Obstetrician-gynecologists' practices regarding preterm birth at the limit of viability
@article{Morgan2008ObstetriciangynecologistsPR, title={Obstetrician-gynecologists' practices regarding preterm birth at the limit of viability}, author={Maria A Morgan and Robert L Goldenberg and Jay Schulkin}, journal={The Journal of Maternal-Fetal \& Neonatal Medicine}, year={2008}, volume={21}, pages={115 - 121} }
Objectives. To assess obstetrician-gynecologists' judgments of gestational age of viability and earliest age of medical intervention for preterm delivery, and to associate these practice decisions with physician characteristics. Methods. Questionnaires were mailed to 1193 members of the American College of Obstetricians and Gynecologists (ACOG). Results. The response rate was 59%. The majority of respondents considered 24 weeks the earliest age a fetus is potentially viable (57%) and at which…
42 Citations
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References
SHOWING 1-10 OF 25 REFERENCES
Obstetrician-gynecologists' views on the health risks of obesity.
- MedicineThe Journal of reproductive medicine
- 2001
OBJECTIVE
To assess the knowledge and opinions of obstetrician-gynecologists concerning the health risks of obesity and the importance of weight management of patients to clinical practice.
STUDY…
The variability of viability: the effect of physicians' perceptions of viability on the survival of very low--birth weight infants.
- MedicineAmerican journal of obstetrics and gynecology
- 1982
Is there a preferred gestational age threshold of viability?: a survey of maternal-fetal medicine providers.
- MedicineThe journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians
- 2007
Prenatal Consultation Practices at the Border of Viability: A Regional Survey
- MedicinePediatrics
- 2005
If neonatologists are to perform complete prenatal consultations for infants at the border of viability as described by the latest American Academy of Pediatrics guidelines, then they will be expected to address quality-of-life values more robustly, to explain long-term outcomes, and to incorporate parental preferences during their conversations.
Perinatal intervention and neonatal outcomes near the limit of viability.
- MedicineAmerican journal of obstetrics and gynecology
- 2004
Cesarean delivery rates at the threshold of viability.
- MedicineAmerican journal of obstetrics and gynecology
- 2002
These data suggest an increasingly aggressive approach to deliveries at the threshold of viability, beginning at 23 weeks of gestation.
Comparison of perceived and actual rates of survival and freedom from handicap in premature infants.
- Medicine, Political ScienceAmerican journal of obstetrics and gynecology
- 1994
Obstetric determinants of neonatal survival: influence of willingness to perform cesarean delivery on survival of extremely low-birth-weight infants. National Institute of Child Health and Human Development Network of Maternal-Fetal Medicine Units.
- MedicineAmerican journal of obstetrics and gynecology
- 1997
Perinatal care at the threshold of viability.
- MedicinePediatrics
- 2002
This report addresses the process of counseling, assisting, and supporting families faced with the dilemma of an extremely preterm delivery.