Multiple pregnancy: Knowledge and practice patterns of obstetricians and gynecologists

被引:17
作者
Cleary-Goldman, J
Morgan, MA
Robinson, JN
D'Alton, ME
Schulkin, J
机构
[1] Columbia Univ, Med Ctr, Div Maternal Fetal Med, New York, NY USA
[2] Amer Coll Obstetricians & Gynecologists, Res Dept, Washington, DC 20024 USA
[3] Harvard Univ, Brigham & Womens Hosp, Div Maternal Fetal Med, Cambridge, MA 02138 USA
关键词
D O I
10.1097/01.AOG.0000132805.79318.99
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
OBJECTIVE: We sought to assess knowledge and practices of obstetricians regarding multiple gestation. METHODS: A questionnaire investigating knowledge and practice patterns pertaining to multiple gestation was mailed to randomly selected American College of Obstetricians and Gynecologists (ACOG) Fellows and junior Fellows in January 2003. Fifty-one percent (589/1,146) of the surveys were returned. RESULTS: Statistical analysis included the responses from 430 practicing obstetricians. More than 60% rated their training regarding management of multiples as adequate. Men (56.5%) were older and had been in practice longer than females. Sixty-two percent of general obstetrician-gynecologists managed twins without input from a maternal-fetal medicine specialist. An understanding of chorionicity was less than anticipated. The majority of practitioners managed twins according to recent ACOG educational materials. They did not use prophylactic cerclage, home uterine-activity monitoring, or tocolytics. Fort-six percent encouraged prophylactic bed rest. The management of breech second twins varied. CONCLUSION: Most obstetricians manage multiples according to current ACOG educational materials independent of maternal-fetal medicine specialists. This survey identified knowledge gaps, specifically in chorionicity, indicating the need to develop educational strategies addressing these insufficiencies. (C) 2004 by The American College of Obstetricians and Gynecologists.
引用
收藏
页码:232 / 237
页数:6
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