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Implementation of aspirin use during pregnancy in community midwifery-led care in the Netherlands: A pilot survey.
Bij de Weg, Jeske M; van Doornik, Rebecca; van den Auweele, Kim L H E; de Groot, Christianne J M; de Boer, Marjon A; de Vries, Johanna I P.
Afiliación
  • Bij de Weg JM; Department of Obstetrics and Gynaecology, Amsterdam University Medical Center, Amsterdam, the Netherlands.
  • van Doornik R; Department of Obstetrics and Gynaecology, Amsterdam University Medical Center, Amsterdam, the Netherlands.
  • van den Auweele KLHE; Royal Dutch Association of Midwives, Utrecht, the Netherlands.
  • de Groot CJM; Dutch HELLP Foundation, Zwolle, the Netherlands.
  • de Boer MA; Department of Obstetrics and Gynaecology, Amsterdam University Medical Center, Amsterdam, the Netherlands.
  • de Vries JIP; Department of Obstetrics and Gynaecology, Amsterdam University Medical Center, Amsterdam, the Netherlands.
Eur J Midwifery ; 82024.
Article en En | MEDLINE | ID: mdl-39091996
ABSTRACT

INTRODUCTION:

Aspirin nowadays is widely used in pregnancy, but implementation among gynecologists took nearly four decades. For a complete insight in the implementation of aspirin, community midwives are to be involved. Community midwives do not have authority to prescribe aspirin and have to refer to a general practitioner or consultant obstetrician for a prescription.

METHODS:

The study was an online, national pilot survey about the implementation of aspirin use during pregnancy among independently practicing community midwives consisting of 29 items with five categories background, advising, prescribing, possible indications, and clinical practice.

RESULTS:

Forty-seven community midwives completed the survey between April and May 2021. All respondents had experience on advising aspirin use in pregnancy. History of preterm pre-eclampsia or HELLP syndrome was identified as a risk factor for developing utero-placental complications by 97.9% of the community midwives. Moderate risk factors in women with otherwise low-risk pregnancy were identified by >75% of the participants. Practical issues in prescribing aspirin were experienced by one-third of the respondents. Suggestions were made to obtain authority for community midwives to prescribe aspirin and improve collaboration with consultant obstetricians and general practitioners.

CONCLUSIONS:

Community midwives seem to be adequate in identifying risk factors for developing utero-placental complications in women with otherwise low-risk pregnancy. Practical issues for prescribing aspirin occur often. Obtaining authority for community midwives to prescribe aspirin after education should be considered and consulting a consultant obstetrician should become more accessible to overcome the practical issues. Further educating community midwives and general practitioners might improve implementation rates and perinatal outcomes.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Eur J Midwifery Año: 2024 Tipo del documento: Article País de afiliación: Países Bajos Pais de publicación: Grecia
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Eur J Midwifery Año: 2024 Tipo del documento: Article País de afiliación: Países Bajos Pais de publicación: Grecia