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Improved implementation of aspirin in pregnancy among Dutch gynecologists: Surveys in 2016 and 2021
OBJECTIVE: To evaluate the implementation of low-dose aspirin in pregnancy for the prevention of utero-placental complications among gynecologists in the Netherlands between 2016 and 2021. In this timeframe, a national guideline about aspirin in pregnancy was introduced by the Dutch Society of Obste...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9182337/ https://www.ncbi.nlm.nih.gov/pubmed/35679244 http://dx.doi.org/10.1371/journal.pone.0268673 |
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author | bij de Weg, Jeske Milou Visser, Laura Oudijk, Martijn Alexander de Vries, Johanna Inge Petra de Groot, Christianne Johanna Maria de Boer, Marjon Alina |
author_facet | bij de Weg, Jeske Milou Visser, Laura Oudijk, Martijn Alexander de Vries, Johanna Inge Petra de Groot, Christianne Johanna Maria de Boer, Marjon Alina |
author_sort | bij de Weg, Jeske Milou |
collection | PubMed |
description | OBJECTIVE: To evaluate the implementation of low-dose aspirin in pregnancy for the prevention of utero-placental complications among gynecologists in the Netherlands between 2016 and 2021. In this timeframe, a national guideline about aspirin in pregnancy was introduced by the Dutch Society of Obstetrics and Gynecology. MATERIALS AND METHODS: A national online survey among Dutch gynecologists and residents was performed. An online questionnaire was distributed among the members of the Dutch Society of Obstetrics and Gynecology in April 2016 and April 2021. Main outcome measure was the proportion of gynecologists indicating prescription of aspirin in pregnancy for high and moderate risk indications. RESULTS: In 2016, 133 respondents completed the survey, and in 2021 231. For all indications mentioned in the guideline there was an increase in prescribing aspirin in 2021 in comparison to 2016. More specifically, the percentage of gynecologists prescribing aspirin for a history of preeclampsia before 34 weeks, between 34 and 37 weeks and at term increased from respectively 94% to 100%, 39% to 98%, and 15% to 97%. Consultant obstetricians and respondents working in an university hospital did not more often indicate the prescription of aspirin for tertiary care indications in 2021. Future use of a prediction model was suggested in the narrative comments. CONCLUSION: Implementation of aspirin in pregnancy among Dutch gynecologists substantially improved after a five year timeframe in which the national guideline on aspirin during pregnancy was introduced and trials confirming the effect of aspirin were published. |
format | Online Article Text |
id | pubmed-9182337 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-91823372022-06-10 Improved implementation of aspirin in pregnancy among Dutch gynecologists: Surveys in 2016 and 2021 bij de Weg, Jeske Milou Visser, Laura Oudijk, Martijn Alexander de Vries, Johanna Inge Petra de Groot, Christianne Johanna Maria de Boer, Marjon Alina PLoS One Research Article OBJECTIVE: To evaluate the implementation of low-dose aspirin in pregnancy for the prevention of utero-placental complications among gynecologists in the Netherlands between 2016 and 2021. In this timeframe, a national guideline about aspirin in pregnancy was introduced by the Dutch Society of Obstetrics and Gynecology. MATERIALS AND METHODS: A national online survey among Dutch gynecologists and residents was performed. An online questionnaire was distributed among the members of the Dutch Society of Obstetrics and Gynecology in April 2016 and April 2021. Main outcome measure was the proportion of gynecologists indicating prescription of aspirin in pregnancy for high and moderate risk indications. RESULTS: In 2016, 133 respondents completed the survey, and in 2021 231. For all indications mentioned in the guideline there was an increase in prescribing aspirin in 2021 in comparison to 2016. More specifically, the percentage of gynecologists prescribing aspirin for a history of preeclampsia before 34 weeks, between 34 and 37 weeks and at term increased from respectively 94% to 100%, 39% to 98%, and 15% to 97%. Consultant obstetricians and respondents working in an university hospital did not more often indicate the prescription of aspirin for tertiary care indications in 2021. Future use of a prediction model was suggested in the narrative comments. CONCLUSION: Implementation of aspirin in pregnancy among Dutch gynecologists substantially improved after a five year timeframe in which the national guideline on aspirin during pregnancy was introduced and trials confirming the effect of aspirin were published. Public Library of Science 2022-06-09 /pmc/articles/PMC9182337/ /pubmed/35679244 http://dx.doi.org/10.1371/journal.pone.0268673 Text en © 2022 bij de Weg et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Article bij de Weg, Jeske Milou Visser, Laura Oudijk, Martijn Alexander de Vries, Johanna Inge Petra de Groot, Christianne Johanna Maria de Boer, Marjon Alina Improved implementation of aspirin in pregnancy among Dutch gynecologists: Surveys in 2016 and 2021 |
title | Improved implementation of aspirin in pregnancy among Dutch gynecologists: Surveys in 2016 and 2021 |
title_full | Improved implementation of aspirin in pregnancy among Dutch gynecologists: Surveys in 2016 and 2021 |
title_fullStr | Improved implementation of aspirin in pregnancy among Dutch gynecologists: Surveys in 2016 and 2021 |
title_full_unstemmed | Improved implementation of aspirin in pregnancy among Dutch gynecologists: Surveys in 2016 and 2021 |
title_short | Improved implementation of aspirin in pregnancy among Dutch gynecologists: Surveys in 2016 and 2021 |
title_sort | improved implementation of aspirin in pregnancy among dutch gynecologists: surveys in 2016 and 2021 |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9182337/ https://www.ncbi.nlm.nih.gov/pubmed/35679244 http://dx.doi.org/10.1371/journal.pone.0268673 |
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