Pregnant women's attitudes about topical microbicides for the prevention and treatment of bacterial vaginosis during pregnancy.
We sought to understand pregnant women's product preference and likelihood of use of topical microbicides for bacterial vaginosis (BV) prevention and treatment. Pregnant women (N = 196) in a obstetrics clinic completed a survey between June 2014 and January 2015 about vaginal product use for BV. This cross-sectional study explored product preferences, likelihood of product use for BV management and father of the baby (FOB) involvement. Most participants were under 30 (68%) and underrepresented minorities (47% Hispanic, 21% African-American). Most women preferred the gel (69%). Only 30% were likely to use either product for prevention of BV; 76% if high risk for BV; 83% treatment of BV. Anticipated FOB involvement in decision-making included that 46% would ask his opinion, 38% would inform him of the decision and 7% would need approval. Most (87%) would ask the FOB for reminders and 66% for insertion help. Those under 30 were more likely to agree to ask the FOB for reminders (p < 0.01) and insertion help (p = 0.05). African-American women were less likely to have their FOB help with insertion (p < 0.01). Product preferences may be less critical than risk perception. Involvement of the FOB in decision-making may be vital.
1 Department of Pediatrics, Columbia University Medical Center, New York, NY USA.|2 New York-Presbyterian Hospital, New York, NY USA.|3 Heilbrunn Department of Population and Family Health, Mailman School of Public Health, Columbia University Medical Center, New York, NY USA.
Marina
M
Catallozzi
1 Department of Pediatrics, Columbia University Medical Center, New York, NY USA.|2 New York-Presbyterian Hospital, New York, NY USA.
Lauren Dapena
LD
Fraiz
1 Department of Pediatrics, Columbia University Medical Center, New York, NY USA.|2 New York-Presbyterian Hospital, New York, NY USA.
Katharine M
KM
Hargreaves
4 Department of Pediatrics, Indiana University School of Medicine, Indianapolis, IN, USA.
Gregory D
GD
Zimet
1 Department of Pediatrics, Columbia University Medical Center, New York, NY USA.|2 New York-Presbyterian Hospital, New York, NY USA.
Lawrence R
LR
Stanberry
5 Department of Pediatrics, NYU Langone Medical Center, New York, NY, USA.
Adam J
AJ
Ratner
6 Department of Obstetrics and Gynecology, Weill Cornell Medical College, New York, NY, USA.
Shari E
SE
Gelber
1 Department of Pediatrics, Columbia University Medical Center, New York, NY USA.|2 New York-Presbyterian Hospital, New York, NY USA.|7 Department of Psychiatry, Columbia University Medical Center, New York, NY, USA.
Susan L
SL
Rosenthal
D000282:Administration, Intravaginal; D000328:Adult; D000891:Anti-Infective Agents, Local / Q000627:therapeutic use*; D001294:Attitude to Health; D003258:Consumer Behavior; D003430:Cross-Sectional Studies; D005260:Female; D015438:Health Behavior; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D010342:Patient Acceptance of Health Care; D057240:Patient Preference; D011247:Pregnancy; D037841:Pregnant People / Q000523:psychology*; D016585:Vaginosis, Bacterial / Q000517:prevention & control*
D000891:Anti-Infective Agents, Local
Women; prevention; treatment