Knowledge, advice and attitudes toward women driving a car after caesarean section or hysterectomy: A survey of obstetrician/gynaecologists and midwives

Shand, Antonia; Harpham, Margie E.; Lainchbury, Anne; McCormack, Lalla; Leung, Stefanie; Nassar, Natasha

doi:10.1111/ajo.12496

Cited by 7 publications

(2 citation statements)

References 15 publications

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“…Strengths of this study include that it reflects current practice by specialist obstetricians in Australia and New Zealand in both urban and metropolitan areas. Our study was limited by the low response rate, however this was comparable to similar studies of the RANZCOG membership of 19–23%, and still represents a sizeable cohort [ 24 , 25 ]. Nonetheless, potential self-selection bias must be acknowledged as a limitation, particularly in light of this response rate; as with any survey, those that have greater interest or more strongly held views on a topic may be more inclined to complete the survey.…”

Section: Discussionsupporting

confidence: 62%

The use of intravenous iron in pregnancy: for whom and when? A survey of Australian and New Zealand obstetricians

Smith-Wade

Kidson‐Gerber

Shand

et al. 2020

BMC Pregnancy Childbirth

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Background Iron deficiency anaemia in pregnancy (IDAP) affects 11–18% of Australian pregnancies and is associated with adverse perinatal outcomes. National prescribing data suggests the use of intravenous iron in pregnancy is increasingly common. This study aimed to: 1) Establish the current patterns of intravenous iron use by Fellows of the Royal Australian and New Zealand College of Obstetricians (FRANZCOG) when treating iron deficiency and IDAP including immediately postpartum and; 2) Assess FRANZCOG opinions regarding potential trial of intravenous iron for first-line treatment of IDAP. Methods An online survey of RANZCOG Fellows practicing obstetrics was distributed in September 2018. Results were analysed descriptively and responses compared by clinician demographics using Chi-squared testing. Results Of 484 respondents (21% of FRANZCOG), 457 were currently practicing obstetrics. Most prescribed intravenous iron in pregnancy (96%) and/or postpartum (85%). Most intravenous iron was prescribed for IDAP (98%) rather than iron deficiency without anaemia (53%), and for IDAP most commonly second-line to failed oral iron supplementation and first-line in special circumstances (59%). Intravenous iron prescribing was associated with shorter time since FRANZCOG completion (p = 0.01), public hospital practice (p = 0.008) and higher hospital birth numbers (p = 0.01). Most respondents (90%) would consider a randomised controlled trial of first-line intravenous iron for IDAP, although views on appropriate thresholds differed. Conclusions Almost all respondents prescribed intravenous iron for IDAP, and while mostly used for second-line treatment over half sometimes used it first-line. With accelerating intravenous iron use, further research is required into its optimal use in pregnancy, recognizing important clinical outcomes and cost effectiveness.

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Section: Discussionsupporting

confidence: 62%

The use of intravenous iron in pregnancy: for whom and when? A survey of Australian and New Zealand obstetricians

Smith-Wade

Kidson‐Gerber

Shand

et al. 2020

BMC Pregnancy Childbirth

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“…Several survey studies conducted in the last two decades inventorying convalescence recommendations following gynecological procedures demonstrated that there is substantial variation in convalescence advice given by health care providers and emphasized the need for unified convalescence guidelines [ 11 , 12 , 16 , 24 , 38 , 39 ]. However, we are not aware of research similar to our own, in which both input from experts as well as input from patients were used to generate convalescence recommendations.…”

Section: Discussionmentioning

confidence: 99%

Using patient data to optimize an expert-based guideline on convalescence recommendations after gynecological surgery: a prospective cohort study

et al. 2017

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BackgroundConvalescence advice is often based on tradition and anecdote from health care providers, rather than being based on experiences from patients themselves. The aim of this study was to analyse recovery in terms of resumption of various daily activities including work, following different laparoscopic and abdominal surgery in order to optimize an expert-based guideline on convalescence recommendations.MethodsThis is a prospective cohort study conducted in nine general and one university hospital in the Netherlands. Women aged 18–65 years and scheduled for a hysterectomy (laparoscopic, vaginal, abdominal) and/or laparoscopic adnexal surgery (n = 304) were eligible to participate. Preoperatively, participants were provided with tailored expert-based convalescence recommendations on the graded resumption of several daily activities including sitting, standing, walking, climbing stairs, bending, lifting, driving, cycling, household chores, sport activities and return to work (RTW). Postoperatively, time until the resumption of these activities was tracked. Convalescence recommendations were considered correct when at least 25% and less than 50% of the women were able to resume an activity before or at the recommended recovery time.ResultsThere was a wide variation in the duration until the resumption of daily activities within and between groups of patients undergoing different types of surgery. Recovery times lengthened with increasing levels of physical burden as well as with increasing levels of invasiveness of the surgery. For the majority of activities actual recovery times exceeded the recovery time recommended by the expert panel.ConclusionsThis study provided insight in the resumption of daily activities after gynecological surgery and the adequacy of an expert-based convalescence guideline in clinical practice. Patient data was used to optimize the convalescence recommendations.Trial registrationDutch trial registry, NTR2087 (August 2009) and NTR2933 (June 2011).Electronic supplementary materialThe online version of this article (10.1186/s12893-017-0317-8) contains supplementary material, which is available to authorized users.

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Scoping Review of Education for Women About Return to Driving After Abdominal Surgery

Obigbesan¹,

Hayden²,

Benzies³

2023

Journal of Obstetric, Gynecologic & Neonatal Nursing

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Knowledge, advice and attitudes toward women driving a car after caesarean section or hysterectomy: A survey of obstetrician/gynaecologists and midwives

Abstract: Clinicians frequently give advice about driving after surgery. This advice is inconsistent and many advise women not to drive for significant time periods. This study highlights the need for education and research about driving after surgery.

Cited by 7 publications

References 15 publications

The use of intravenous iron in pregnancy: for whom and when? A survey of Australian and New Zealand obstetricians

The use of intravenous iron in pregnancy: for whom and when? A survey of Australian and New Zealand obstetricians

Using patient data to optimize an expert-based guideline on convalescence recommendations after gynecological surgery: a prospective cohort study

Scoping Review of Education for Women About Return to Driving After Abdominal Surgery

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