Obstetric rheumatology training is an unmet educational need within the rheumatology community

Thorne, Iona; Sriskandarajah, Kokul; Mouyis, Maria

doi:10.1093/rap/rkaa025

Cited by 4 publications

(4 citation statements)

References 3 publications

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“…Previous studies have identi ed low levels of con dence among rheumatology providers in caring for women of reproductive age with RDs, but this is the rst assessment of OBGYN, non-rheumatology internal medicine and family medicine providers in the United States (3,4). Although only 200 providers completed the survey, this is the highest number of participants to complete an assessment on this topic.…”

Section: Discussionmentioning

confidence: 95%

“…The survey was administered from April 2021 to January 2022. Eligible providers included OBGYN physicians (generalists and subspecialists), general internal medicine physicians, family medicine physicians, and women's health advanced practice providers (APPs) including nurse practitioners (NPs), physician assistants (PAs), and midwives in the United States (2)(3)(4). All currently practicing health care providers who directly care for reproductive aged women were included as part of this study if they completed the survey.…”

Section: Study Populationmentioning

confidence: 99%

“…In order to address their reproductive needs, women with RDs may seek medical guidance and care from their healthcare team which may include their rheumatologist as well as providers in internal medicine (IM), family medicine (FM), or obstetrics and gynecology (OBGYN). However, women with RDs report receiving insu cient and often con icting information and support from their providers (3,4). These experiences highlight the unmet need in addressing family planning strategies, management of RDs in pregnancy, and medication safety pertaining to women with RDs at risk of becoming pregnant.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

A Womb with Rheum: Providers’ Knowledge and Educational Needs in Caring for Women with Rheumatic Diseases

He,

Arenas,

Karani

et al. 2023

Preprint

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Background Patients with rheumatic diseases have unique reproductive health needs. Recent guidelines have been established by various soceities on this topic. However, the education received by women’s health providers pertaining to the recognition and management of common rheumatic diseases in child-bearing age patients is not well-defined. This study aims to assess knowledge gaps, specify aspects of care with greatest uncertainty, and assess current resources used by women’s health providers in the management of their patients with rheumatic disease. Methods An electronic survey was distributed nationally to physicians and allied health professionals who care for reproductive age women. The survey scored participants on their correct responses and confidence ratings in three sections: 1) patients presenting with a new rheumatic disease, 2) contraception in those with a known rheumatic diagnosis, and 3) preconception/antepartum rheumatology medication management. Participants were also asked about resource utilization. Survey questions and scenarios were based on American College of Obstetrics and Gynecology Committee Opinions and the American College of Rheumatology Guidelines for the Management of Reproductive Health in Rheumatic and Musculoskeletal Diseases. Data were captured using RedCap© and analyzed using descriptive statistics. Results The survey was completed by 200 participants with majority being academic obstetricians and gynecologists. Respondents scored the lowest in recognizing new rheumatic disease presentations in peri-and post-partum periods (28.7%, 95% CI: 25.9–31.6%). Contraception counseling was the area of highest accuracy (57.5%, 95% CI: 54.2–60.8%) and confidence (44.6%, 95% CI: 41.7–47.5%), although areas for contraceptive knowledge expansion exist. Approximately 70% of respondents identified online resources as their main resource used in clinical practice and would prefer more information to be provided as a website, published guidelines, or Smartphone application. Conclusions Women’s health providers lack educational opportunities to improve knowledge and confidence in managing reproductive-aged rheumatic diseases patients. Recognizing new disease presentations and antepartum medication management were identified as topics with the largest knowledge gaps. Collaborative resources are needed to fill educational needs.

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Section: Discussionmentioning

confidence: 95%

Section: Study Populationmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

A Womb with Rheum: Providers’ Knowledge and Educational Needs in Caring for Women with Rheumatic Diseases

He,

Arenas,

Karani

et al. 2023

Preprint

View full text Add to dashboard Cite

show abstract

“…Specialist management of inflammatory rheumatic disease in those of reproductive age has been identified as an unmet need by patient groups and clinicians 1. Along with balancing the relative benefits and risks of treatments in pregnancy for both mother and baby, it is important to consider the impact of pregnancy on the disease and the impact of the disease on pregnancy 2.…”

Section: Introductionmentioning

confidence: 99%

Prescribing for pregnancy: inflammatory rheumatic disease

Steele

Thorne

2023

DTB

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Inflammatory rheumatic disease during pregnancy requires careful management. Key factors for successful pregnancy outcome are disease remission at the time of conception and optimal disease control during pregnancy. This article forms part of a series on prescribing for pregnancy and discusses the impact of inflammatory arthritis on pregnancy and the influence pregnancy may have on inflammatory arthritis. It highlights the importance of prepregnancy care and collaborative working between obstetric and rheumatology specialties as well as focusing on prescribing before, during and after pregnancy.

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Rebuilding a Reproductive Future Informed by Disability and Reproductive Justice

Hassan

Hirz

Yates

et al. 2023

Women's Health Issues

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Obstetric rheumatology training is an unmet educational need within the rheumatology community

Cited by 4 publications

References 3 publications

A Womb with Rheum: Providers’ Knowledge and Educational Needs in Caring for Women with Rheumatic Diseases

A Womb with Rheum: Providers’ Knowledge and Educational Needs in Caring for Women with Rheumatic Diseases

Prescribing for pregnancy: inflammatory rheumatic disease

Rebuilding a Reproductive Future Informed by Disability and Reproductive Justice

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