Offering Induction of Labor for 22-Week Premature Rupture of Membranes: A Survey of Obstetricians.
dc.contributor.author | McKenzie, Fatima | |
dc.contributor.author | Tucker Edmonds, Brownsyne | |
dc.contributor.department | Department of Obstetrics & Gynecology, IU School of Medicine | en_US |
dc.date.accessioned | 2016-03-29T22:54:56Z | |
dc.date.available | 2016-03-29T22:54:56Z | |
dc.date.issued | 2015-08 | |
dc.description.abstract | Objective: 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. 22-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: 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. Additionally, 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. | en_US |
dc.eprint.version | Author's manuscript | en_US |
dc.identifier.citation | McKenzie, F., & Tucker Edmonds, B. (2015). Offering induction of labor for 22-week premature rupture of membranes: a survey of obstetricians. Journal of Perinatology, 35(8), 553–557. http://doi.org/10.1038/jp.2015.43 | en_US |
dc.identifier.issn | 0743-8346 1476-5543 | en_US |
dc.identifier.uri | https://hdl.handle.net/1805/9078 | |
dc.language.iso | en_US | en_US |
dc.publisher | NPG | en_US |
dc.relation.isversionof | 10.1038/jp.2015.43 | en_US |
dc.relation.journal | Journal of perinatology : official journal of the California Perinatal Association | en_US |
dc.rights | Publisher's policy | en_US |
dc.source | PMC | en_US |
dc.subject | obstetrics | en_US |
dc.subject | induced labor | en_US |
dc.subject | survey | en_US |
dc.title | Offering Induction of Labor for 22-Week Premature Rupture of Membranes: A Survey of Obstetricians. | en_US |
dc.type | Article | en_US |
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