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Obstetrician-gynecologists' knowledge and training about antenatal corticosteroids
K Erickson1, L Schmidt, D L Santesso
1American College of Obstetricians and Gynecologists, Washington, DC 20024, USA.
Obstetrics and Gynecology
|January 12, 2001
Summary
Most obstetricians use antenatal corticosteroids to prevent respiratory distress syndrome. However, many lack awareness of potential risks with multiple doses, indicating a need for updated education on corticosteroid use in pregnancy.
Area of Science:
- Obstetrics and Gynecology
- Neonatal Medicine
- Pharmacology
Background:
- Antenatal corticosteroids are crucial for fetal lung maturation.
- Knowledge gaps may exist regarding optimal use and potential risks.
Purpose of the Study:
- To assess obstetrician-gynecologists' knowledge, opinions, and practices regarding antenatal corticosteroids.
- To identify educational needs for improving antenatal corticosteroid administration.
Main Methods:
- Survey distributed to 1020 ACOG Fellows.
- Questionnaire included demographics, knowledge, and clinical practice patterns.
- Analysis of responses regarding antenatal corticosteroid use and awareness.
Main Results:
- High reported use of antenatal corticosteroids (94%) for respiratory distress syndrome prevention.
- Significant lack of awareness (59.2%) regarding risks of multiple doses and fetal growth restriction.
- Physicians trained before 1970 were less likely to follow guidelines compared to later-trained physicians.
- Most respondents rated their knowledge as adequate, not comprehensive (8% comprehensive).
Conclusions:
- Most obstetrician-gynecologists utilize antenatal corticosteroids but are often unaware of recent risk data.
- Residency training is perceived as a more valuable educational source than medical school.
- A comprehensive educational strategy is necessary to update practitioners on antenatal corticosteroid guidelines and risks.