Bar-Zeev Yael, Bonevski Billie, Gruppetta Maree, Twyman Laura, Atkins Lou, Palazzi Kerrin, Oldmeadow Christopher, Gould Gillian S
School of Medicine and Public Health, The University of Newcastle, Callaghan, New South Wales, Australia.
Wollotuka Institute, The University of Newcastle, Callaghan, New South Wales, Australia.
Aust N Z J Obstet Gynaecol. 2018 Jun;58(3):366-370. doi: 10.1111/ajo.12751. Epub 2017 Dec 4.
The use of nicotine replacement therapy in pregnancy has been debated but evidence suggests that it is safer than smoking. A cross-sectional survey was conducted with: (i) general practitioners and obstetricians from a college database; and (ii) general practitioners with a special interest in Indigenous health. General practitioners had higher odds of prescribing compared to obstetricians. Reading guidelines, confidence, viewing nicotine replacement therapy as safe, effective and with good adherence, also significantly increased the odds of prescription. Clear guidance regarding safety and efficacy, with practical clinical protocols, are required in order to reduce variation in prescribing rates across these clinicians.
孕期使用尼古丁替代疗法一直存在争议，但有证据表明其比吸烟更安全。开展了一项横断面调查，调查对象包括：（i）来自某学院数据库的全科医生和产科医生；以及（ii）对原住民健康有特殊兴趣的全科医生。与产科医生相比，全科医生开具尼古丁替代疗法处方的几率更高。阅读指南、信心、认为尼古丁替代疗法安全、有效且依从性好，也显著增加了开具处方的几率。为了减少这些临床医生在处方率上的差异，需要有关于安全性和有效性的明确指导以及实用的临床方案。
