Abstract Introduction Breastfed infants have been shown to have a lower incidence of common childhood infections and sudden infant death syndrome. Furthermore, breastfeeding people experience lower rates of post‐partum mood disorders. The majority of breastfeeding people stop breastfeeding earlier than they intend. Concern about medication use during lactation is one reason for early discontinuation. It is critical that community pharmacists are prepared to appropriately counsel lactating patients on the effects medications can have on their efforts to breastfeed. Objectives To (1) characterize community pharmacists' experience, attitudes, and knowledge regarding medication use during lactation and (2) identify factors impacting pharmacists' knowledge. Methods A 52‐item electronic survey was used to collect demographics, experiences, attitudes, and knowledge regarding medication use during lactation. Community pharmacists who precepted for a Big Ten College of Pharmacy were eligible to participate in the study. Descriptive statistics were calculated using Microsoft Excel. Multivariable linear regression was performed using R (version 3.6.1) to evaluate which factors influenced total knowledge scores. Results Forty‐eight of 1029 pharmacy preceptors (4.7%) completed the survey. The average total knowledge score for respondents was 51.3%. Most (80.0%) respondents agreed or strongly agreed they viewed themselves as valuable healthcare resources to breastfeeding patients. Most (82.5%) agreed or strongly agreed that patients who desire information about how medications can impact breastfeeding will directly ask for it. Fewer than 50% agreed or strongly agreed that pharmacy workflow supported them to look up lactation‐related information while working. Conclusion Pharmacists have low knowledge of medications' effects on milk supply despite their positive attitudes towards breastfeeding and belief they are valuable healthcare resources to their breastfeeding patients. Workflow barriers, expectations that patients will ask for lactation‐related information if desired, and gaps in education may be key contributors to lactating patients not getting the information they need regarding medication use. 

Community pharmacists' experience, attitudes, and knowledge in providing care to lactating persons

A Roadmap to Improved Quality Outcomes in Neonates Exposed to Illegally Manufactured Fentanyl

Abstract The 5th Preeclampsia Scientific Symposium (PSS2023) organized by Action on Preeclampsia (APEC) Ghana was themed : ‘Realign, Refocus: Improving outcomes of Hypertensive Disorders of Pregnancy through Shared Decision Making, Research &amp; Quality of Care’. It took place on the 18th and 19th of May 2023 at the Ghana College of Physicians and Surgeons (GCPS), Accra Ghana. This transdisciplinary symposium brought together a national representation of experts, policy makers, scientists, and healthcare professionals to discuss key priorities, opportunities, approaches, and strategies to improve the maternal and perinatal outcomes of hypertensive disorders of pregnancy (HDP) in Ghana and the sub-region. The symposium centered around three key themes: realigning/refocusing patient-doctor decision making processes to improve outcomes of HDP; realigning/refocusing clinical care to improve outcomes of HDP; and leveraging on research to predict, recognize and manage high-risk women. This report summarizes insights from the diverse presentations and discussions held at the #PSS2023. This will form a roadmap for future research, policy, and interventions to improve outcomes of HDP in Ghana and the sub-region. The symposium provided a wealth of evidence and knowledge from various experts, highlighting the need for women-centered care, equitable re-allocation of resources, multi-sectoral and innovative approaches, capacity strengthening. Other highlights include knowledge base development and increased stakeholder and community engagement with an overall aim of improving outcomes of HDP. The symposium also fostered inclusivity, welcoming survivors of HDP and their families at a scientific platform. They provided invaluable insights into the challenges faced and the lived experiences of those affected by the disease. Trainees and students also benefited from the symposium as it provided networking opportunities with fellow researchers, and a front row to gaining insights into cutting-edge research in Ghana. 

pdf/advancing-hypertensive-disorders-of-pregnancy-management-4ysefux4hf.pdf

Advancing hypertensive disorders of pregnancy management: insights from the 5th preeclampsia scientific symposium in Ghana

In an effort to expedite the publication of articles, AJHP is posting manuscripts online as soon as possible after acceptance. Accepted manuscripts have been peer-reviewed and copyedited, but are posted online before technical formatting and author proofing. These manuscripts are not the final version of record and will be replaced with the final article (formatted per AJHP style and proofed by the authors) at a later time.

Obstetric clinical pharmacy: A necessary birth of a new specialty.

Mission control: Incorporating operations centers in hospital pharmacy design.

Disclaimer In an effort to expedite the publication of articles related to the COVID-19 pandemic, AJHP is posting these manuscripts online as soon as possible after acceptance. Accepted manuscripts have been peer-reviewed and copyedited, but are posted online before technical formatting and author proofing. These manuscripts are not the final version of record and will be replaced with the final article (formatted per AJHP style and proofed by the authors) at a later time.

Successful implementation of a pediatric pharmacy team-level strategic plan during the COVID-19 pandemic

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Obstetric clinical pharmacy: A necessary birth of a new specialty.

Mission control: Incorporating operations centers in hospital pharmacy design.

Successful implementation of a pediatric pharmacy team-level strategic plan during the COVID-19 pandemic