Document Detail


Obstetric management of the next pregnancy after an unexplained stillbirth: an anonymous postal survey of Australian obstetricians.
MedLine Citation:
PMID:  16866786     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Women who have an unexplained stillbirth are more likely to be delivered early, by induced labour or Caesarean section, in their next pregnancy. It is unclear whether these birth outcomes result from characteristics of the next pregnancy, or represent management strategies of obstetricians. AIM: To investigate obstetricians' management strategies in the next pregnancy after an unexplained stillbirth. METHODS: Anonymous postal survey of Australian obstetricians. Respondents were given a clinical scenario regarding a previous unexplained stillbirth and were asked about management. RESULTS: The response rate was 69%. Tests of 'fetal well-being' were undertaken by the majority of respondents. Additional third trimester ultrasound surveillance was recommended by 87% of respondents, regular cardiotograph monitoring by 72% and formal fetal movement charting by 39%. Elective induction of labour (in the absence of any other obstetric indication) was recommended by 93% of respondents, and elective Caesarean delivery by 35%. CONCLUSIONS: The tendency for subsequent pregnancies after an unexplained stillbirth to be delivered earlier, and more often by Caesarean section, may be due in part to altered management strategies, not solely as a result of complications of the pregnancy itself.
Authors:
Stephen Robson; Jane Thompson; David Ellwood
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Australian & New Zealand journal of obstetrics & gynaecology     Volume:  46     ISSN:  0004-8666     ISO Abbreviation:  Aust N Z J Obstet Gynaecol     Publication Date:  2006 Aug 
Date Detail:
Created Date:  2006-07-26     Completed Date:  2006-11-28     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0001027     Medline TA:  Aust N Z J Obstet Gynaecol     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  278-81     Citation Subset:  IM    
Affiliation:
Australian National University Medical School, Canberrra, Australia. steve.robson@act.gov.au
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MeSH Terms
Descriptor/Qualifier:
Adult
Australia
Cesarean Section / utilization
Female
Gestational Age
Humans
Labor, Induced / utilization
Obstetrics / methods*,  statistics & numerical data
Physician's Practice Patterns / statistics & numerical data*
Pregnancy
Pregnancy Complications / diagnosis,  prevention & control*
Pregnancy, High-Risk*
Prenatal Care*
Prenatal Diagnosis / utilization
Questionnaires
Stillbirth*

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


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