“Clinical Guidelines for Obstetrical Practice in Japan, 2017 Edition” as a source of information on drugs used during pregnancy and lactation: A survey on the knowledge of pediatricians in Japanese hospitals

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  • Miyamoto Kazue
    Department of Obstetrics & Gynecology, Faculty of Medicine, University of Tsukuba
  • Obata-Yasuoka Mana
    Department of Obstetrics & Gynecology, Faculty of Medicine, University of Tsukuba
  • Tsutsumi Haruka
    Department of Obstetrics & Gynecology, Faculty of Medicine, University of Tsukuba
  • Kimura Yutaku
    Department of Obstetrics & Gynecology, Faculty of Medicine, University of Tsukuba
  • Tsumagari Ayako
    Department of Obstetrics & Gynecology, Faculty of Medicine, University of Tsukuba
  • Hosokawa Yoshihiko
    Department of Obstetrics & Gynecology, Faculty of Medicine, University of Tsukuba
  • Iiba Moe
    Department of Obstetrics & Gynecology, Faculty of Medicine, University of Tsukuba
  • Nishida Keiko
    Department of Obstetrics & Gynecology, Faculty of Medicine, University of Tsukuba
  • Abe Haruna
    Department of Obstetrics & Gynecology, Faculty of Medicine, University of Tsukuba
  • Ohara Rena
    Department of Obstetrics & Gynecology, Faculty of Medicine, University of Tsukuba
  • Yagi Hiroya
    Department of Obstetrics & Gynecology, Faculty of Medicine, University of Tsukuba
  • Satoh Toyomi
    Department of Obstetrics & Gynecology, Faculty of Medicine, University of Tsukuba
  • Hamada Hiromi
    Department of Obstetrics & Gynecology, Faculty of Medicine, University of Tsukuba

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  • 産婦人科診療ガイドライン─産科編 2017「妊娠・授乳と薬」関連 CQ&Aに対する小児科医師の認知と評価

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Abstract

<p> Aim</p><p> To investigate the knowledge of pediatricians in Japanese hospitals on the “Clinical Guidelines for Obstetrical Practice in Japan, 2017 Edition,” as a source of information about drugs used during pregnancy and lactation.</p><p> Materials and methods</p><p> We distributed a mail-in survey to 502 pediatric departments of clinical training hospitals in Japan.</p><p> Results</p><p> A total of 298 hospitals（59％）responded to our questionnaire. Almost all the pediatricians stated that the information about drugs used during pregnancy and lactation described in the guidelines was useful; however, the actual proportion of pediatrician who were familiar with the guidelines was only 21％（63 of 298 hospitals）. The Food and Drug Administration（FDA）pregnancy risk category was known to 169 of the included pediatricians （57％）, whereas only 16（5％）were aware of the removal of the risk category from the label. Twenty-seven of included pediatricians（9％）were acquainted with the revision of “The Points of Compilation for Ethical Drug Package Insert in Japan,” and 13（4％）knew these points in detail.</p><p> Conclusion</p><p> Although the “Clinical Guidelines for Obstetrical Practice in Japan, 2017 Edition” are useful source of information about drugs used during pregnancy and lactation, only 21％ of the interviewed pediatricians knew the content of the guidelines. Therefore, it seems advisable to improve the exchange of information between obstetrician and pediatrician practicing neonatology.</p>

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