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Obstetrician-gynecologists’ practices and attitudes on substance use screening during pregnancy
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3 2020
Source: J Perinatol. 40(3):422-432 -
Alternative Title:J Perinatol
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Description:Objective:
To describe obstetrician-gynecologists’ practices and attitudes related to substance use screening in pregnant patients.
Study Design:
A 2017 cross-sectional survey assessed U.S. obstetrician-gynecologists’ (n=462; response rate=34%) practices (substance use screening frequency and methods) and attitudes (practice priority of screening, confidence in treating, and responsibility statements). Chi-squared tests and adjusted modified Poisson regression were used to estimate associations between practices and attitudes.
Results:
Of 353 respondents with screening information, 79% frequently screen for substance use and 11% used a validated instrument. Confidence was highest for treating pregnant patients using tobacco (81%). Respondents whose practices make it a high priority to screen for all substances were 1.2 times as likely to frequently screen as their counterparts (95% CI: 1.1–1.3).
Conclusions:
Four out of five obstetricians-gynecologists reported a high frequency of substance use screening in pregnant patients. Findings highlight the importance of increasing priority of substance use screening by obstetrician-gynecologists.
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Pubmed ID:31666646
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Pubmed Central ID:PMC7047638
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