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A national survey on preterm labor.

M M Taslimi¹, B M Sibai, E Amon

¹Department of Obstetrics and Gynecology, University of Tennessee-Chattanooga 37403.

American Journal of Obstetrics and Gynecology

|June 1, 1989

Summary

American obstetricians vary widely in managing preterm labor, from diagnosis to treatment. Awareness of severe beta-adrenergic therapy complications highlights the need for cautious use of these agents.

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Area of Science:

Obstetrics and Gynecology
Maternal-Fetal Medicine

Background:

Preterm labor poses significant risks to maternal and infant health.
Standardized management protocols for preterm labor are crucial for optimal outcomes.

Purpose of the Study:

To survey American obstetricians' current practices in diagnosing and managing preterm labor.
To identify variations in clinical approaches and awareness of treatment complications.

Main Methods:

A national survey using multiple-choice questionnaires.
Mailed surveys to members of the Society of Perinatal Obstetricians and randomly selected American College of Obstetricians and Gynecologists diplomates.

Main Results:

Wide variations observed in diagnostic criteria, tocolytic agent selection, and use of amniocentesis and corticosteroids.

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Significant differences in management approaches between the two surveyed obstetrician groups.

High awareness of severe beta-adrenergic therapy complications, including maternal mortality, was reported.

Conclusions:

Significant variability exists in preterm labor management among American obstetricians.
The findings underscore the necessity for careful patient selection and judicious use of beta-adrenergic tocolytic therapy due to potential severe complications.