Awareness of health care staff regarding indicated and contraindicated medication during pregnancy at Kirkuk city hospitals

Awareness of health care staff regarding indicated and contraindicated medication during pregnancy at Kirkuk city hospitals

Darya Yaseen Mustafa/MSc Science in Nursing/ lecturer Assistant /College of Nursing/ University of Kirkuk

E. mail: darya [email protected]

DhiaaAlrahman H. Abdullah/MSc Science in Nursing /lecturer/College of Nursing/ University of Kirkuk

E. mail: [email protected]

 Abstract

Objectives: to assess healthcare worker awareness regarding indicated and contraindicated medication during pregnancy at Kirkuk city hospitals.

Methodology: A quantitative design using descriptive study was carried out at Kirkuk city hospitals   from 1^st of October, 2017, up to the 1^st of October, 2018. A non-probability (purposive) sample of (86) staff working in maternity units was used.  A constructed questionnaire was used for the purpose of the study which consisted of two parts: the demographic data of the sample, andthe awareness of healthcare worker regarding indicated and contraindicated medication during pregnancy. The data were collected through the use of self-administration techniques they were analyzed through the application of descriptive statistical analysis and inferential statistical data analysis.

Results: The findings of the study indicated that (60.5%) of the samples were working in Kirkuk general hospital, (55.8%) were between age group (20-29 years), (57%) of the sample were nurses, (53.5%) of them were having 1-5 years of experience, and (58.1%) do not training in medication session.

Conclusions: most healthcare worker unaware of indicated and contraindicated medication during pregnancy.

Keys; awareness, indicated medication, contraindicated medication, pregnancy.

Pharmaco-epidemiological studies can help in minimizing the inherent risk of drug use in pregnancy, by establishing a profile of drug consumption, by evaluating the existing health services and by investigating the interventional measures ⁽³⁾

Pregnancy is a very crucial part of life for the both mother and baby so it’s very important for the pregnant mothers to follow up during the gestation period. The most important thing is the medication is undergoing as the drugs containing the mixture of chemicals when interact together may cause the teratogenic effect to the baby. So it is very important for the health care professionals and pregnant woman to know which drugs can be taken and which should be avoided during this period therefore this review gives insight of the drugs which are safe and unsafe during pregnancy to increase the awareness ^(4,5).Physician, nurses and other health care worker should aware the risks of the contraindication of the prescribed medication during pregnancy as stated by Andrade et al 2006 and Lee et al 2006 that the appropriate dispensing is one of the key steps for rational drug use including minimizing the use of teratogenic drugs during pregnancy. It is necessary that a drug dispenser should have relevant and updated knowledge and skills regarding dispensing of drugs during pregnancy. ^(6,7).

2- To assess healthcare worker awareness regarding indicated medication during pregnancy.

3- To assess healthcare worker awareness regarding contraindicated medication during pregnancy.

4- To find out the relationship between demographic data and awareness of the sampl

Table )1) frequency and percentage of the study samples regarding to demographic data

Table (1) shows that the study sample were (60.5%) work in Kirkuk general hospital,(55.8%) were between age group 20-29 years old, (57%)were nursing staff, (53.5%) having 1-5 years of experience, ( 58.1%) having training session regarding medication.

                Figure 1: Awareness of health care provider regarding indicated medication during pregnancy 

 Figure 1: Awareness of health care provider regarding contraindicated medication during pregnancy

Table (2) One-way analysis of variance for the differences between staff awareness and their    demographical data (age, experience, and staff).

 F critical = 1.83Table (2) shows that there is no significant relationship between the (age, experience, and staff) domain and their awareness, at P ≤ 0.05

 Table (3) comparison of health care staff awareness regarding to their (hospital and training session)

 T critical = 1.980

Df = 84

 Table (3) shows that there is no significant differences between (hospital and session) domain and their awareness of the sample at P value ≤  0.05

 4. Discussion

2)      Health care worker unaware regarding     contra indicated medication during pregnancy

3)      The relationship between staff awareness and their demographic data( age, experience and staff) were not significant

4)      The relationship between staff awareness and their demographic data ( hospital and training session ) were not significant

1. Hospitals and primary health care center should emphasize on establishing continuous training session for medical and nursing staff regarding medication prescription.
2. Highlight on mass media and social media to educate women especially pregnant about the safe and unsafe medication during pregnancy.
3. Pharmacist should be included in their consultation about prescribing medication to the pregnant
4. Posters and booklet about most dangerous drugs should be available on hand for medical and nursing staff.

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