A survey of child neurologists about reproductive healthcare for adolescent women with epilepsy.

摘要: OBJECTIVE To evaluate child neurologists' knowledge, attitudes, and practices regarding sexual reproductive health (SRH) care for adolescent young adult women with epilepsy (WWE). METHODS Child neurologists (including attending physicians, residents, fellows, advanced practitioners) completed an online survey distributed through subspecialty listservs. We analyzed results using descriptive statistics, chi-square, logistic regression. RESULTS Two hundred eight the survey. Most believed that should counsel WWE on: teratogenesis (99%, n = 206/207), contraception-antiseizure medication interactions (96%, n = 194/202), pregnancy (95%, n = 198/206), contraception (89%, n = 184/206) folic acid supplementation (70%, n = 144/205). Fewer respondents felt confident such counseling (teratogenesis: 90%, n = 188/208, drug interactions: 65%, n = 133/208, 75%, n = 156/208, contraception: 47-64%, n = 96-134/208, p < 0.05). Ninety-five percent (n = 172/181) reported ever discussing SRH typically developing WWE, compared to 78% (n = 141/181) mild intellectual disability (p < 0.01). One third (n = 56/170) who discussed did not do so routinely. Respondents correctly answered 87% ± 5% of knowledge questions about 80% ± 4% teratogenic antiseizure medications, 61% ± 7% interactions. The greatest barrier was time constraints (80%, n = 149/186). majority (64%, n = 119/186) identified solutions including longer appointment times co-managing other specialties. CONCLUSIONS Findings reveal gaps in by especially those disability. Provider-identified barriers may serve as targets improve this population.