Document Detail

Differing Attitudes Toward Fetal Care by Pediatric and Maternal-Fetal Medicine Specialists.
MedLine Citation:
PMID:  23129074     Owner:  NLM     Status:  Publisher    
OBJECTIVES:The expansion of pediatric-based fetal care raises questions regarding pediatric specialists' involvement in pregnancies when maternal conditions may affect pediatric outcomes. For several such conditions, we compared pediatric and obstetric specialists' attitudes regarding whether and when pediatrics consultation should be offered and their views about seeking court authorization to override maternal refusal of physician recommendations.METHODS:We used a mail survey of 434 maternal-fetal medicine specialists (MFMs) and fetal care pediatric specialists (FCPs) (response rate: MFM, 60.9%; FCP, 54.2%).RESULTS:FCPs were more likely than MFMs to indicate that pediatric counseling should occur before decisions regarding continuing or interrupting pregnancies complicated by maternal alcohol abuse (FCP versus MFM: 63% vs 36%), cocaine abuse (FCP versus MFM: 60% vs 32%), use of seizure medications (FCP versus MFM: 62% vs 33%), and diabetes (FCP versus MFM: 56% vs 27%) (all P < .001). For all conditions, MFMs were more than twice as likely as FCPs to think that no pediatric specialist consultation was ever necessary. FCPs were more likely to agree that seeking court interventions was appropriate for maternal refusal to enter a program to discontinue cocaine use (FCP versus MFM: 72% vs 33%), refusal of azidothymidine to prevent perinatal HIV transmission (80% vs 41%), and refusal of percutaneous transfusion for fetal anemia (62% vs 28%) (all P < .001).CONCLUSIONS:Pediatric and obstetric specialists differ considerably regarding pediatric specialists' role in prenatal care for maternal conditions, and regarding whether to seek judicial intervention for maternal refusal of recommended treatment.
Stephen D Brown; Karen Donelan; Yolanda Martins; Kelly Burmeister; Terry L Buchmiller; Sadath A Sayeed; Christine Mitchell; Jeffrey L Ecker
Related Documents :
23527254 - Risk of inflammatory bowel disease according to self-rated health, pregnancy course, an...
24205364 - Maternal and neonatal outcomes among pregnant women with 2009 pandemic influenza a(h1n1...
12751034 - Burden of malaria during pregnancy in areas of stable and unstable transmission in ethi...
24835444 - Association between mode of delivery and neonatal deaths and complications in term preg...
9607854 - Stability over time of serum antibody levels to human papillomavirus type 16.
2340924 - Erythema multiforme associated with autoreactivity to 17 alpha-hydroxyprogesterone.
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-11-5
Journal Detail:
Title:  Pediatrics     Volume:  -     ISSN:  1098-4275     ISO Abbreviation:  Pediatrics     Publication Date:  2012 Nov 
Date Detail:
Created Date:  2012-11-6     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0376422     Medline TA:  Pediatrics     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Departments of Radiology and.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Identifying Teens at Risk: Developmental Pathways of Online and Offline Sexual Risk Behavior.
Next Document:  Impact of a Third Dose of Measles-Mumps-Rubella Vaccine on a Mumps Outbreak.