Nada L. Stotland|Patrice Sutton|Jessica Trowbridge|Dylan S. Atchley|Jeanne Conry|Leonardo Trasande|Barbara Gerbert|Annemarie Charlesworth|Tracey J. Woodruff
Counseling Patients on Preventing Prenatal Environmental Exposures - A Mixed-Methods Study of Obstetricians
University of California, San Francisco|University of California, San Francisco|University of California, San Francisco|University of California, San Francisco|American Congress of Obstetricians and Gynecologists|American College of Financial Services|Kaiser Permanente Sacramento Medical Center|New York University|University of California, San Francisco|University of California, San Francisco|University of California, San Francisco
objective describe attitudes beliefs practices us obstetricians topic prenatal environmental exposures study design national online survey american congress obstetricians gynecologists acog fellows 3 focus groups obstetricians results received 2514 eligible survey responses response rate 14 majority 78 obstetricians agreed reduce patient exposures environmental health hazards counseling patients 50 reported rarely take environmental health history less 20 reported routinely asking environmental exposures commonly found pregnant women us 1 15 reported training topic barriers counseling included lack knowledge uncertainty evidence concerns patients lack capacity reduce harmful exposures fear causing anxiety among patients conclusion us obstetricians study recognized potential impact environment reproductive health role physicians could play prevention reported numerous barriers counseling patients medical education training evidencebased guidelines tools communicating risks patients needed support clinical role preventing environmental exposures threaten patient health