{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T19:25:15Z","timestamp":1761765915909,"version":"3.37.3"},"reference-count":11,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2015,6,23]],"date-time":"2015-06-23T00:00:00Z","timestamp":1435017600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["5K12HD001259"],"award-info":[{"award-number":["5K12HD001259"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100007911","name":"University of California, San Diego","doi-asserted-by":"publisher","award":["Academic Senate Grant"],"award-info":[{"award-number":["Academic Senate Grant"]}],"id":[{"id":"10.13039\/100007911","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Birth Defects Research"],"published-print":{"date-parts":[[2015,7]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Women taking teratogens may not receive teratogen and contraceptive counseling. The objective of this study is to explore the feasibility of an electronic medical record (EMR) alert and referral system to improve teratogen and contraceptive counseling.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We conducted a descriptive study in an academic outpatient setting to evaluate the feasibility of an EMR alert and referral system. Reproductive age women taking category D or X medications seen in family medicine clinics were referred by means of an EMR alert for teratogen and contraceptive counseling. A subset of these women consented to follow\u2010up surveys assessing contraceptive usage before counseling, intended contraceptive method after counseling and satisfaction with the counseling. Participants were contacted at 1 and 3 months to assess contraceptive usage.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 354 women were prescribed category D or X medications by clinicians who received the EMR alert, 170 women were referred, 59 women received counseling, and 33 participants enrolled in the study. One participant did not use any contraception. Among the 32 participants using contraception, 12 (37.5%) used oral contraceptives, 11 (34.4%) used condoms, 3 (9.4%) used withdrawal, 3 (9.4%) used intrauterine devices, 2 (6.3%) used contraceptive rings, and 1 (3.1%) used the diaphragm. After counseling, one\u2010third of participants were considering more effective contraception. Almost all participants strongly agreed or agreed that the counseling was helpful.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Creating an EMR alert and referral system for women prescribed category X or D medications is feasible. Counseling on teratogen exposure and contraception may improve the acceptability of more effective contraception. Birth Defects Research (Part A) 103:644\u2013647, 2015. \u00a9 2015 Wiley Periodicals, Inc.<\/jats:p><\/jats:sec>","DOI":"10.1002\/bdra.23396","type":"journal-article","created":{"date-parts":[[2015,6,23]],"date-time":"2015-06-23T06:53:12Z","timestamp":1435042392000},"page":"644-647","source":"Crossref","is-referenced-by-count":5,"title":["Using the electronic medical record to refer women taking category D or X medications for teratogen and contraceptive counseling"],"prefix":"10.1002","volume":"103","author":[{"given":"Sheila K.","family":"Mody","sequence":"first","affiliation":[{"name":"Department of Reproductive Medicine University of California San Diego California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Family Medicine University of California San Diego California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marla","family":"Ornelas","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Division of Dysmorphology and Teratology University of California San Diego California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Colleen","family":"Kernahan","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Division of Dysmorphology and Teratology University of California San Diego California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabeth","family":"Salas","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Division of Dysmorphology and Teratology University of California San Diego California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kelly","family":"Kao","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Division of Dysmorphology and Teratology University of California San Diego California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert","family":"Felix","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Division of Dysmorphology and Teratology University of California San Diego California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christina","family":"Chambers","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Division of Dysmorphology and Teratology University of California San Diego California"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,6,23]]},"reference":[{"doi-asserted-by":"publisher","key":"e_1_2_6_2_1","DOI":"10.1002\/pds.1235"},{"volume-title":"Behavioral risk factor surveillance system survey questionnaire","year":"2011","author":"Centers for Disease Control and Prevention (CDC)","key":"e_1_2_6_3_1"},{"doi-asserted-by":"publisher","key":"e_1_2_6_4_1","DOI":"10.1007\/s11606-009-1215-2"},{"unstructured":"JonesJ MosherWD DanielsK.2012.Current contraceptive in the United States: 2006\u20102010 and changes in patterns of use since 1995. National Center for Health Statistics. Vital Health Stat 60. Available at:http:\/\/www.cdc.gov\/nchs\/data\/nhsr\/nhsr060.pdf","key":"e_1_2_6_5_1"},{"unstructured":"ModyS WuJ FelixR et al.2013.Utilizing the electronic medical record to assess contraception utilization among women taking category X or D medications. Paper presented at 26th International Conference of the Organization of Teratology Information Specialists Tucson Arizona.","key":"e_1_2_6_6_1"},{"doi-asserted-by":"publisher","key":"e_1_2_6_7_1","DOI":"10.1002\/bdra.20618"},{"doi-asserted-by":"publisher","key":"e_1_2_6_8_1","DOI":"10.1089\/jwh.2013.4262"},{"doi-asserted-by":"publisher","key":"e_1_2_6_9_1","DOI":"10.1002\/bdra.20599"},{"doi-asserted-by":"publisher","key":"e_1_2_6_10_1","DOI":"10.1016\/j.amjmed.2010.05.009"},{"volume-title":"Contraceptive technology: twentieth revised edition","year":"2011","author":"Trussell J","key":"e_1_2_6_11_1"},{"key":"e_1_2_6_12_1","first-page":"1","article-title":"U.S. Medical Eligibility Criteria for Contraceptive Use","volume":"59","year":"2010","journal-title":"MMWR"}],"container-title":["Birth Defects Research Part A: Clinical and Molecular Teratology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fbdra.23396","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/bdra.23396","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,5]],"date-time":"2023-10-05T23:09:11Z","timestamp":1696547351000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/bdra.23396"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,6,23]]},"references-count":11,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2015,7]]}},"alternative-id":["10.1002\/bdra.23396"],"URL":"https:\/\/doi.org\/10.1002\/bdra.23396","archive":["Portico"],"relation":{},"ISSN":["1542-0752","1542-0760"],"issn-type":[{"type":"print","value":"1542-0752"},{"type":"electronic","value":"1542-0760"}],"subject":[],"published":{"date-parts":[[2015,6,23]]}}}