| Obstetrician-gynecologists' practices regarding preterm birth at the limit of viability. | |
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MedLine Citation:
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PMID: 18240080 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVES: To assess obstetrician-gynecologists' judgments of gestational age of viability and earliest age of medical intervention for preterm delivery, and to associate these practice decisions with physician characteristics. METHODS: Questionnaires were mailed to 1193 members of the American College of Obstetricians and Gynecologists (ACOG). RESULTS: The response rate was 59%. The majority of respondents considered 24 weeks the earliest age a fetus is potentially viable (57%) and at which they would routinely perform cesarean section for fetal distress (58%). Those respondents who judged viability as 23 weeks or less were more likely to have been in practice for a shorter period (p < 0.05), be a maternal-fetal medicine specialist (p < 0.005), and be from southern or central states (p < 0.005). Similarly, those respondents who would not intervene for fetal distress until 26 weeks gestation were more likely to have been in practice for longer (p < 0.01), to have performed fewer deliveries (p < 0.05), to be in solo practice (p < 0.01), and not to be a maternal-fetal medicine specialist (p < 0.01); males and females did not differ when controlling for age (p = 0.552). CONCLUSION: Obstetrician-gynecologists' judgment of viability threshold is consistent with standard estimates of 24 weeks. Viability judgment and reported earliest age for routine intervention both differ by physician characteristics. |
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Authors:
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Maria A Morgan; Robert L Goldenberg; Jay Schulkin |
Publication Detail:
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Type: Journal Article; Research Support, U.S. Gov't, P.H.S. |
Journal Detail:
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Title: The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians Volume: 21 ISSN: 1476-7058 ISO Abbreviation: J. Matern. Fetal. Neonatal. Med. Publication Date: 2008 Feb |
Date Detail:
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Created Date: 2008-02-01 Completed Date: 2008-04-24 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101136916 Medline TA: J Matern Fetal Neonatal Med Country: United States |
Other Details:
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Languages: eng Pagination: 115-21 Citation Subset: IM |
Affiliation:
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American College of Obstetricians and Gynecologists, Washington, DC 20024, USA. mmorgan@acog.org |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Cesarean Section Female Fetal Distress / surgery Fetal Viability* Gestational Age* Gynecology* Humans Obstetrics* Physician's Practice Patterns* Pregnancy Premature Birth* Questionnaires |
| Grant Support | |
ID/Acronym/Agency:
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R60 MC 05674//PHS HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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