of severe haemolytic disease of the foetus and the newborn (HDFN). Rareness of this disease may result in in...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7187211/ https://www.ncbi.nlm.nih.gov/pubmed/31884705 http://dx.doi.org/10.1111/vox.12883 |
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author | Slootweg, Yolentha M. Walg, Chawa Koelewijn, Joke M. Van Kamp, Inge L. De Haas, Masja |
author_facet | Slootweg, Yolentha M. Walg, Chawa Koelewijn, Joke M. Van Kamp, Inge L. De Haas, Masja |
author_sort | Slootweg, Yolentha M. |
collection | PubMed |
description | BACKGROUND AND OBJECTIVES: A successful routine RBC alloantibody screening programme should not lead to unnecessary emotional burden during pregnancy due to inadequate counselling on the risk of severe haemolytic disease of the foetus and the newborn (HDFN). Rareness of this disease may result in insufficient knowledge and subsequent inadequate information transfer to women, diagnosed with RBC antibodies. We investigated the current knowledge, views and experiences of Dutch obstetric care providers regarding RBC alloimmunization during pregnancy. MATERIALS AND METHODS: We performed a quantitative cross‐sectional study, using a structured digital questionnaire to measure knowledge, attitude and practices (KAP) regarding maternal RBC alloimmunization among Dutch obstetric care providers in 2016. RESULTS: About 10% of obstetric care providers completed the questionnaire. A sufficient level of knowledge was found in 7% of all participants (N = 329). Knowledge about RhD immunisation and prophylaxis was sufficient in 60% of the responders. Knowledge gaps were found concerning the relevance of non‐RhD RBC antibodies, the indications for giving extra RhD prophylaxis and the interpretation of laboratory test results. Healthcare providers estimated their own level of knowledge ‘sufficient’ (primary/secondary care) to ‘good’ (tertiary care), and all participants considered their professional role important within the screening programme. CONCLUSION: Dutch obstetric care providers showed a lack of knowledge regarding maternal RBC immunization. Awareness of the lack of knowledge is necessary to help obstetric care providers to be careful in giving information and even to decide to contact the expert centre before counselling the patient. |
format | Online Article Text |
id | pubmed-7187211 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-71872112020-04-28 Knowledge, attitude and practices of obstetric care providers towards maternal red‐blood‐cell immunization during pregnancy Slootweg, Yolentha M. Walg, Chawa Koelewijn, Joke M. Van Kamp, Inge L. De Haas, Masja Vox Sang Transfusion Medicine and New Therapies BACKGROUND AND OBJECTIVES: A successful routine RBC alloantibody screening programme should not lead to unnecessary emotional burden during pregnancy due to inadequate counselling on the risk of severe haemolytic disease of the foetus and the newborn (HDFN). Rareness of this disease may result in insufficient knowledge and subsequent inadequate information transfer to women, diagnosed with RBC antibodies. We investigated the current knowledge, views and experiences of Dutch obstetric care providers regarding RBC alloimmunization during pregnancy. MATERIALS AND METHODS: We performed a quantitative cross‐sectional study, using a structured digital questionnaire to measure knowledge, attitude and practices (KAP) regarding maternal RBC alloimmunization among Dutch obstetric care providers in 2016. RESULTS: About 10% of obstetric care providers completed the questionnaire. A sufficient level of knowledge was found in 7% of all participants (N = 329). Knowledge about RhD immunisation and prophylaxis was sufficient in 60% of the responders. Knowledge gaps were found concerning the relevance of non‐RhD RBC antibodies, the indications for giving extra RhD prophylaxis and the interpretation of laboratory test results. Healthcare providers estimated their own level of knowledge ‘sufficient’ (primary/secondary care) to ‘good’ (tertiary care), and all participants considered their professional role important within the screening programme. CONCLUSION: Dutch obstetric care providers showed a lack of knowledge regarding maternal RBC immunization. Awareness of the lack of knowledge is necessary to help obstetric care providers to be careful in giving information and even to decide to contact the expert centre before counselling the patient. John Wiley and Sons Inc. 2019-12-29 2020-04 /pmc/articles/PMC7187211/ /pubmed/31884705 http://dx.doi.org/10.1111/vox.12883 Text en © 2019 The Authors. Vox Sanguinis published by John Wiley & Sons Ltd on behalf of International Society of Blood Transfusion This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes. |
spellingShingle | Transfusion Medicine and New Therapies Slootweg, Yolentha M. Walg, Chawa Koelewijn, Joke M. Van Kamp, Inge L. De Haas, Masja Knowledge, attitude and practices of obstetric care providers towards maternal red‐blood‐cell immunization during pregnancy |
title | Knowledge, attitude and practices of obstetric care providers towards maternal red‐blood‐cell immunization during pregnancy |
title_full | Knowledge, attitude and practices of obstetric care providers towards maternal red‐blood‐cell immunization during pregnancy |
title_fullStr | Knowledge, attitude and practices of obstetric care providers towards maternal red‐blood‐cell immunization during pregnancy |
title_full_unstemmed | Knowledge, attitude and practices of obstetric care providers towards maternal red‐blood‐cell immunization during pregnancy |
title_short | Knowledge, attitude and practices of obstetric care providers towards maternal red‐blood‐cell immunization during pregnancy |
title_sort | knowledge, attitude and practices of obstetric care providers towards maternal red‐blood‐cell immunization during pregnancy |
topic | Transfusion Medicine and New Therapies |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7187211/ https://www.ncbi.nlm.nih.gov/pubmed/31884705 http://dx.doi.org/10.1111/vox.12883 |
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