AI Article Synopsis

  • A significant number of pregnant women have a history of herpes, which poses risks for newborns, prompting a study on midwives' knowledge and practices regarding herpes management in France.* -
  • An online survey revealed that only 26.1% of midwives were aware of the 2017 guidelines, with appropriate actions taken in 56.1% of recurrent cases and 95.1% during primary infections.* -
  • Although most practices were compliant, there was a concerning lack of awareness about neonatal risks, highlighting the need for better dissemination of guidelines to improve care quality.*

Article Abstract

(1) Background: One out of two pregnant women has a history of herpes infection. Initial infections have a high risk of neonatal transmission. Our objective was to analyse the professional practises of midwives regarding the management of herpes infections during pregnancy in France; (2) Methods: A national survey conducted via an online self-questionnaire, including clinical vignettes for which the midwives proposed a diagnosis, a drug treatment, a mode of birth, and a prognosis. These responses were used to evaluate the conformity of the responses to the guidelines, as well as the influence of certain criteria, such as mode of practise and experience; (3) Results: Of 728 responses, only 26.1% of the midwives reported being aware of the 2017 clinical practise guidelines. The midwives proposed taking the appropriate actions in 56.1% of the responses in the case of a recurrence, and in 95.1% of the responses in the case of a primary infection. For the specific, high-risk case of a nonprimary initial infection at 38 weeks of gestation, reporting knowledge of the recommendations improved the compliance of the proposed care by 40% ( = 0.02). However, 33.8% of the midwives underestimated the neonatal risk at term after a primary initial infection, and 43% underestimated the risk after a primary initial infection at term; (4) Conclusions: The majority of reported practises were compliant despite a low level of knowledge of the guidelines. The dissemination of guidelines may be important to improve information and adherence to appropriate therapeutic practise.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9914294PMC
http://dx.doi.org/10.3390/healthcare11030364DOI Listing

Publication Analysis

Top Keywords

initial infection
12
infections pregnancy
8
midwives proposed
8
responses case
8
primary initial
8
infection
5
midwives
5
responses
5
evaluation midwives'
4
midwives' practises
4

Similar Publications

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!