Document Detail


National survey of obstetrician attitudes about timing the subsequent pregnancy after perinatal death.
MedLine Citation:
PMID:  20079478     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: After stillbirth or early infant death, parents often query when they can try for another pregnancy. We conducted a national survey of US obstetricians to assess attitudes about optimal timing of next pregnancy and advice given to parents.
STUDY DESIGN: The study was an anonymous mail survey of 1500 randomly selected US obstetricians asking about physician experiences with perinatal death.
RESULTS: In all, 804 of 1500 obstetricians completed the survey for a 54% usable response rate. Two-thirds of respondents endorsed a waiting time <6 months for parents bereaved by stillbirth who desired another pregnancy.
CONCLUSION: Physicians in this national survey supported very short interpregnancy intervals for parents bereaved by perinatal death. Responses may reflect efforts to support parents emotionally while recognizing individuals vary in coping and clinical circumstances. However, this is a provocative finding since short intervals may confer greater fetal risks for poor outcome.
Authors:
Katherine J Gold; Irving Leon; Mark C Chames
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't     Date:  2010-01-15
Journal Detail:
Title:  American journal of obstetrics and gynecology     Volume:  202     ISSN:  1097-6868     ISO Abbreviation:  Am. J. Obstet. Gynecol.     Publication Date:  2010 Apr 
Date Detail:
Created Date:  2010-03-30     Completed Date:  2010-04-22     Revised Date:  2011-07-27    
Medline Journal Info:
Nlm Unique ID:  0370476     Medline TA:  Am J Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  357.e1-6     Citation Subset:  AIM; IM    
Copyright Information:
Copyright 2010 Mosby, Inc. All rights reserved.
Affiliation:
Department of Family Medicine, University of Michigan Medical School, Ann Arbor, MI 48104-1213, USA. ktgold@umich.edu
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MeSH Terms
Descriptor/Qualifier:
Adaptation, Psychological
Attitude of Health Personnel*
Bereavement
Birth Intervals / psychology*
Counseling
Female
Fetal Death
Health Care Surveys
Humans
Male
Middle Aged
Obstetrics*
Parents / psychology
Physicians*
Pregnancy
Stillbirth / psychology*
Grant Support
ID/Acronym/Agency:
K12 HD001438-08/HD/NICHD NIH HHS; K23 MH085882-02/MH/NIMH NIH HHS
Comments/Corrections

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


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