The Italian Network for Monitoring Medication Use During Pregnancy (MoM-Net): Experience and Perspectives
There is an acute need for research to acquire high-quality information on the use of medicines in pregnancy, both in terms of appropriateness and safety. For this purpose, the Italian Medicines Agency established a Network for Monitoring Medication use in pregnancy (MoM-Net) through the conduction...
Main Authors: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Frontiers Media S.A.
2021-06-01
|
Series: | Frontiers in Pharmacology |
Subjects: | |
Online Access: | https://www.frontiersin.org/articles/10.3389/fphar.2021.699062/full |
id |
doaj-dc770ea5aa0a4fadabedf61ff624b296 |
---|---|
record_format |
Article |
spelling |
doaj-dc770ea5aa0a4fadabedf61ff624b2962021-06-23T16:49:04ZengFrontiers Media S.A.Frontiers in Pharmacology1663-98122021-06-011210.3389/fphar.2021.699062699062The Italian Network for Monitoring Medication Use During Pregnancy (MoM-Net): Experience and PerspectivesValeria Belleudi0Filomena Fortinguerra1Francesca R. Poggi2Serena Perna3Renata Bortolus4Serena Donati5Antonio Clavenna6Anna Locatelli7Marina Davoli8Antonio Addis9Francesco Trotta10MoM-Net groupFrancesco TrottaFilomena FortinguerraSerena PernaValeria BelleudiFrancesca Romana PoggiAntonio AddisMarina DavoliSerena DonatiPaola D’AlojaRoberto Da CasRenata BortolusGiovanni RezzaAntonio ClavennaAnna LocatelliArianna MazzoneSimone SchiattiMartina ZanforliniIda FortinoSilvia ManeaLaura SalmasoGiovanna ScroccaroPaola DeambrosisAurora PucciniValentina SolfriniAnna MariaMarataRosa GiniFrancesco AttanasioMarcello De GiorgiDavid FranchiniMariangela RossiLombardozzi LorellaPaolo StellaVito BavaroVito MontanaroStefano LeddaPaolo CartaEnrico SerraDonatella GarauDepartment of Epidemiology, Lazio Regional Health Service, Rome, ItalyItalian Medicines Agency (AIFA), Rome, ItalyDepartment of Epidemiology, Lazio Regional Health Service, Rome, ItalyItalian Medicines Agency (AIFA), Rome, ItalyDirectorate General for Preventive Health - Office 9, Ministry of Health, Rome, ItalyNational Centre for Disease Prevention and Health Promotion, Istituto Superiore di Sanità - Italian National Institute of Health, Rome, ItalyLaboratory for Mother and Child Health, Department of Public Health - Istituto di Ricerche Farmacologiche Mario Negri IRCSS, Milan, ItalyDepartment of Obstetrics and Gynecology, University of Milano-Bicocca, Monza, ItalyDepartment of Epidemiology, Lazio Regional Health Service, Rome, ItalyDepartment of Epidemiology, Lazio Regional Health Service, Rome, ItalyItalian Medicines Agency (AIFA), Rome, ItalyThere is an acute need for research to acquire high-quality information on the use of medicines in pregnancy, both in terms of appropriateness and safety. For this purpose, the Italian Medicines Agency established a Network for Monitoring Medication use in pregnancy (MoM-Net) through the conduction of population-based studies using administrative data available at regional level. This paper aimed to describe the experiences and challenges within the network. MoM-Net currently involves eight regions and several experts from public and academic institutions. The first study conducted aimed to identify drug use before, during and after pregnancy investigating specific therapeutic categories, analysing regional variability and monitoring drug use in specific subpopulations (i.e. foreign women/multiple pregnancies). Aggregated demographic, clinical, and prescription data were analysed using a distributed network approach based on common data model. The study population included all women delivering during 2016–2018 in the participating regions (n = 449,012), and corresponding to 59% of deliveries in Italy. Seventy-three per cent of the cohort had at least one drug prescription during pregnancy, compared to 57% before and 59% after pregnancy. In general, a good adherence to guidelines for pregnant women was found although some drug categories at risk of inappropriateness, such as progestins and antibiotics, were prescribed. A strong variability in the use of drugs among regions and in specific subpopulations was observed. The MoM-Net represents a valuable surveillance system on the use of medicines in pregnancy, available to monitor drug categories at high risk of inappropriateness and to investigate health needs in specific regions or subpopulations.https://www.frontiersin.org/articles/10.3389/fphar.2021.699062/fullmedication usepregnancynetworkmonitoringappropriateness |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Valeria Belleudi Filomena Fortinguerra Francesca R. Poggi Serena Perna Renata Bortolus Serena Donati Antonio Clavenna Anna Locatelli Marina Davoli Antonio Addis Francesco Trotta MoM-Net group Francesco Trotta Filomena Fortinguerra Serena Perna Valeria Belleudi Francesca Romana Poggi Antonio Addis Marina Davoli Serena Donati Paola D’Aloja Roberto Da Cas Renata Bortolus Giovanni Rezza Antonio Clavenna Anna Locatelli Arianna Mazzone Simone Schiatti Martina Zanforlini Ida Fortino Silvia Manea Laura Salmaso Giovanna Scroccaro Paola Deambrosis Aurora Puccini Valentina Solfrini Anna MariaMarata Rosa Gini Francesco Attanasio Marcello De Giorgi David Franchini Mariangela Rossi Lombardozzi Lorella Paolo Stella Vito Bavaro Vito Montanaro Stefano Ledda Paolo Carta Enrico Serra Donatella Garau |
spellingShingle |
Valeria Belleudi Filomena Fortinguerra Francesca R. Poggi Serena Perna Renata Bortolus Serena Donati Antonio Clavenna Anna Locatelli Marina Davoli Antonio Addis Francesco Trotta MoM-Net group Francesco Trotta Filomena Fortinguerra Serena Perna Valeria Belleudi Francesca Romana Poggi Antonio Addis Marina Davoli Serena Donati Paola D’Aloja Roberto Da Cas Renata Bortolus Giovanni Rezza Antonio Clavenna Anna Locatelli Arianna Mazzone Simone Schiatti Martina Zanforlini Ida Fortino Silvia Manea Laura Salmaso Giovanna Scroccaro Paola Deambrosis Aurora Puccini Valentina Solfrini Anna MariaMarata Rosa Gini Francesco Attanasio Marcello De Giorgi David Franchini Mariangela Rossi Lombardozzi Lorella Paolo Stella Vito Bavaro Vito Montanaro Stefano Ledda Paolo Carta Enrico Serra Donatella Garau The Italian Network for Monitoring Medication Use During Pregnancy (MoM-Net): Experience and Perspectives Frontiers in Pharmacology medication use pregnancy network monitoring appropriateness |
author_facet |
Valeria Belleudi Filomena Fortinguerra Francesca R. Poggi Serena Perna Renata Bortolus Serena Donati Antonio Clavenna Anna Locatelli Marina Davoli Antonio Addis Francesco Trotta MoM-Net group Francesco Trotta Filomena Fortinguerra Serena Perna Valeria Belleudi Francesca Romana Poggi Antonio Addis Marina Davoli Serena Donati Paola D’Aloja Roberto Da Cas Renata Bortolus Giovanni Rezza Antonio Clavenna Anna Locatelli Arianna Mazzone Simone Schiatti Martina Zanforlini Ida Fortino Silvia Manea Laura Salmaso Giovanna Scroccaro Paola Deambrosis Aurora Puccini Valentina Solfrini Anna MariaMarata Rosa Gini Francesco Attanasio Marcello De Giorgi David Franchini Mariangela Rossi Lombardozzi Lorella Paolo Stella Vito Bavaro Vito Montanaro Stefano Ledda Paolo Carta Enrico Serra Donatella Garau |
author_sort |
Valeria Belleudi |
title |
The Italian Network for Monitoring Medication Use During Pregnancy (MoM-Net): Experience and Perspectives |
title_short |
The Italian Network for Monitoring Medication Use During Pregnancy (MoM-Net): Experience and Perspectives |
title_full |
The Italian Network for Monitoring Medication Use During Pregnancy (MoM-Net): Experience and Perspectives |
title_fullStr |
The Italian Network for Monitoring Medication Use During Pregnancy (MoM-Net): Experience and Perspectives |
title_full_unstemmed |
The Italian Network for Monitoring Medication Use During Pregnancy (MoM-Net): Experience and Perspectives |
title_sort |
italian network for monitoring medication use during pregnancy (mom-net): experience and perspectives |
publisher |
Frontiers Media S.A. |
series |
Frontiers in Pharmacology |
issn |
1663-9812 |
publishDate |
2021-06-01 |
description |
There is an acute need for research to acquire high-quality information on the use of medicines in pregnancy, both in terms of appropriateness and safety. For this purpose, the Italian Medicines Agency established a Network for Monitoring Medication use in pregnancy (MoM-Net) through the conduction of population-based studies using administrative data available at regional level. This paper aimed to describe the experiences and challenges within the network. MoM-Net currently involves eight regions and several experts from public and academic institutions. The first study conducted aimed to identify drug use before, during and after pregnancy investigating specific therapeutic categories, analysing regional variability and monitoring drug use in specific subpopulations (i.e. foreign women/multiple pregnancies). Aggregated demographic, clinical, and prescription data were analysed using a distributed network approach based on common data model. The study population included all women delivering during 2016–2018 in the participating regions (n = 449,012), and corresponding to 59% of deliveries in Italy. Seventy-three per cent of the cohort had at least one drug prescription during pregnancy, compared to 57% before and 59% after pregnancy. In general, a good adherence to guidelines for pregnant women was found although some drug categories at risk of inappropriateness, such as progestins and antibiotics, were prescribed. A strong variability in the use of drugs among regions and in specific subpopulations was observed. The MoM-Net represents a valuable surveillance system on the use of medicines in pregnancy, available to monitor drug categories at high risk of inappropriateness and to investigate health needs in specific regions or subpopulations. |
topic |
medication use pregnancy network monitoring appropriateness |
url |
https://www.frontiersin.org/articles/10.3389/fphar.2021.699062/full |
work_keys_str_mv |
AT valeriabelleudi theitaliannetworkformonitoringmedicationuseduringpregnancymomnetexperienceandperspectives AT filomenafortinguerra theitaliannetworkformonitoringmedicationuseduringpregnancymomnetexperienceandperspectives AT francescarpoggi theitaliannetworkformonitoringmedicationuseduringpregnancymomnetexperienceandperspectives AT serenaperna theitaliannetworkformonitoringmedicationuseduringpregnancymomnetexperienceandperspectives AT renatabortolus theitaliannetworkformonitoringmedicationuseduringpregnancymomnetexperienceandperspectives AT serenadonati theitaliannetworkformonitoringmedicationuseduringpregnancymomnetexperienceandperspectives AT antonioclavenna theitaliannetworkformonitoringmedicationuseduringpregnancymomnetexperienceandperspectives AT annalocatelli theitaliannetworkformonitoringmedicationuseduringpregnancymomnetexperienceandperspectives AT marinadavoli theitaliannetworkformonitoringmedicationuseduringpregnancymomnetexperienceandperspectives AT antonioaddis theitaliannetworkformonitoringmedicationuseduringpregnancymomnetexperienceandperspectives AT francescotrotta theitaliannetworkformonitoringmedicationuseduringpregnancymomnetexperienceandperspectives AT momnetgroup theitaliannetworkformonitoringmedicationuseduringpregnancymomnetexperienceandperspectives AT francescotrotta theitaliannetworkformonitoringmedicationuseduringpregnancymomnetexperienceandperspectives AT filomenafortinguerra theitaliannetworkformonitoringmedicationuseduringpregnancymomnetexperienceandperspectives AT serenaperna theitaliannetworkformonitoringmedicationuseduringpregnancymomnetexperienceandperspectives AT valeriabelleudi theitaliannetworkformonitoringmedicationuseduringpregnancymomnetexperienceandperspectives AT francescaromanapoggi theitaliannetworkformonitoringmedicationuseduringpregnancymomnetexperienceandperspectives AT antonioaddis theitaliannetworkformonitoringmedicationuseduringpregnancymomnetexperienceandperspectives AT marinadavoli theitaliannetworkformonitoringmedicationuseduringpregnancymomnetexperienceandperspectives AT serenadonati theitaliannetworkformonitoringmedicationuseduringpregnancymomnetexperienceandperspectives AT paoladaloja theitaliannetworkformonitoringmedicationuseduringpregnancymomnetexperienceandperspectives AT robertodacas theitaliannetworkformonitoringmedicationuseduringpregnancymomnetexperienceandperspectives AT renatabortolus theitaliannetworkformonitoringmedicationuseduringpregnancymomnetexperienceandperspectives AT giovannirezza theitaliannetworkformonitoringmedicationuseduringpregnancymomnetexperienceandperspectives AT antonioclavenna theitaliannetworkformonitoringmedicationuseduringpregnancymomnetexperienceandperspectives AT annalocatelli theitaliannetworkformonitoringmedicationuseduringpregnancymomnetexperienceandperspectives AT ariannamazzone theitaliannetworkformonitoringmedicationuseduringpregnancymomnetexperienceandperspectives AT simoneschiatti theitaliannetworkformonitoringmedicationuseduringpregnancymomnetexperienceandperspectives AT martinazanforlini theitaliannetworkformonitoringmedicationuseduringpregnancymomnetexperienceandperspectives AT idafortino theitaliannetworkformonitoringmedicationuseduringpregnancymomnetexperienceandperspectives AT silviamanea theitaliannetworkformonitoringmedicationuseduringpregnancymomnetexperienceandperspectives AT laurasalmaso theitaliannetworkformonitoringmedicationuseduringpregnancymomnetexperienceandperspectives AT giovannascroccaro theitaliannetworkformonitoringmedicationuseduringpregnancymomnetexperienceandperspectives AT paoladeambrosis theitaliannetworkformonitoringmedicationuseduringpregnancymomnetexperienceandperspectives AT aurorapuccini theitaliannetworkformonitoringmedicationuseduringpregnancymomnetexperienceandperspectives AT valentinasolfrini theitaliannetworkformonitoringmedicationuseduringpregnancymomnetexperienceandperspectives AT annamariamarata theitaliannetworkformonitoringmedicationuseduringpregnancymomnetexperienceandperspectives AT rosagini theitaliannetworkformonitoringmedicationuseduringpregnancymomnetexperienceandperspectives AT francescoattanasio theitaliannetworkformonitoringmedicationuseduringpregnancymomnetexperienceandperspectives AT marcellodegiorgi theitaliannetworkformonitoringmedicationuseduringpregnancymomnetexperienceandperspectives AT davidfranchini theitaliannetworkformonitoringmedicationuseduringpregnancymomnetexperienceandperspectives AT mariangelarossi theitaliannetworkformonitoringmedicationuseduringpregnancymomnetexperienceandperspectives AT lombardozzilorella theitaliannetworkformonitoringmedicationuseduringpregnancymomnetexperienceandperspectives AT paolostella theitaliannetworkformonitoringmedicationuseduringpregnancymomnetexperienceandperspectives AT vitobavaro theitaliannetworkformonitoringmedicationuseduringpregnancymomnetexperienceandperspectives AT vitomontanaro theitaliannetworkformonitoringmedicationuseduringpregnancymomnetexperienceandperspectives AT stefanoledda theitaliannetworkformonitoringmedicationuseduringpregnancymomnetexperienceandperspectives AT paolocarta theitaliannetworkformonitoringmedicationuseduringpregnancymomnetexperienceandperspectives AT enricoserra theitaliannetworkformonitoringmedicationuseduringpregnancymomnetexperienceandperspectives AT donatellagarau theitaliannetworkformonitoringmedicationuseduringpregnancymomnetexperienceandperspectives AT valeriabelleudi italiannetworkformonitoringmedicationuseduringpregnancymomnetexperienceandperspectives AT filomenafortinguerra italiannetworkformonitoringmedicationuseduringpregnancymomnetexperienceandperspectives AT francescarpoggi italiannetworkformonitoringmedicationuseduringpregnancymomnetexperienceandperspectives AT serenaperna italiannetworkformonitoringmedicationuseduringpregnancymomnetexperienceandperspectives AT renatabortolus italiannetworkformonitoringmedicationuseduringpregnancymomnetexperienceandperspectives AT serenadonati italiannetworkformonitoringmedicationuseduringpregnancymomnetexperienceandperspectives AT antonioclavenna italiannetworkformonitoringmedicationuseduringpregnancymomnetexperienceandperspectives AT annalocatelli italiannetworkformonitoringmedicationuseduringpregnancymomnetexperienceandperspectives AT marinadavoli italiannetworkformonitoringmedicationuseduringpregnancymomnetexperienceandperspectives AT antonioaddis italiannetworkformonitoringmedicationuseduringpregnancymomnetexperienceandperspectives AT francescotrotta italiannetworkformonitoringmedicationuseduringpregnancymomnetexperienceandperspectives AT momnetgroup italiannetworkformonitoringmedicationuseduringpregnancymomnetexperienceandperspectives AT francescotrotta italiannetworkformonitoringmedicationuseduringpregnancymomnetexperienceandperspectives AT filomenafortinguerra italiannetworkformonitoringmedicationuseduringpregnancymomnetexperienceandperspectives AT serenaperna italiannetworkformonitoringmedicationuseduringpregnancymomnetexperienceandperspectives AT valeriabelleudi italiannetworkformonitoringmedicationuseduringpregnancymomnetexperienceandperspectives AT francescaromanapoggi italiannetworkformonitoringmedicationuseduringpregnancymomnetexperienceandperspectives AT antonioaddis italiannetworkformonitoringmedicationuseduringpregnancymomnetexperienceandperspectives AT marinadavoli italiannetworkformonitoringmedicationuseduringpregnancymomnetexperienceandperspectives AT serenadonati italiannetworkformonitoringmedicationuseduringpregnancymomnetexperienceandperspectives AT paoladaloja italiannetworkformonitoringmedicationuseduringpregnancymomnetexperienceandperspectives AT robertodacas italiannetworkformonitoringmedicationuseduringpregnancymomnetexperienceandperspectives AT renatabortolus italiannetworkformonitoringmedicationuseduringpregnancymomnetexperienceandperspectives AT giovannirezza italiannetworkformonitoringmedicationuseduringpregnancymomnetexperienceandperspectives AT antonioclavenna italiannetworkformonitoringmedicationuseduringpregnancymomnetexperienceandperspectives AT annalocatelli italiannetworkformonitoringmedicationuseduringpregnancymomnetexperienceandperspectives AT ariannamazzone italiannetworkformonitoringmedicationuseduringpregnancymomnetexperienceandperspectives AT simoneschiatti italiannetworkformonitoringmedicationuseduringpregnancymomnetexperienceandperspectives AT martinazanforlini italiannetworkformonitoringmedicationuseduringpregnancymomnetexperienceandperspectives AT idafortino italiannetworkformonitoringmedicationuseduringpregnancymomnetexperienceandperspectives AT silviamanea italiannetworkformonitoringmedicationuseduringpregnancymomnetexperienceandperspectives AT laurasalmaso italiannetworkformonitoringmedicationuseduringpregnancymomnetexperienceandperspectives AT giovannascroccaro italiannetworkformonitoringmedicationuseduringpregnancymomnetexperienceandperspectives AT paoladeambrosis italiannetworkformonitoringmedicationuseduringpregnancymomnetexperienceandperspectives AT aurorapuccini italiannetworkformonitoringmedicationuseduringpregnancymomnetexperienceandperspectives AT valentinasolfrini italiannetworkformonitoringmedicationuseduringpregnancymomnetexperienceandperspectives AT annamariamarata italiannetworkformonitoringmedicationuseduringpregnancymomnetexperienceandperspectives AT rosagini italiannetworkformonitoringmedicationuseduringpregnancymomnetexperienceandperspectives AT francescoattanasio italiannetworkformonitoringmedicationuseduringpregnancymomnetexperienceandperspectives AT marcellodegiorgi italiannetworkformonitoringmedicationuseduringpregnancymomnetexperienceandperspectives AT davidfranchini italiannetworkformonitoringmedicationuseduringpregnancymomnetexperienceandperspectives AT mariangelarossi italiannetworkformonitoringmedicationuseduringpregnancymomnetexperienceandperspectives AT lombardozzilorella italiannetworkformonitoringmedicationuseduringpregnancymomnetexperienceandperspectives AT paolostella italiannetworkformonitoringmedicationuseduringpregnancymomnetexperienceandperspectives AT vitobavaro italiannetworkformonitoringmedicationuseduringpregnancymomnetexperienceandperspectives AT vitomontanaro italiannetworkformonitoringmedicationuseduringpregnancymomnetexperienceandperspectives AT stefanoledda italiannetworkformonitoringmedicationuseduringpregnancymomnetexperienceandperspectives AT paolocarta italiannetworkformonitoringmedicationuseduringpregnancymomnetexperienceandperspectives AT enricoserra italiannetworkformonitoringmedicationuseduringpregnancymomnetexperienceandperspectives AT donatellagarau italiannetworkformonitoringmedicationuseduringpregnancymomnetexperienceandperspectives |
_version_ |
1721362094723432448 |