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VOLUME 14, 2013  Issue Number 3 , 1707-1713
DownLoad : 1707-13 2.1 Elizabeth J Yang.pdf
Education and Counseling of Pregnant Patients with Chronic
Hepatitis B: Perspectives from Obstetricians and Perinatal
Nurses in Santa Clara County, California
Elizabeth J Yang, Chrissy M Cheung et al.
Background: This study aimed to better understand the barriers to perinatal hepatitis B prevention and to
identify the reasons for poor hepatitis B knowledge and delivery of education to hepatitis B surface-antigenpositive
pregnant women among healthcare providers in Santa Clara County, California. Materials and Methods:
Qualitative interviews were conducted with 16 obstetricians and 17 perinatal nurses in Santa Clara County,
California, which has one of the largest populations in the United States at high risk for perinatal hepatitis
B transmission. Results: Most providers displayed a lack of self-efficacy attributed to insufficient hepatitis B
training and education. They felt discouraged from counseling and educating their patients because of a lack
of resources and discouraging patient attitudes such as stigma and apathy. Providers called for institutional
changes from the government, hospitals, and nonprofit organizations to improve care for patients with chronic
hepatitis B. Conclusions: Early and continuing provider training, increased public awareness, and development of
comprehensive resources and new programs may contribute to reducing the barriers for health care professionals
to provide counseling and education to pregnant patients with chronic hepatitis B infection.
Key Words: Hepatitis B - provider education - qualitative study
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