Physicians’ knowledge and preferences in tactics of management and rational pharmacotherapy of arterial hypertension in pregnant women (PHYGEST study)

Roman A. Bontsevich; Tatiana I. Balamutova; Natalia A. Chukhareva; Oksana V. Tsygankova; Galina A. Batisheva; Alena Paleskava; Olga G. Kompaniets; Galina G. Ketova; Valeriya O. Barysheva; Vera A. Nevzorova; Irina M. Martynenko; Sergey P. Pakhomov

doi:10.3897/rrpharmacology.8.80759

Authors

Roman A. Bontsevich Belgorod State National Research University; Children’s Medical Center “Azbuka Zdorovya” https://orcid.org/0000-0002-9328-3905
Tatiana I. Balamutova LLC Promedica https://orcid.org/0000-0002-3598-7664
Natalia A. Chukhareva Fomin Women’s Health Clinic (LLC “CDF-West”) https://orcid.org/0000-0003-1748-2037
Oksana V. Tsygankova Novosibirsk State Medical University; Branch of the Institute of Cytology and Genetics, Siberian Branch of Russian Academy of Science https://orcid.org/0000-0003-0207-7063
Galina A. Batisheva https://orcid.org/0000-0003-4771-7466
Alena Paleskava Petersburg Nuclear Physics Institute NRC Kurchatov Institute https://orcid.org/0000-0001-8623-8404
Olga G. Kompaniets Kuban State Medical University https://orcid.org/0000-0001-9449-9241
Galina G. Ketova South Ural State Medical University https://orcid.org/0000-0002-4678-6841
Valeriya O. Barysheva Endocrinology Research Centre https://orcid.org/0000-0001-7762-7854
Vera A. Nevzorova Pacific State Medical University https://orcid.org/0000-0002-0117-0349
Irina M. Martynenko Pacific State Medical University https://orcid.org/0000-0002-5181-0279
Sergey P. Pakhomov Belgorod State National Research University https://orcid.org/0000-0001-8113-4788

DOI:

https://doi.org/10.3897/rrpharmacology.8.80759

Abstract

Introduction: The issues of rational antihypertensive therapy in pregnant women are always extremely relevant, since high blood pressure in a pregnant woman is associated with serious risks for a mother and a fetus.

The aim of the study: To determine the knowledge and preferences of physicians in the management of pregnant women with arterial hypertension.

Materials and methods: A multicenter study was conducted in 2018–2021 using an anonymous questionnaire among 411 doctors from 8 regions of Russia.

Results and discussion: The levels of knowledge and preferences of specialists in the issues of diagnosing and formulating a diagnosis of arterial hypertension and preeclampsia in pregnant women, prescribing basic and additional drugs for the treatment and prevention of hypertension were revealed, and the degree of compliance with the current clinical guidelines was assessed.

Conclusion: Due to the insufficient level of knowledge of specialists, it is required to pay increased and special attention to this problem, strengthen control over compliance with clinical guidelines, and introduce it into postgraduate recommendations and continuing education programs.

Keywords:

arterial hypertension, preeclampsia, pregnant women, antihypertensive therapy, doctors’ knowledge level, doctors’ preferences, questioning

Author Contribution

Roman A. Bontsevich, Belgorod State National Research University; Children’s Medical Center “Azbuka Zdorovya”

MD, PhD, Associate Professor of the Department of Pharmacology and Clinical Pharmacology;
pulmonologist, clinical pharmacologist and therapist.

Tatiana I. Balamutova, LLC Promedica

MD, cardiologist, therapist.

Natalia A. Chukhareva, Fomin Women’s Health Clinic (LLC “CDF-West”)

MD, PhD, chief therapist.

Oksana V. Tsygankova, Novosibirsk State Medical University; Branch of the Institute of Cytology and Genetics, Siberian Branch of Russian Academy of Science

MD, PhD, Professor of the Department of Emergency Medicine with Endocrinology and Occupational Pathology of the Faculty of Continuing Education and Professional Retraining of Doctors;
Senior Researcher of Research Institute of Internal and Preventive Medicine.

Galina A. Batisheva

MD, PhD, Professor, Head of Department of Clinical Pharmacology.

Alena Paleskava, Petersburg Nuclear Physics Institute NRC Kurchatov Institute

PhD, senior researcher.

Olga G. Kompaniets, Kuban State Medical University

MD, PhD, Associated Professor of the Department of Therapy №1.

Galina G. Ketova, South Ural State Medical University

MD, PhD, Professor of the Department of Outpatient Therapy and Clinical Pharmacology.

Valeriya O. Barysheva, Endocrinology Research Centre

MD, PhD, clinical pharmacologist.

Vera A. Nevzorova, Pacific State Medical University

MD, PhD, Professor, Head of the Institute of Therapy and Instrumental Diagnostic.

Irina M. Martynenko, Pacific State Medical University

MD, PhD, Associate Professor, Institute of Therapy and Instrumental Diagnostics.

Sergey P. Pakhomov, Belgorod State National Research University

MD, PhD, Professor, Head of the Department of Obstetrics and Gynecology.