Department of Experimental Medicine of the University of Campania "Luigi Vanvitelli", Naples, Italy.
PLoS One. 2018 Jun 19;13(6):e0198618. doi: 10.1371/journal.pone.0198618. eCollection 2018.
The study assessed knowledge, attitudes, and medication use of a random sample of pregnant women attending outpatient Gynecology and Obstetrics clinics at randomly selected public General and Teaching hospitals in Naples, Italy. A total of 503 women participated. Those more likely to know that a pregnant woman with chronic condition must discuss whether or not to take a medication with the physician were Italian, aged 31-40 years, employed, with no history of abortion, having had a medical problem within the previous year, with a better self-perceived health status, who knew how to use medications during pregnancy, and who needed information on medications. The knowledge of the potential risk of using non-prescribed medications during pregnancy was significantly higher in employed women, who received information from physicians, who knew how to use medications during pregnancy, and who knew the possible damages related to medications use. More than half had used at least one medication. Those aged 26-35 years, Italian, non-graduated, in the third trimester, having had a medical problem within the previous year, with a risky pregnancy, and with a knowledge that women with chronic condition must discuss whether or not to take a medication with the physician were more likely to use medication. Less than half had used medication without a physician's advice. Those who were more likely to self-medicate were older, Italian, multiparous, with no history of abortion, who knew that women with chronic condition must discuss whether or not to take a medication with the physician, who did not know the potential risk of using non-prescribed medication during pregnancy, who had used prescribed medication during pregnancy, and who needed information about medications. Educational programs for women about medication use are important to increase their knowledge of the potential risks to the pregnant women and the unborn child in order to reduce self-medication.
本研究评估了随机抽取的意大利那不勒斯随机选择的公立综合和教学医院妇产科门诊就诊的孕妇的知识、态度和药物使用情况。共有 503 名女性参与了这项研究。那些更有可能知道患有慢性疾病的孕妇必须与医生讨论是否服用药物的人是意大利人，年龄在 31-40 岁，有工作，没有堕胎史，在过去一年中曾有过医疗问题，自我感觉健康状况较好，知道如何在怀孕期间使用药物，并且需要有关药物的信息。在怀孕期间使用未经处方的药物的潜在风险的知识在有工作的女性中明显更高，她们从医生那里获得了信息，知道如何在怀孕期间使用药物，并且知道与药物使用相关的可能损害。超过一半的人至少使用过一种药物。年龄在 26-35 岁，意大利人，未毕业，处于孕晚期，在过去一年中有医疗问题，有风险的妊娠，并且知道患有慢性疾病的孕妇必须与医生讨论是否服用药物的人更有可能使用药物。不到一半的人在没有医生建议的情况下使用了药物。那些更有可能自行用药的人年龄较大，意大利人，多产，没有堕胎史，知道患有慢性疾病的孕妇必须与医生讨论是否服用药物，不知道在怀孕期间使用未经处方的药物的潜在风险，在怀孕期间使用过处方药物，并且需要有关药物的信息。针对女性的药物使用教育计划对于提高她们对孕妇和未出生婴儿的潜在风险的认识非常重要，以减少自行用药的情况。
