skip to main content
Language:
Search Limited to: Search Limited to: Resource type Show Results with: Show Results with: Search type Index

53 Audit of prescribing practices in women of child bearing age in general cardiology clinic in beaumont hospital

Heart (British Cardiac Society), 2021, Vol.107 (Suppl 2), p.A46-A46 [Peer Reviewed Journal]

2021 Author(s) (or their employer(s)) 2021. No commercial re-use. See rights and permissions. Published by BMJ. ;ISSN: 1355-6037 ;EISSN: 1468-201X ;DOI: 10.1136/heartjnl-2021-ICS.53

Full text available

Citations Cited by
  • Title:
    53 Audit of prescribing practices in women of child bearing age in general cardiology clinic in beaumont hospital
  • Author: Condon, C ; Humphreys, N ; McAdam, B F
  • Subjects: Age ; Birth control ; Breastfeeding & lactation ; Cardiology ; Documentation ; Family planning ; Pregnancy ; Prescriptions
  • Is Part Of: Heart (British Cardiac Society), 2021, Vol.107 (Suppl 2), p.A46-A46
  • Description: Background In 2018, The European Society of Cardiology released a clinical practice guideline on the management of cardiovascular disease in pregnancy and made specific recommendations on need for care with drug therapies before and during pregnancy. Given that up to 25% of Irish pregnancies are unplanned, the risk benefit of prescribing any potentially teratogenic drug must be considered and discussed with the patient. We aimed to identify prescription patterns of cardiology medications to women of child bearing age and to identify if potential teratogenicity was highlighted and to identify if appropriate advice of family planning, contraception or breastfeeding was offered and documented. Methods We reviewed clinic letters of women under the age of 50 attending cardiology clinic, as well as the Heart Support Unit (HSU) in Beaumont Hospital between January 2019 and January 2020. The information gathered includes; MRN, age, cardiovascular medications prescribed, documentation of the risk benefit of prescriptions, documentation of family planning or breast-feeding. Results 331 patient clinic letters were reviewed as a sample of a total of 695 women under 50 who attended cardiology clinic in the period, with 2.8% attending HSU. The mean age was 37.9 years (SD 8.6). The majority (51%) were aged between 40 and 50. 29.9% were aged between 30 and 39. 59.8% of women were not prescribed any medications. 23% of this cohort were prescribed one medication and beta blockers were the most frequently prescribed medication (23.6%). Within beta blocker prescriptions, 76% were bisoprolol, 6% metoprolol, 5% labetalol, 3% sotalol, 3% nebivolol and 1% each for atenolol, propranolol and carvedilol. 45 (13%) women were prescribed either an ACE inhibitor or an ARB. 27 (8%) women were prescribed a statin, 23 (6%) were prescribed an antiplatelet agent. Figure 1 demonstrates the frequency drugs were prescribed. Of the five women who attended the HSU and documents were reviewed, all were prescribed three or more medications and one patient was prescribed six medications. None of these prescriptions were associated with any documentation of teratogenic risk or family planning. Of the 331 patient documents, 11 mentioned family planning intentions, pregnancy or potential risks of CV medication use during pregnancy. Issue of breastfeeding was not documented in any case. Abstract 53 Figure 1 Frequency of drug prescription [Figure omitted. See PDF] Conclusions In women of childbearing age attending the cardiology department, 40% are prescribed medications, however associated documentation of issue of pregnancy, contraception, family planning intentions, breastfeeding is low. Documentation of potential teratogenic risks associated with these medications is also low. Patients with complex polypharmacy attending the HSU were not appropriately advised of the compounded teratogenic risk. Clinicians require more education in this regard and this aspect of the clinical encounter in this population requires proper documentation
  • Publisher: London: BMJ Publishing Group LTD
  • Language: English
  • Identifier: ISSN: 1355-6037
    EISSN: 1468-201X
    DOI: 10.1136/heartjnl-2021-ICS.53
  • Source: ProQuest Central
Back to results list
INSPIRE LIBRARY - TON DUC THANG UNIVERSITY (84-028) 37 755 057 Feedback
19 Nguyen Huu Tho St. Dist.7, HCM thuvien@tdtu.edu.vn

Copyright © 2017 INSPIRE LIBRARY - TON DUC THANG UNIVERSITY

Searching Remote Databases, Please Wait