Journal
AUSTRALIAN & NEW ZEALAND JOURNAL OF OBSTETRICS & GYNAECOLOGY
Volume 58, Issue 3, Pages 366-370Publisher
WILEY
DOI: 10.1111/ajo.12751
Keywords
drug therapy; nicotine; physicians; pregnancy; smoking cessation
Categories
Funding
- RACGP Chris Silagy Scholarship
- NHMRC
- Hunter Cancer Research Alliance PhD scholarship
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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.
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