Counseling patients on preventing prenatal environmental exposures--a mixed-methods study of obstetricians.

<h4>Objective</h4>Describe the attitudes, beliefs, and practices of U.S. obstetricians on the topic of prenatal environmental exposures.<h4>Study design</h4>A national online survey of American Congress of Obstetricians and Gynecologists (ACOG) fellows and 3 focus groups of o...

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Autores principales:	Naomi E Stotland, Patrice Sutton, Jessica Trowbridge, Dylan S Atchley, Jeanne Conry, Leonardo Trasande, Barbara Gerbert, Annemarie Charlesworth, Tracey J Woodruff
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2014
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/d6dccf43593d4d4d86b141055fecea45
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spelling	oai:doaj.org-article:d6dccf43593d4d4d86b141055fecea452021-11-11T08:21:34ZCounseling patients on preventing prenatal environmental exposures--a mixed-methods study of obstetricians.1932-620310.1371/journal.pone.0098771https://doaj.org/article/d6dccf43593d4d4d86b141055fecea452014-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/24964083/pdf/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Objective</h4>Describe the attitudes, beliefs, and practices of U.S. obstetricians on the topic of prenatal environmental exposures.<h4>Study design</h4>A national online survey of American Congress of Obstetricians and Gynecologists (ACOG) fellows and 3 focus groups of obstetricians.<h4>Results</h4>We received 2,514 eligible survey responses, for a response rate of 14%. The majority (78%) of obstetricians agreed that they can reduce patient exposures to environmental health hazards by counseling patients; but 50% reported that they rarely take an environmental health history; less than 20% reported routinely asking about environmental exposures commonly found in pregnant women in the U.S.; and only 1 in 15 reported any training on the topic. Barriers to counseling included: a lack of knowledge of and uncertainty about the evidence; concerns that patients lack the capacity to reduce harmful exposures; and fear of causing anxiety among patients.<h4>Conclusion</h4>U.S. obstetricians in our study recognized the potential impact of the environment on reproductive health, and the role that physicians could play in prevention, but reported numerous barriers to counseling patients. Medical education and training, evidence-based guidelines, and tools for communicating risks to patients are needed to support the clinical role in preventing environmental exposures that threaten patient health.Naomi E StotlandPatrice SuttonJessica TrowbridgeDylan S AtchleyJeanne ConryLeonardo TrasandeBarbara GerbertAnnemarie CharlesworthTracey J WoodruffPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 9, Iss 6, p e98771 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Naomi E Stotland Patrice Sutton Jessica Trowbridge Dylan S Atchley Jeanne Conry Leonardo Trasande Barbara Gerbert Annemarie Charlesworth Tracey J Woodruff Counseling patients on preventing prenatal environmental exposures--a mixed-methods study of obstetricians.
description	<h4>Objective</h4>Describe the attitudes, beliefs, and practices of U.S. obstetricians on the topic of prenatal environmental exposures.<h4>Study design</h4>A national online survey of American Congress of Obstetricians and Gynecologists (ACOG) fellows and 3 focus groups of obstetricians.<h4>Results</h4>We received 2,514 eligible survey responses, for a response rate of 14%. The majority (78%) of obstetricians agreed that they can reduce patient exposures to environmental health hazards by counseling patients; but 50% reported that they rarely take an environmental health history; less than 20% reported routinely asking about environmental exposures commonly found in pregnant women in the U.S.; and only 1 in 15 reported any training on the topic. Barriers to counseling included: a lack of knowledge of and uncertainty about the evidence; concerns that patients lack the capacity to reduce harmful exposures; and fear of causing anxiety among patients.<h4>Conclusion</h4>U.S. obstetricians in our study recognized the potential impact of the environment on reproductive health, and the role that physicians could play in prevention, but reported numerous barriers to counseling patients. Medical education and training, evidence-based guidelines, and tools for communicating risks to patients are needed to support the clinical role in preventing environmental exposures that threaten patient health.
format	article
author	Naomi E Stotland Patrice Sutton Jessica Trowbridge Dylan S Atchley Jeanne Conry Leonardo Trasande Barbara Gerbert Annemarie Charlesworth Tracey J Woodruff
author_facet	Naomi E Stotland Patrice Sutton Jessica Trowbridge Dylan S Atchley Jeanne Conry Leonardo Trasande Barbara Gerbert Annemarie Charlesworth Tracey J Woodruff
author_sort	Naomi E Stotland
title	Counseling patients on preventing prenatal environmental exposures--a mixed-methods study of obstetricians.
title_short	Counseling patients on preventing prenatal environmental exposures--a mixed-methods study of obstetricians.
title_full	Counseling patients on preventing prenatal environmental exposures--a mixed-methods study of obstetricians.
title_fullStr	Counseling patients on preventing prenatal environmental exposures--a mixed-methods study of obstetricians.
title_full_unstemmed	Counseling patients on preventing prenatal environmental exposures--a mixed-methods study of obstetricians.
title_sort	counseling patients on preventing prenatal environmental exposures--a mixed-methods study of obstetricians.
publisher	Public Library of Science (PLoS)
publishDate	2014
url	https://doaj.org/article/d6dccf43593d4d4d86b141055fecea45
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Counseling patients on preventing prenatal environmental exposures--a mixed-methods study of obstetricians.

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