Department of Obstetrics and Gynecology, Department of Clinical and Experimental Medicine, Linköping University, Linköping, Sweden.
Acta Obstet Gynecol Scand. 2019 Jul;98(7):856-864. doi: 10.1111/aogs.13570. Epub 2019 Mar 20.
Use of medication for different kinds of symptoms and diseases during pregnancy is common. When counseling the pregnant woman, an understanding of her perceptions concerning the use of medication as well as possible associated anxiety and obstacles is important to ensure high adherence to the treatment regimen.
A questionnaire was developed regarding the use of medication, perceptions on use of medication, as well as perceptions about pregnancy outcomes in association with medication use during pregnancy. In total, 850 pregnant women in gestational weeks 25-29 participated in the study.
The response rate was 92.7% (n = 832/898). About 19.4% of the respondents (n = 160/824) were frequent users (medication use daily to several times a week) and 28.4% (n = 234/824) were non-frequent users (medication use once a week to once a month). The majority perceived medication use during early pregnancy (61.4%, n = 501/816), late pregnancy (55.6%, n = 455/819) and breastfeeding (57.7%, n = 474/821) as probably harmful or harmful. These findings were more common in non-users (medication used rarely or never) than frequent users (P-value <0.001, <0.001 and 0.007). The pregnant women had great confidence in advice from a physician (83.8%, n = 666/795) or a midwife (77.0%, n = 620/805) concerning medication during pregnancy.
The majority of pregnant women in Sweden consider the use of medication during pregnancy either 'probably harmful' or 'harmful' and this perception is associated with non-use of medication. The pregnant women in our study had high confidence in healthcare professionals when seeking advice; thus, actively asking about perceptions could lead to better counseling.
在怀孕期间，针对各种症状和疾病使用药物是很常见的。在为孕妇提供咨询时，了解她对药物使用的看法以及可能存在的焦虑和障碍对于确保她对治疗方案的高度依从性非常重要。
我们开发了一份关于药物使用、对药物使用的看法以及与怀孕期间药物使用相关的妊娠结局看法的问卷。共有 850 名妊娠 25-29 周的孕妇参与了这项研究。
应答率为 92.7%（n=832/898）。约 19.4%的受访者（n=160/824）为频繁使用者（每天使用药物数次至每周数次），28.4%（n=234/824）为非频繁使用者（每周使用药物一次至每月一次）。大多数孕妇认为在妊娠早期（61.4%，n=501/816）、妊娠晚期（55.6%，n=455/819）和哺乳期（57.7%，n=474/821）使用药物可能有害或有害。这些发现非使用者（很少或从未使用药物）比频繁使用者更为常见（P 值<0.001，<0.001 和 0.007）。孕妇对医生（83.8%，n=666/795）或助产士（77.0%，n=620/805）在怀孕期间提供的药物建议非常信任。
瑞典大多数孕妇认为怀孕期间使用药物是“可能有害”或“有害”的，这种看法与不使用药物有关。我们研究中的孕妇在寻求建议时对医疗保健专业人员非常信任；因此，主动询问看法可能会导致更好的咨询。
