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Objective <p>To evaluate the knowledge, perceptions, and practices of Portuguese perinatal healthcare professionals regarding environmental and lifestyle exposures during the periconceptional period.</p> Design <p>Cross-sectional survey.</p> Setting and Participants. <p>An anonymous online questionnaire was distributed between September and December 2024 through professional associations, targeting gynecologist–obstetricians (senior and resident), nurses, and nutritionists.</p> Methods <p>The survey assessed demographic and professional characteristics, routine screening of nine key exposures (smoking, alcohol use, occupational hazards, physical activity, environmental chemicals, diet, fish intake, drinking water source, and plastic use), perceived barriers, familiarity with ACOG/FIGO recommendations, and preferred educational formats. Logistic regression analyses explored associations between demographics and responses.</p> Results <p>A total of 126 professionals participated (87.3% female; 50.8% specialists, 7.9% residents, 2.4% nurses, 38.9% nutritionists). Most routinely asked about smoking (91.3%) and alcohol (90.5%), but fewer screened for occupational exposures (33.3%), environmental chemicals (14.3%), fish intake (46.0%), drinking water (48.0%), or plastic use (8.7%). Main barriers were insufficient knowledge (61.5%) and limited consultation time (49.2%). Only 9.5% were familiar with ACOG/FIGO guidelines. Female professionals more often inquired about alcohol and exercise; experience influenced screening for chemical exposures. Familiarity with guidelines correlated with increased screening. Most respondents expressed interest in further training, favoring webinars or online courses (65.1%).</p> Conclusions <p>Portuguese perinatal healthcare professionals routinely address smoking and alcohol but rarely assess environmental exposures. Targeted education and dissemination of international guidelines are urgently needed to strengthen reproductive and perinatal care.</p>

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Environmental and lifestyle risk assessment in perinatal healthcare: a national survey of portuguese professionals

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年7月21日

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  • Madalena Cabral,
  • Susana Loureiro,
  • Margarida Fardilha

摘要

Objective

To evaluate the knowledge, perceptions, and practices of Portuguese perinatal healthcare professionals regarding environmental and lifestyle exposures during the periconceptional period.

Design

Cross-sectional survey.

Setting and Participants.

An anonymous online questionnaire was distributed between September and December 2024 through professional associations, targeting gynecologist–obstetricians (senior and resident), nurses, and nutritionists.

Methods

The survey assessed demographic and professional characteristics, routine screening of nine key exposures (smoking, alcohol use, occupational hazards, physical activity, environmental chemicals, diet, fish intake, drinking water source, and plastic use), perceived barriers, familiarity with ACOG/FIGO recommendations, and preferred educational formats. Logistic regression analyses explored associations between demographics and responses.

Results

A total of 126 professionals participated (87.3% female; 50.8% specialists, 7.9% residents, 2.4% nurses, 38.9% nutritionists). Most routinely asked about smoking (91.3%) and alcohol (90.5%), but fewer screened for occupational exposures (33.3%), environmental chemicals (14.3%), fish intake (46.0%), drinking water (48.0%), or plastic use (8.7%). Main barriers were insufficient knowledge (61.5%) and limited consultation time (49.2%). Only 9.5% were familiar with ACOG/FIGO guidelines. Female professionals more often inquired about alcohol and exercise; experience influenced screening for chemical exposures. Familiarity with guidelines correlated with increased screening. Most respondents expressed interest in further training, favoring webinars or online courses (65.1%).

Conclusions

Portuguese perinatal healthcare professionals routinely address smoking and alcohol but rarely assess environmental exposures. Targeted education and dissemination of international guidelines are urgently needed to strengthen reproductive and perinatal care.