Offering induction of labor for 22-week premature rupture of membranes: A survey of obstetricians

Research output: Contribution to journalArticle

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Abstract

To describe obstetricians' induction counseling practices for 22-week preterm premature rupture of membranes (PPROM) and identify provider characteristics associated with offering induction.Methods:Surveyed 295 obstetricians on their likelihood (0-10) of offering induction for periviable PPROM across 10 vignettes. Twenty-two-week vignettes were analyzed, stratified by parental resuscitation preference. Bivariate analyses identified physician characteristics associated with reported likelihood ratings.Results:Obstetricians (N=205) were not likely to offer induction. Median ratings by preference were as follows: resuscitation 1.0, uncertain 1.0 and comfort care 3.0. Only 41% of obstetricians were likely to offer induction to patients desiring comfort care. In addition, several provider-level factors, including practice region, parenting status and years in practice, were significantly associated with offering induction.Conclusions:Obstetricians do not readily offer induction when counseling patients with 22-week ruptured membranes, even when patients prefer palliation. This may place women at risk for infectious complications without accruing a neonatal benefit from prolonged latency.

Original languageEnglish (US)
Pages (from-to)553-557
Number of pages5
JournalJournal of Perinatology
Volume35
Issue number8
DOIs
StatePublished - Aug 30 2015

Fingerprint

Induced Labor
Rupture
Resuscitation
Membranes
Counseling
Parenting
Physicians
Surveys and Questionnaires
Patient Comfort
Preterm Premature Rupture of the Membranes

ASJC Scopus subject areas

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

Cite this

Offering induction of labor for 22-week premature rupture of membranes : A survey of obstetricians. / McKenzie, F.; Tucker Edmonds, Brownsne.

In: Journal of Perinatology, Vol. 35, No. 8, 30.08.2015, p. 553-557.

Research output: Contribution to journalArticle

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