| Postterm pregnancy: practice patterns of contemporary obstetricians and gynecologists. | |
| | |
MedLine Citation:
|
PMID: 16450267 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
The purpose of this study was to determine the management of postterm pregnancy by contemporary practicing obstetricians. A questionnaire investigating practice patterns pertaining to postterm pregnancy was mailed to 1000 randomly selected American College of Obstetricians and Gynecologists (ACOG) Fellows and Junior Fellows in March 2004. The response rate was 52.2% (522/1000). Statistical analysis included the answers from the 420 practicing obstetricians. Males comprised 55.7% (234/420) of the responding obstetricians. The majority of responding obstetricians (95.4%) rated their residency training regarding management of postterm pregnancy as adequate or comprehensive. Forty-eight percent define postterm pregnancy as 42 weeks gestation or greater, whereas 43.1% consider 41 weeks gestation or greater to be postterm. Seventy-three percent routinely induce low-risk patients with singletons at 41 weeks gestation. If patients decline induction at 41 weeks or if the practitioner does not induce patients until after 41 weeks gestation, the majority of respondents (64.8% and 65.0%, respectively) start postterm pregnancy fetal testing in singletons at 41 weeks and obtain testing twice weekly. Most (64.6%) use cervical ripening agents when inducing both nulliparous and multiparous patients with unfavorable cervices. The majority of practitioners (97.3%) do not use prostaglandins when inducing postterm patients with one previous cesarean delivery. Although most respondents manage postterm pregnancy according to recent ACOG educational materials with regard to antenatal fetal surveillance and methods of induction, the majority induce patients with singleton postterm pregnancies at 41 weeks gestation rather than at 42 weeks gestation. |
| | |
Authors:
|
Jane Cleary-Goldman; Barbara Bettes; Julian N Robinson; Errol Norwitz; Mary E D'Alton; Jay Schulkin |
Related Documents
:
|
18342657 - Clinical guidelines. cervical preparation for surgical abortion from 20 to 24 weeks' ge... 10227677 - Morphology of the cervical vertebrae in the fetal-neonatal human skeleton. 8582707 - Vaginal and cervical ph in bacterial vaginosis and cervicitis during pregnancy. 8979017 - Recurrent second trimester miscarriage. 21257047 - The use of plastic cover sheaths at the time of artificial insemination improved fertil... 21134627 - Cerebral venous thrombosis during pregnancy in the setting of type i antithrombin defic... |
Publication Detail:
|
Type: Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S. |
Journal Detail:
|
Title: American journal of perinatology Volume: 23 ISSN: 0735-1631 ISO Abbreviation: Am J Perinatol Publication Date: 2006 Jan |
Date Detail:
|
Created Date: 2006-02-01 Completed Date: 2006-05-09 Revised Date: 2006-11-15 |
Medline Journal Info:
|
Nlm Unique ID: 8405212 Medline TA: Am J Perinatol Country: United States |
Other Details:
|
Languages: eng Pagination: 15-20 Citation Subset: IM |
Affiliation:
|
Division of Maternal Fetal Medicine, Columbia University Medical Center, New York, New York 10032, USA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Female Fetal Monitoring Gestational Age Humans Labor, Induced Obstetrics / statistics & numerical data* Physician's Practice Patterns* Pregnancy Pregnancy, Prolonged* Questionnaires Twins |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: From concept to practice: the recent history of preterm delivery prevention. Part I: cervical compet...
Next Document: The effect of maternal diet restriction on pregnancy outcome.