Communicating medication risks in pregnancy: Towards shared decision making

Medication use during pregnancy is common, yet safety data remain limited, often leading to exaggerated risk perceptions and suboptimal care. Current communication practices are fragmented: product labeling and patient leaflets tend to emphasize potential harms, while specialized resources are under...

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Published in:Frontiers in Drug Safety and Regulation
Main Authors: Ursula Winterfeld, Kenneth Hodson, Maya Berlin, Benoît Marin, Michael Ceulemans, Corinna Weber-Schoendorfer, François R. Girardin, David Baud, Béatrice Schaad, Alice Panchaud
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-10-01
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fdsfr.2025.1712216/full
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author Ursula Winterfeld
Kenneth Hodson
Kenneth Hodson
Maya Berlin
Benoît Marin
Michael Ceulemans
Michael Ceulemans
Michael Ceulemans
Corinna Weber-Schoendorfer
François R. Girardin
David Baud
Béatrice Schaad
Béatrice Schaad
Alice Panchaud
Alice Panchaud
author_facet Ursula Winterfeld
Kenneth Hodson
Kenneth Hodson
Maya Berlin
Benoît Marin
Michael Ceulemans
Michael Ceulemans
Michael Ceulemans
Corinna Weber-Schoendorfer
François R. Girardin
David Baud
Béatrice Schaad
Béatrice Schaad
Alice Panchaud
Alice Panchaud
author_sort Ursula Winterfeld
collection DOAJ
container_title Frontiers in Drug Safety and Regulation
description Medication use during pregnancy is common, yet safety data remain limited, often leading to exaggerated risk perceptions and suboptimal care. Current communication practices are fragmented: product labeling and patient leaflets tend to emphasize potential harms, while specialized resources are underused. We explore the challenges of conveying accurate risk-benefit information and highlight the need for shared decision making. Integrated, evidence-based resources accessible to both healthcare providers and patients can reduce misinformation, improve adherence to essential treatments, and ultimately enhance maternal and child health. The Swiss MAMA-MEDS initiative illustrates how a unified knowledge base can align messaging, address health inequalities, and support patient-centered pregnancy care.
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spelling doaj-art-d03e27b14e2b4ee7bc2babb345db851c2025-10-22T10:04:36ZengFrontiers Media S.A.Frontiers in Drug Safety and Regulation2674-08692025-10-01510.3389/fdsfr.2025.17122161712216Communicating medication risks in pregnancy: Towards shared decision makingUrsula Winterfeld0Kenneth Hodson1Kenneth Hodson2Maya Berlin3Benoît Marin4Michael Ceulemans5Michael Ceulemans6Michael Ceulemans7Corinna Weber-Schoendorfer8François R. Girardin9David Baud10Béatrice Schaad11Béatrice Schaad12Alice Panchaud13Alice Panchaud14Swiss Teratogen Information Service and Clinical Pharmacology Service, Lausanne University Hospital, Lausanne, SwitzerlandUK Teratology Information Service, Newcastle uponTyne, United KingdomDirectorate of Women’s Services, Royal Victoria Infirmary, Newcastle uponTyne, United KingdomClinical Pharmacology and Toxicology Unit, Drug Consultation Center, Shamir Medical Center affiliated with Faculty of Medical & Health Science, Tel Aviv University, Tel Aviv, IsraelDépartement de Santé Publique, Sorbonne Université, INSERM, Institut Pierre Louis d’Epidémiologie et de Santé Publique, AP-HP, Hôpital Trousseau, Centre de Référence sur les Agents Tératogènes (CRAT), Paris, FranceDepartment of Pharmaceutical and Pharmacological Sciences, Leuven, BelgiumKU Leuven Child & Youth Institute, Leuven, BelgiumIQ Health, Radboud University Medical Center, Nijmegen, NetherlandsCharité – Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Pharmakovigilanzzentrum Embryonaltoxikologie, Institut für Klinische Pharmakologie und Toxikologie, Berlin, Germany0Service of Clinical Pharmacology, Department of Medicine, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland1Materno-Fetal and Obstetrics Research Unit, Department “Woman-Mother-Child”, Lausanne University Hospital, Lausanne, Switzerland2Communication Department, Lausanne University Hospital, Lausanne, Switzerland3Institute of Humanities in Medicine, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland4Service of Pharmacy, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland5Institute of Primary Healthcare (BIHAM), University of Bern, Bern, SwitzerlandMedication use during pregnancy is common, yet safety data remain limited, often leading to exaggerated risk perceptions and suboptimal care. Current communication practices are fragmented: product labeling and patient leaflets tend to emphasize potential harms, while specialized resources are underused. We explore the challenges of conveying accurate risk-benefit information and highlight the need for shared decision making. Integrated, evidence-based resources accessible to both healthcare providers and patients can reduce misinformation, improve adherence to essential treatments, and ultimately enhance maternal and child health. The Swiss MAMA-MEDS initiative illustrates how a unified knowledge base can align messaging, address health inequalities, and support patient-centered pregnancy care.https://www.frontiersin.org/articles/10.3389/fdsfr.2025.1712216/fullmedicationpregnancyrisk communicationshared decision makingpharmacovgilance
spellingShingle Ursula Winterfeld
Kenneth Hodson
Kenneth Hodson
Maya Berlin
Benoît Marin
Michael Ceulemans
Michael Ceulemans
Michael Ceulemans
Corinna Weber-Schoendorfer
François R. Girardin
David Baud
Béatrice Schaad
Béatrice Schaad
Alice Panchaud
Alice Panchaud
Communicating medication risks in pregnancy: Towards shared decision making
medication
pregnancy
risk communication
shared decision making
pharmacovgilance
title Communicating medication risks in pregnancy: Towards shared decision making
title_full Communicating medication risks in pregnancy: Towards shared decision making
title_fullStr Communicating medication risks in pregnancy: Towards shared decision making
title_full_unstemmed Communicating medication risks in pregnancy: Towards shared decision making
title_short Communicating medication risks in pregnancy: Towards shared decision making
title_sort communicating medication risks in pregnancy towards shared decision making
topic medication
pregnancy
risk communication
shared decision making
pharmacovgilance
url https://www.frontiersin.org/articles/10.3389/fdsfr.2025.1712216/full
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