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Communicating medication risks in pregnancy: Towards shared decision making.

Ursula Winterfeld1, Kenneth Hodson2,3, Maya Berlin4

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Frontiers in Drug Safety and Regulation
|November 7, 2025
PubMed
Summary
This summary is machine-generated.

Medication safety during pregnancy requires clear communication. Integrated resources can improve shared decision-making, reduce misinformation, and enhance maternal and child health outcomes.

Keywords:
medicationpharmacovgilancepregnancyrisk communicationshared decision making

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Area of Science:

  • Obstetrics and Gynecology
  • Pharmacology
  • Public Health

Background:

  • Medication use in pregnancy is prevalent, but safety data are limited.
  • Current communication strategies for medication risks and benefits are fragmented and often emphasize harms.
  • This can lead to exaggerated risk perceptions and suboptimal maternal care.

Purpose of the Study:

  • To explore challenges in communicating medication risk-benefit information during pregnancy.
  • To highlight the necessity of shared decision-making in prenatal care.
  • To advocate for integrated, evidence-based resources for healthcare providers and patients.

Main Methods:

  • Qualitative analysis of current communication practices.
  • Literature review on medication safety in pregnancy.
  • Case study of the Swiss MAMA-MEDS initiative.

Main Results:

  • Fragmented communication leads to misinformation and underuse of specialized resources.
  • Shared decision-making is crucial for accurate risk-benefit understanding.
  • Unified knowledge bases can align messaging and support patient-centered care.

Conclusions:

  • Integrated, evidence-based resources are essential for improving medication use during pregnancy.
  • These resources can reduce misinformation, enhance treatment adherence, and improve maternal and child health.
  • The MAMA-MEDS initiative demonstrates a successful model for unified knowledge sharing.