Do maternal characteristics influence maternal–fetal medicine physicians’ willingness to intervene when managing periviable deliveries?

F. McKenzie, B. K. Robinson, Brownsne Tucker Edmonds

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Objective:Determine the relative influence of patient characteristics on Maternal–Fetal Medicine (MFM) physicians’ willingness to intervene when managing 23-week preterm premature rupture of membranes.Study Design:Surveyed 750 randomly sampled US members of the Society of Maternal–Fetal Medicine. Physicians rated their willingness to offer induction, order steroids and perform cesarean across eight vignettes; then completed a questionnaire querying expectations about neonatal outcomes and demographics.Results:Three hundred and twenty-five (43%) MFMs responded. Patient characteristics only influenced ⩽11% of participants’ willingness ratings. Overall, provider characteristics and institutional norms were associated with willingness to perform antenatal interventions, for example, practice region was associated with willingness to offer induction (P

Original languageEnglish (US)
JournalJournal of Perinatology
DOIs
StateAccepted/In press - Mar 3 2016

Fingerprint

Mothers
Medicine
Physicians
Steroids
Demography
Preterm Premature Rupture of the Membranes
Surveys and Questionnaires

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Pediatrics, Perinatology, and Child Health

Cite this

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title = "Do maternal characteristics influence maternal–fetal medicine physicians’ willingness to intervene when managing periviable deliveries?",
abstract = "Objective:Determine the relative influence of patient characteristics on Maternal–Fetal Medicine (MFM) physicians’ willingness to intervene when managing 23-week preterm premature rupture of membranes.Study Design:Surveyed 750 randomly sampled US members of the Society of Maternal–Fetal Medicine. Physicians rated their willingness to offer induction, order steroids and perform cesarean across eight vignettes; then completed a questionnaire querying expectations about neonatal outcomes and demographics.Results:Three hundred and twenty-five (43{\%}) MFMs responded. Patient characteristics only influenced ⩽11{\%} of participants’ willingness ratings. Overall, provider characteristics and institutional norms were associated with willingness to perform antenatal interventions, for example, practice region was associated with willingness to offer induction (P",
author = "F. McKenzie and Robinson, {B. K.} and {Tucker Edmonds}, Brownsne",
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AB - Objective:Determine the relative influence of patient characteristics on Maternal–Fetal Medicine (MFM) physicians’ willingness to intervene when managing 23-week preterm premature rupture of membranes.Study Design:Surveyed 750 randomly sampled US members of the Society of Maternal–Fetal Medicine. Physicians rated their willingness to offer induction, order steroids and perform cesarean across eight vignettes; then completed a questionnaire querying expectations about neonatal outcomes and demographics.Results:Three hundred and twenty-five (43%) MFMs responded. Patient characteristics only influenced ⩽11% of participants’ willingness ratings. Overall, provider characteristics and institutional norms were associated with willingness to perform antenatal interventions, for example, practice region was associated with willingness to offer induction (P

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