Clinician factors associated with prescribing nicotine replacement therapy in pregnancy: A cross-sectional survey of Australian obstetricians and general practitioners

Yael Bar-Zeev, Billie Bonevski, Maree Gruppetta, Laura Twyman, Lou Atkins, Kerrin Palazzi, Christopher Oldmeadow, Gillian S. Gould

Research output: Contribution to journalArticlepeer-review

8 Citations (Scopus)

Abstract

The use of nicotine replacement therapy in pregnancy has been debated but evidence suggests that it is safer than smoking. A cross-sectional survey was conducted with: (i) general practitioners and obstetricians from a college database; and (ii) general practitioners with a special interest in Indigenous health. General practitioners had higher odds of prescribing compared to obstetricians. Reading guidelines, confidence, viewing nicotine replacement therapy as safe, effective and with good adherence, also significantly increased the odds of prescription. Clear guidance regarding safety and efficacy, with practical clinical protocols, are required in order to reduce variation in prescribing rates across these clinicians.

Original languageEnglish
Pages (from-to)366-370
Number of pages5
JournalAustralian and New Zealand Journal of Obstetrics and Gynaecology
Volume58
Issue number3
DOIs
Publication statusPublished - Jun 2018
Externally publishedYes

Keywords

  • drug therapy
  • nicotine
  • physicians
  • pregnancy
  • smoking cessation

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