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A First Look at Chorioamnionitis Management Practice Variation among US Obstetricians
Joint Authors
Aziz, Natali
Greenberg, Mara B.
Schulkin, Jay
Norton, Mary E.
Anderson, Britta L.
Source
Infectious Diseases in Obstetrics and Gynecology
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-9, 9 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-12-23
Country of Publication
Egypt
No. of Pages
9
Main Subjects
Abstract EN
Objective.
To examine practice patterns for diagnosis and treatment of chorioamnionitis among US obstetricians.
Study Design.
We distributed a mail-based survey to members of the American College of Obstetricians and Gynecologists, querying demographics, practice setting, and chorioamnionitis management strategies.
We performed univariable and multivariable analyses.
Results.
Of 500 surveys distributed, 53.8% were returned, and 212 met study criteria and were analyzed.
Most respondents work in group practice (66.0%), perform >100 deliveries per year (60.0%), have been in practice >10 years (77.3%), and work in a nonuniversity setting (85.1%).
Temperature plus one additional criterion (61.3%) was the most common diagnostic strategy.
Over 25 different primary antibiotic regimens were reported, including use of a single agent by 30.0% of respondents.
A wide range of postpartum antibiotic duration was reported from no postpartum treatment (34.5% after vaginal delivery, 11.3% after cesarean delivery) to 48 hours of postpartum treatment (24.7% after vaginal delivery, 32.1% after cesarean delivery).
No practitioner characteristic was independently associated with diagnostic or therapeutic strategies in multivariable analysis.
Conclusion.
There is a wide variation in contemporary clinical practices for the management of chorioamnionitis.
This may represent a dearth of level I evidence.
Future prospective clinical trials may provide more evidence-based practice recommendations for diagnosis and treatment of chorioamnionitis.
American Psychological Association (APA)
Greenberg, Mara B.& Anderson, Britta L.& Schulkin, Jay& Norton, Mary E.& Aziz, Natali. 2012. A First Look at Chorioamnionitis Management Practice Variation among US Obstetricians. Infectious Diseases in Obstetrics and Gynecology،Vol. 2012, no. 2012, pp.1-9.
https://search.emarefa.net/detail/BIM-486380
Modern Language Association (MLA)
Greenberg, Mara B.…[et al.]. A First Look at Chorioamnionitis Management Practice Variation among US Obstetricians. Infectious Diseases in Obstetrics and Gynecology No. 2012 (2012), pp.1-9.
https://search.emarefa.net/detail/BIM-486380
American Medical Association (AMA)
Greenberg, Mara B.& Anderson, Britta L.& Schulkin, Jay& Norton, Mary E.& Aziz, Natali. A First Look at Chorioamnionitis Management Practice Variation among US Obstetricians. Infectious Diseases in Obstetrics and Gynecology. 2012. Vol. 2012, no. 2012, pp.1-9.
https://search.emarefa.net/detail/BIM-486380
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-486380