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Rheumatologists' knowledge of contraception, teratogens, and pregnancy risks.


ABSTRACT: Introduction:Rheumatologists are essential partners in planning and managing pregnancies in women with lupus. Whether they know the essentials of contraceptive and medical treatment in pregnancy, however, is unknown. Method:Anonymous in-lecture surveys were completed by 270 rheumatologists to assess knowledge of contraceptive effectiveness, emergency contraception, medication teratogenicity, and lupus pregnancy risk assessment. Results:Rheumatologists knew the high effectiveness of the intrauterine device, but over-estimated the effectiveness of injectable medroxyprogesterone and condoms. Almost all identified methotrexate as a teratogen, but only 69% identified cyclophosphamide and 37% mycophenolate. Most rheumatologists knew that lupus activity in pregnancy is the main predictor of pregnancy outcomes, but underestimated the risks of hypertension and race. Conclusion:To improve lupus pregnancy planning and management, rheumatologists would benefit from improved knowledge about contraceptive effectiveness, teratogens, and the risks from non-lupus factors for pregnancy complications.

SUBMITTER: Clowse ME 

PROVIDER: S-EPMC6295764 | biostudies-literature | 2018 Dec

REPOSITORIES: biostudies-literature

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Rheumatologists' knowledge of contraception, teratogens, and pregnancy risks.

Clowse Megan Eb ME   Eudy Amanda M AM   Revels Jessica J   Sanders Gillian D GD   Criscione-Schreiber Lisa L  

Obstetric medicine 20180504 4


<h4>Introduction</h4>Rheumatologists are essential partners in planning and managing pregnancies in women with lupus. Whether they know the essentials of contraceptive and medical treatment in pregnancy, however, is unknown.<h4>Method</h4>Anonymous in-lecture surveys were completed by 270 rheumatologists to assess knowledge of contraceptive effectiveness, emergency contraception, medication teratogenicity, and lupus pregnancy risk assessment.<h4>Results</h4>Rheumatologists knew the high effectiv  ...[more]

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