ACOG ePoster Library

Abstract
Discussion Forum (0)
Co-Author(s): Marrieth Rubio;Kimberly Palmer Simcox

Introduction: In the past decade, the prevalence of Hepatitis C among reproductive age women in Appalachian states has increased 200%. The purpose of this study was to improve patient education and identify data-driven strategies to address gaps in care among pregnant and recently pregnant women with Hepatitis C. Methods: This study was cross-sectional and survey-based. Pregnant and recently postpartum women (delivered within 3 days) with a positive Hepatitis C antibody were approached. The survey included knowledge-based questions about the management and potential sequalae of Hepatitis C with 'true, false, not sure' answer options. Responses were stored in a RedCap database and analyzed using descriptive analysis. Results: Over 7 months, 32 women were enrolled in the study and participated in the survey. Most were in the 2nd or 3rd trimesters (72%), and 5 respondents (15%) were postpartum. Notable responses included only 50% responding correctly when asked if women with Hepatitis C need Cesarean delivery and if they can safely breastfeed. There were low rates of correct responses when asked about potential long-term sequalae, including only 31% correctly identifying that Hepatitis C can cause cancer. While 93% responded correctly that sharing needles can cause transmission, participants were less sure about vertical and sexual transmission. Conclusion: This study highlights patient education topics that should be addressed by obstetric providers to improve short-term and long-term health outcomes for pregnant women with Hepatitis C.
Co-Author(s): Marrieth Rubio;Kimberly Palmer Simcox

Introduction: In the past decade, the prevalence of Hepatitis C among reproductive age women in Appalachian states has increased 200%. The purpose of this study was to improve patient education and identify data-driven strategies to address gaps in care among pregnant and recently pregnant women with Hepatitis C. Methods: This study was cross-sectional and survey-based. Pregnant and recently postpartum women (delivered within 3 days) with a positive Hepatitis C antibody were approached. The survey included knowledge-based questions about the management and potential sequalae of Hepatitis C with 'true, false, not sure' answer options. Responses were stored in a RedCap database and analyzed using descriptive analysis. Results: Over 7 months, 32 women were enrolled in the study and participated in the survey. Most were in the 2nd or 3rd trimesters (72%), and 5 respondents (15%) were postpartum. Notable responses included only 50% responding correctly when asked if women with Hepatitis C need Cesarean delivery and if they can safely breastfeed. There were low rates of correct responses when asked about potential long-term sequalae, including only 31% correctly identifying that Hepatitis C can cause cancer. While 93% responded correctly that sharing needles can cause transmission, participants were less sure about vertical and sexual transmission. Conclusion: This study highlights patient education topics that should be addressed by obstetric providers to improve short-term and long-term health outcomes for pregnant women with Hepatitis C.
Gaps in Knowledge Among Appalachian Pregnant Women with Hepatitis C
Dr. Conner Blackwell
Dr. Conner Blackwell
ACOG ePoster. Blackwell C. 10/08/2021; 341900; 9
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Dr. Conner Blackwell
Abstract
Discussion Forum (0)
Co-Author(s): Marrieth Rubio;Kimberly Palmer Simcox

Introduction: In the past decade, the prevalence of Hepatitis C among reproductive age women in Appalachian states has increased 200%. The purpose of this study was to improve patient education and identify data-driven strategies to address gaps in care among pregnant and recently pregnant women with Hepatitis C. Methods: This study was cross-sectional and survey-based. Pregnant and recently postpartum women (delivered within 3 days) with a positive Hepatitis C antibody were approached. The survey included knowledge-based questions about the management and potential sequalae of Hepatitis C with 'true, false, not sure' answer options. Responses were stored in a RedCap database and analyzed using descriptive analysis. Results: Over 7 months, 32 women were enrolled in the study and participated in the survey. Most were in the 2nd or 3rd trimesters (72%), and 5 respondents (15%) were postpartum. Notable responses included only 50% responding correctly when asked if women with Hepatitis C need Cesarean delivery and if they can safely breastfeed. There were low rates of correct responses when asked about potential long-term sequalae, including only 31% correctly identifying that Hepatitis C can cause cancer. While 93% responded correctly that sharing needles can cause transmission, participants were less sure about vertical and sexual transmission. Conclusion: This study highlights patient education topics that should be addressed by obstetric providers to improve short-term and long-term health outcomes for pregnant women with Hepatitis C.
Co-Author(s): Marrieth Rubio;Kimberly Palmer Simcox

Introduction: In the past decade, the prevalence of Hepatitis C among reproductive age women in Appalachian states has increased 200%. The purpose of this study was to improve patient education and identify data-driven strategies to address gaps in care among pregnant and recently pregnant women with Hepatitis C. Methods: This study was cross-sectional and survey-based. Pregnant and recently postpartum women (delivered within 3 days) with a positive Hepatitis C antibody were approached. The survey included knowledge-based questions about the management and potential sequalae of Hepatitis C with 'true, false, not sure' answer options. Responses were stored in a RedCap database and analyzed using descriptive analysis. Results: Over 7 months, 32 women were enrolled in the study and participated in the survey. Most were in the 2nd or 3rd trimesters (72%), and 5 respondents (15%) were postpartum. Notable responses included only 50% responding correctly when asked if women with Hepatitis C need Cesarean delivery and if they can safely breastfeed. There were low rates of correct responses when asked about potential long-term sequalae, including only 31% correctly identifying that Hepatitis C can cause cancer. While 93% responded correctly that sharing needles can cause transmission, participants were less sure about vertical and sexual transmission. Conclusion: This study highlights patient education topics that should be addressed by obstetric providers to improve short-term and long-term health outcomes for pregnant women with Hepatitis C.

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