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Published in: BMC Pregnancy and Childbirth 1/2024

Open Access 01-12-2024 | Research

Knowledge and practice of community pharmacists regarding the safety of drugs during pregnancy: a cross-sectional study from a developing country

Authors: Amer A. Koni, Hamzah Qashoa, Abeer Abo Musa, Maen Masri, Walaa Hazem, Sari Taha, Aiman Daifallah, Samah W. Al-Jabi, Amani S Abushanab, Sa’ed H. Zyoud

Published in: BMC Pregnancy and Childbirth | Issue 1/2024

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Abstract

Background

Drug use during pregnancy can cause unfavorable fetal and maternal outcomes. Information sharing is essential for pharmacists’ role within intricate, modern healthcare systems. Community pharmacists (CPs) have demonstrated unsatisfactory knowledge across various pharmacological domains in most developing countries. This study aimed to explore the knowledge and practices of CPs regarding medications and herb safety during pregnancy.

Methods

A cross-sectional study was conducted in a developing country using a self-administered questionnaire. A sample of CPs working in the northern governorates of the West Bank was selected by convenience sampling. The questionnaire included questions on sociodemographic characteristics, practices and knowledge. Descriptive and inferential statistics were calculated using the Statistical Package for the Social Sciences (SPSS) to analyze the data.

Results

A total of 207 questionnaires were completed. Most respondents had only a bachelor’s degree (89.9%) but did not participate in continuous professional development (CPD) (71.0%). Almost one-third of the CP workload involved dispensing drugs to pregnant women. The majority of the participants reported that they inquire about pregnancy status (59.9%), refer to scientific sources (82.6%), and contact a prescribing physician (51.2%) in cases of uncertainty. A higher knowledge score was associated with receiving a master’s degree and CPD programs. Most CPs identified folic acid, paracetamol and amoxicillin as safe, while tetracycline, isotretinoin, enalapril, pseudoephedrine and ibuprofen were among the drugs mostly reported as unsafe. Castor oil, Senna, St. John’s wort and ginseng were the most frequently reported herbs as unsafe.

Conclusions

Despite the gaps in knowledge about herb pharmacology, CPs demonstrated acceptable knowledge and practice regarding drug safety during pregnancy. CPD is recommended for addressing gaps in knowledge and practice. Future research evaluating knowledge and practice may benefit from developing a specific, accurate, validated instrument.
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Literature
1.
go back to reference Nava-Ocampo AA, Koren G. Human teratogens and evidence-based teratogen risk counseling: the Motherisk approach. Clin Obstet Gynecol. 2007;50(1):123–31.PubMedCrossRef Nava-Ocampo AA, Koren G. Human teratogens and evidence-based teratogen risk counseling: the Motherisk approach. Clin Obstet Gynecol. 2007;50(1):123–31.PubMedCrossRef
2.
go back to reference Magee LA, Mazzotta P, Koren G. Evidence-based view of safety and effectiveness of pharmacologic therapy for nausea and vomiting of pregnancy (NVP). Am J Obstet Gynecol. 2002;186(5 Suppl Understanding):S256–261.PubMedCrossRef Magee LA, Mazzotta P, Koren G. Evidence-based view of safety and effectiveness of pharmacologic therapy for nausea and vomiting of pregnancy (NVP). Am J Obstet Gynecol. 2002;186(5 Suppl Understanding):S256–261.PubMedCrossRef
3.
go back to reference Lim A, Stewart K, Konig K, George J. Systematic review of the safety of regular preventive asthma medications during pregnancy. Ann Pharmacother. 2011;45(7–8):931–45.PubMedCrossRef Lim A, Stewart K, Konig K, George J. Systematic review of the safety of regular preventive asthma medications during pregnancy. Ann Pharmacother. 2011;45(7–8):931–45.PubMedCrossRef
4.
go back to reference Mitchell J, Goodman J. Comparative effects of antidepressant medications and untreated major depression on pregnancy outcomes: a systematic review. Arch Womens Ment Health. 2018;21(5):505–16.PubMedCrossRef Mitchell J, Goodman J. Comparative effects of antidepressant medications and untreated major depression on pregnancy outcomes: a systematic review. Arch Womens Ment Health. 2018;21(5):505–16.PubMedCrossRef
5.
go back to reference Committee on Ethics ACoO, Gynecologists. ACOG Committee Opinion 377: Research involving women. Obstet Gynecol. 2007;110(3):731–6.CrossRef Committee on Ethics ACoO, Gynecologists. ACOG Committee Opinion 377: Research involving women. Obstet Gynecol. 2007;110(3):731–6.CrossRef
6.
go back to reference Friedman JM. How do we know if an exposure is actually teratogenic in humans? Am J Med Genet C Semin Med Genet. 2011;157 C(3):170–4.PubMedCrossRef Friedman JM. How do we know if an exposure is actually teratogenic in humans? Am J Med Genet C Semin Med Genet. 2011;157 C(3):170–4.PubMedCrossRef
7.
go back to reference Alem G, Awuonda M, Haastrup D, Anyiwo A, Daftary M, Wingate L, Ettienne E. Evaluation of knowledge of the new pregnancy and lactation labeling rule among pharmacists and physicians. J Am Pharm Assoc (2003). 2022;62(2):427–31.PubMedCrossRef Alem G, Awuonda M, Haastrup D, Anyiwo A, Daftary M, Wingate L, Ettienne E. Evaluation of knowledge of the new pregnancy and lactation labeling rule among pharmacists and physicians. J Am Pharm Assoc (2003). 2022;62(2):427–31.PubMedCrossRef
9.
go back to reference Fisher B, Rose NC, Carey JC. Principles and practice of teratology for the obstetrician. Clin Obstet Gynecol. 2008;51(1):106–18.PubMedCrossRef Fisher B, Rose NC, Carey JC. Principles and practice of teratology for the obstetrician. Clin Obstet Gynecol. 2008;51(1):106–18.PubMedCrossRef
10.
11.
go back to reference Sawicki E, Stewart K, Wong S, Leung L, Paul E, George J. Medication use for chronic health conditions by pregnant women attending an Australian maternity hospital. Aust N Z J Obstet Gynaecol. 2011;51(4):333–8.PubMedCrossRef Sawicki E, Stewart K, Wong S, Leung L, Paul E, George J. Medication use for chronic health conditions by pregnant women attending an Australian maternity hospital. Aust N Z J Obstet Gynaecol. 2011;51(4):333–8.PubMedCrossRef
12.
go back to reference Lupattelli A, Spigset O, Twigg MJ, Zagorodnikova K, Mardby AC, Moretti ME, Drozd M, Panchaud A, Hameen-Anttila K, Rieutord A, et al. Medication use in pregnancy: a cross-sectional, multinational web-based study. BMJ Open. 2014;4(2):e004365.PubMedPubMedCentralCrossRef Lupattelli A, Spigset O, Twigg MJ, Zagorodnikova K, Mardby AC, Moretti ME, Drozd M, Panchaud A, Hameen-Anttila K, Rieutord A, et al. Medication use in pregnancy: a cross-sectional, multinational web-based study. BMJ Open. 2014;4(2):e004365.PubMedPubMedCentralCrossRef
13.
go back to reference de Jonge L, de Walle HE, de Jong-van den Berg LT, van Langen IM, Bakker MK. Actual use of medications prescribed during pregnancy: a cross-sectional study using data from a Population-based congenital Anomaly Registry. Drug Saf. 2015;38(8):737–47.PubMedPubMedCentralCrossRef de Jonge L, de Walle HE, de Jong-van den Berg LT, van Langen IM, Bakker MK. Actual use of medications prescribed during pregnancy: a cross-sectional study using data from a Population-based congenital Anomaly Registry. Drug Saf. 2015;38(8):737–47.PubMedPubMedCentralCrossRef
14.
go back to reference Heitmann K, Holst L, Lupattelli A, Maltepe C, Nordeng H. Treatment of nausea in pregnancy: a cross-sectional multinational web-based study of pregnant women and new mothers. BMC Pregnancy Childbirth. 2015;15:321.PubMedPubMedCentralCrossRef Heitmann K, Holst L, Lupattelli A, Maltepe C, Nordeng H. Treatment of nausea in pregnancy: a cross-sectional multinational web-based study of pregnant women and new mothers. BMC Pregnancy Childbirth. 2015;15:321.PubMedPubMedCentralCrossRef
15.
go back to reference Mitchell AA, Gilboa SM, Werler MM, Kelley KE, Louik C, Hernandez-Diaz S, National Birth Defects Prevention Study. Medication use during pregnancy, with particular focus on prescription drugs: 1976–2008. Am J Obstet Gynecol. 2011;205(1):e5151–58.CrossRef Mitchell AA, Gilboa SM, Werler MM, Kelley KE, Louik C, Hernandez-Diaz S, National Birth Defects Prevention Study. Medication use during pregnancy, with particular focus on prescription drugs: 1976–2008. Am J Obstet Gynecol. 2011;205(1):e5151–58.CrossRef
16.
go back to reference Subramanian A, Azcoaga-Lorenzo A, Anand A, Phillips K, Lee SI, Cockburn N, Fagbamigbe AF, Damase-Michel C, Yau C, McCowan C, et al. Polypharmacy during pregnancy and associated risk factors: a retrospective analysis of 577 medication exposures among 1.5 million pregnancies in the UK, 2000–2019. BMC Med. 2023;21(1):21.PubMedPubMedCentralCrossRef Subramanian A, Azcoaga-Lorenzo A, Anand A, Phillips K, Lee SI, Cockburn N, Fagbamigbe AF, Damase-Michel C, Yau C, McCowan C, et al. Polypharmacy during pregnancy and associated risk factors: a retrospective analysis of 577 medication exposures among 1.5 million pregnancies in the UK, 2000–2019. BMC Med. 2023;21(1):21.PubMedPubMedCentralCrossRef
17.
go back to reference Zaki NM, Albarraq AA. Use, attitudes and knowledge of medications among pregnant women: a Saudi study. Saudi Pharm J. 2014;22(5):419–28.PubMedCrossRef Zaki NM, Albarraq AA. Use, attitudes and knowledge of medications among pregnant women: a Saudi study. Saudi Pharm J. 2014;22(5):419–28.PubMedCrossRef
18.
go back to reference Sawalha A. Consumption of prescription and non-prescription medications by pregnant women: A Cross Sectional Study in Palestine. Islam Univ J. 2007;15(2):41–57. Sawalha A. Consumption of prescription and non-prescription medications by pregnant women: A Cross Sectional Study in Palestine. Islam Univ J. 2007;15(2):41–57.
19.
go back to reference Quzmar Y, Istiatieh Z, Nabulsi H, Zyoud SH, Al-Jabi SW. The use of complementary and alternative medicine during pregnancy: a cross-sectional study from Palestine. BMC Complement Med Ther. 2021;21(1):108.PubMedPubMedCentralCrossRef Quzmar Y, Istiatieh Z, Nabulsi H, Zyoud SH, Al-Jabi SW. The use of complementary and alternative medicine during pregnancy: a cross-sectional study from Palestine. BMC Complement Med Ther. 2021;21(1):108.PubMedPubMedCentralCrossRef
20.
go back to reference Ali-Shtayeh MS, Jamous RM, Jamous RM. Plants used during pregnancy, childbirth, postpartum and infant healthcare in Palestine. Complement Ther Clin Pract. 2015;21(2):84–93.PubMedCrossRef Ali-Shtayeh MS, Jamous RM, Jamous RM. Plants used during pregnancy, childbirth, postpartum and infant healthcare in Palestine. Complement Ther Clin Pract. 2015;21(2):84–93.PubMedCrossRef
21.
go back to reference Eid AM, Jaradat N. Public knowledge, attitude, and practice on herbal remedies used during pregnancy and lactation in West Bank Palestine. Front Pharmacol. 2020;11:46.PubMedPubMedCentralCrossRef Eid AM, Jaradat N. Public knowledge, attitude, and practice on herbal remedies used during pregnancy and lactation in West Bank Palestine. Front Pharmacol. 2020;11:46.PubMedPubMedCentralCrossRef
22.
go back to reference Blouin RA, Adams ML. The role of the pharmacist in Health Care: Expanding and Evolving. N C Med J. 2017;78(3):165–7.PubMed Blouin RA, Adams ML. The role of the pharmacist in Health Care: Expanding and Evolving. N C Med J. 2017;78(3):165–7.PubMed
23.
go back to reference Bush PW, Daniels R. Health Care systems and transitions of Care: implication on interdisciplinary Pharmacy services. N C Med J. 2017;78(3):177–80.PubMed Bush PW, Daniels R. Health Care systems and transitions of Care: implication on interdisciplinary Pharmacy services. N C Med J. 2017;78(3):177–80.PubMed
24.
go back to reference Worley MM, Schommer JC, Brown LM, Hadsall RS, Ranelli PL, Stratton TP, Uden DL. Pharmacists’ and patients’ roles in the pharmacist-patient relationship: are pharmacists and patients reading from the same relationship script? Res Social Adm Pharm. 2007;3(1):47–69.PubMedCrossRef Worley MM, Schommer JC, Brown LM, Hadsall RS, Ranelli PL, Stratton TP, Uden DL. Pharmacists’ and patients’ roles in the pharmacist-patient relationship: are pharmacists and patients reading from the same relationship script? Res Social Adm Pharm. 2007;3(1):47–69.PubMedCrossRef
26.
go back to reference Alkhaleq AA, Malawani A, Laboom K, Al-Ramahi R, Rajab S, Kittani S. The Present and Future of Pharmaceutical Care in Palestine: a Survey among pharmacists. Pal Med Pharm J. 2016;1(2):59–64. Alkhaleq AA, Malawani A, Laboom K, Al-Ramahi R, Rajab S, Kittani S. The Present and Future of Pharmaceutical Care in Palestine: a Survey among pharmacists. Pal Med Pharm J. 2016;1(2):59–64.
27.
go back to reference Al-Ramahi R. Patterns and attitudes of self-medication practices and possible role of community pharmacists in Palestine. Int J Clin Pharmacol Ther. 2013;51(7):562–7.PubMedCrossRef Al-Ramahi R. Patterns and attitudes of self-medication practices and possible role of community pharmacists in Palestine. Int J Clin Pharmacol Ther. 2013;51(7):562–7.PubMedCrossRef
28.
go back to reference Shawahna R, Al-Rjoub M, Al-Horoub MM, Al-Hroub W, Al-Rjoub B, Al-Nabi BA. Risk of error estimated from Palestine pharmacists’ knowledge and certainty on the adverse effects and contraindications of active pharmaceutical ingredients and excipients. J Educ Eval Health Prof. 2016;13:1.PubMedPubMedCentralCrossRef Shawahna R, Al-Rjoub M, Al-Horoub MM, Al-Hroub W, Al-Rjoub B, Al-Nabi BA. Risk of error estimated from Palestine pharmacists’ knowledge and certainty on the adverse effects and contraindications of active pharmaceutical ingredients and excipients. J Educ Eval Health Prof. 2016;13:1.PubMedPubMedCentralCrossRef
29.
go back to reference Shraim NY, Al Taha TA, Qawasmeh RF, Jarrar HN, Shtaya MAN, Shayeb LA, Sweileh WM. Knowledge, attitudes and practices of community pharmacists on generic medicines in Palestine: a cross-sectional study. BMC Health Serv Res. 2017;17(1):847.PubMedPubMedCentralCrossRef Shraim NY, Al Taha TA, Qawasmeh RF, Jarrar HN, Shtaya MAN, Shayeb LA, Sweileh WM. Knowledge, attitudes and practices of community pharmacists on generic medicines in Palestine: a cross-sectional study. BMC Health Serv Res. 2017;17(1):847.PubMedPubMedCentralCrossRef
30.
go back to reference Radwan A, Sweileh A, Shraim W, Hroub A, Elaraj J, Shraim N. Evaluation of community pharmacists’ knowledge and awareness of food-drug interactions in Palestine. Int J Clin Pharm. 2018;40(3):668–75.PubMedCrossRef Radwan A, Sweileh A, Shraim W, Hroub A, Elaraj J, Shraim N. Evaluation of community pharmacists’ knowledge and awareness of food-drug interactions in Palestine. Int J Clin Pharm. 2018;40(3):668–75.PubMedCrossRef
31.
go back to reference Al-Halawa DA, Seir RA, Qasrawi R. Antibiotic Resistance Knowledge, Attitudes, and Practices among Pharmacists: A Cross-Sectional Study in West Bank, Palestine. J Environ Public Health 2023, 2023:2294048. Al-Halawa DA, Seir RA, Qasrawi R. Antibiotic Resistance Knowledge, Attitudes, and Practices among Pharmacists: A Cross-Sectional Study in West Bank, Palestine. J Environ Public Health 2023, 2023:2294048.
33.
go back to reference Ceulemans M, Liekens S, Van Calsteren K, Allegaert K, Foulon V. Community pharmacists’ attitudes, barriers, knowledge and counseling practice with regard to preconception, pregnancy and lactation. Res Social Adm Pharm. 2020;16(9):1192–200.PubMedCrossRef Ceulemans M, Liekens S, Van Calsteren K, Allegaert K, Foulon V. Community pharmacists’ attitudes, barriers, knowledge and counseling practice with regard to preconception, pregnancy and lactation. Res Social Adm Pharm. 2020;16(9):1192–200.PubMedCrossRef
34.
go back to reference Shraim NY, Shawahna R, Sorady MA, Aiesh BM, Alashqar GS, Jitan RI, Abu Hanieh WM, Hotari YB, Sweileh WM, Zyoud SH. Community pharmacists’ knowledge, practices and beliefs about complementary and alternative medicine in Palestine: a cross-sectional study. BMC Complement Altern Med. 2017;17(1):429.PubMedPubMedCentralCrossRef Shraim NY, Shawahna R, Sorady MA, Aiesh BM, Alashqar GS, Jitan RI, Abu Hanieh WM, Hotari YB, Sweileh WM, Zyoud SH. Community pharmacists’ knowledge, practices and beliefs about complementary and alternative medicine in Palestine: a cross-sectional study. BMC Complement Altern Med. 2017;17(1):429.PubMedPubMedCentralCrossRef
35.
go back to reference Abu Arah E. Community Pharmacists’ Medication Knowledge: A Nationwide Study in Palestine. An-Najah National University; 2012. Abu Arah E. Community Pharmacists’ Medication Knowledge: A Nationwide Study in Palestine. An-Najah National University; 2012.
36.
go back to reference Kamuhabwa A, Jalal R. Drug use in pregnancy: knowledge of drug dispensers and pregnant women in Dar Es Salaam, Tanzania. Indian J Pharmacol. 2011;43(3):345–9.PubMedPubMedCentralCrossRef Kamuhabwa A, Jalal R. Drug use in pregnancy: knowledge of drug dispensers and pregnant women in Dar Es Salaam, Tanzania. Indian J Pharmacol. 2011;43(3):345–9.PubMedPubMedCentralCrossRef
37.
go back to reference Rouf PA, Thomas B, Elkassem W, Tarannum A, Al Saad D, Gasim MM, Al Hail M. Knowledge and practice characteristics of pharmacists in Qatar towards medication use in pregnancy: a cross-sectional survey. East Mediterr Health J. 2018;24(2):137–45.PubMedCrossRef Rouf PA, Thomas B, Elkassem W, Tarannum A, Al Saad D, Gasim MM, Al Hail M. Knowledge and practice characteristics of pharmacists in Qatar towards medication use in pregnancy: a cross-sectional survey. East Mediterr Health J. 2018;24(2):137–45.PubMedCrossRef
38.
go back to reference Kafle S, Jha N, Sapkota Y, Shankar PR. Knowledge of community pharmacists in the Kathmandu Valley, Nepal about the risks associated with medication use during pregnancy. Int J Risk Saf Med. 2022;33(3):309–18.PubMedCrossRef Kafle S, Jha N, Sapkota Y, Shankar PR. Knowledge of community pharmacists in the Kathmandu Valley, Nepal about the risks associated with medication use during pregnancy. Int J Risk Saf Med. 2022;33(3):309–18.PubMedCrossRef
39.
go back to reference Alrabiah Z, Al-Arifi MN, Alghadeer SM, Wajid S, AlQahtani A, Almotari N, AlHwerani A, Babelghaith SD. Knowledge of community pharmacists about the risks of medication use during pregnancy in central region of Saudi Arabia. Saudi Pharm J. 2017;25(7):1093–6.PubMedPubMedCentralCrossRef Alrabiah Z, Al-Arifi MN, Alghadeer SM, Wajid S, AlQahtani A, Almotari N, AlHwerani A, Babelghaith SD. Knowledge of community pharmacists about the risks of medication use during pregnancy in central region of Saudi Arabia. Saudi Pharm J. 2017;25(7):1093–6.PubMedPubMedCentralCrossRef
43.
go back to reference Hejaz H, Halawani B, Al-Mohtaseb F, Omar N. Continuing Pharmaceutical Education: the extent of the conviction and applicability in the Palestinian Pharmaceutical Community. Int J Nat Sci. 2021;11(1):11–23. Hejaz H, Halawani B, Al-Mohtaseb F, Omar N. Continuing Pharmaceutical Education: the extent of the conviction and applicability in the Palestinian Pharmaceutical Community. Int J Nat Sci. 2021;11(1):11–23.
45.
go back to reference McConnell KJ, Delate T, Newlon CL. Impact of continuing professional development versus traditional continuing pharmacy education on learning behaviors. J Am Pharm Assoc (2003). 2012;52(6):742–52.PubMedCrossRef McConnell KJ, Delate T, Newlon CL. Impact of continuing professional development versus traditional continuing pharmacy education on learning behaviors. J Am Pharm Assoc (2003). 2012;52(6):742–52.PubMedCrossRef
46.
go back to reference Kheir N, Wilbur K. Chap. 13 - Continuing Professional Development and Self-Learning for Pharmacists. In: Pharmacy Education in the Twenty First Century and Beyond edn. Edited by Fathelrahman AI, Mohamed Ibrahim MI, Alrasheedy AA, Wertheimer AI: Academic Press; 2018: 191–200. Kheir N, Wilbur K. Chap. 13 - Continuing Professional Development and Self-Learning for Pharmacists. In: Pharmacy Education in the Twenty First Century and Beyond edn. Edited by Fathelrahman AI, Mohamed Ibrahim MI, Alrasheedy AA, Wertheimer AI: Academic Press; 2018: 191–200.
47.
go back to reference McConnell KJ, Newlon CL, Delate T. The impact of Continuing Professional Development Versus Traditional Continuing Pharmacy Education on Pharmacy Practice. Ann Pharmacother. 2010;44(10):1585–95.PubMedCrossRef McConnell KJ, Newlon CL, Delate T. The impact of Continuing Professional Development Versus Traditional Continuing Pharmacy Education on Pharmacy Practice. Ann Pharmacother. 2010;44(10):1585–95.PubMedCrossRef
48.
go back to reference Sarayani A, Rashidian A, Gholami K, Torkamandi H, Javadi M. Efficacy of continuing education in improving pharmacists’ competencies for providing weight management service: three-arm randomized controlled trial. J Contin Educ Health Prof. 2012;32(3):163–73.PubMedCrossRef Sarayani A, Rashidian A, Gholami K, Torkamandi H, Javadi M. Efficacy of continuing education in improving pharmacists’ competencies for providing weight management service: three-arm randomized controlled trial. J Contin Educ Health Prof. 2012;32(3):163–73.PubMedCrossRef
49.
go back to reference Cooksey K, Mailig M, Kieser M, Martin B, Margolis A. Impact of an online pharmacy precepting-focused continuing professional development program. Currents Pharm Teach Learn. 2023;15(7):673–9.CrossRef Cooksey K, Mailig M, Kieser M, Martin B, Margolis A. Impact of an online pharmacy precepting-focused continuing professional development program. Currents Pharm Teach Learn. 2023;15(7):673–9.CrossRef
50.
go back to reference Sacre H, Tawil S, Hallit S, Sili G, Salameh P. Mandatory continuing education for pharmacists in a developing country: assessment of a three-year cycle. Pharm Pract (Granada). 2019;17(3):1545.PubMedCrossRef Sacre H, Tawil S, Hallit S, Sili G, Salameh P. Mandatory continuing education for pharmacists in a developing country: assessment of a three-year cycle. Pharm Pract (Granada). 2019;17(3):1545.PubMedCrossRef
51.
go back to reference Darwish RM, Ammar K, Rumman A, Jaddoua SM. Perception of the importance of continuing professional development among pharmacists in a Middle East country: a cross-sectional study. PLoS ONE. 2023;18(4):e0283984.PubMedPubMedCentralCrossRef Darwish RM, Ammar K, Rumman A, Jaddoua SM. Perception of the importance of continuing professional development among pharmacists in a Middle East country: a cross-sectional study. PLoS ONE. 2023;18(4):e0283984.PubMedPubMedCentralCrossRef
Metadata
Title
Knowledge and practice of community pharmacists regarding the safety of drugs during pregnancy: a cross-sectional study from a developing country
Authors
Amer A. Koni
Hamzah Qashoa
Abeer Abo Musa
Maen Masri
Walaa Hazem
Sari Taha
Aiman Daifallah
Samah W. Al-Jabi
Amani S Abushanab
Sa’ed H. Zyoud
Publication date
01-12-2024
Publisher
BioMed Central
Published in
BMC Pregnancy and Childbirth / Issue 1/2024
Electronic ISSN: 1471-2393
DOI
https://doi.org/10.1186/s12884-024-06393-3

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