title: Maternal-Fetal Medicine physicians' practice patterns for 22-week delivery management.
abstract: OBJECTIVE
  To describe Maternal-Fetal Medicine (MFM) physicians' practice patterns for 22-week delivery management.
  
  
  METHODS
  Surveyed 750 randomly-sampled members of the Society of Maternal-Fetal Medicine, querying MFMs' practices and policies guiding 22-week delivery management.
  
  
  RESULTS
  Three hundred and twenty-five (43%) MFMs responded. Nearly all (87%) would offer induction. Twenty-eight percent would order steroids, and 12% would perform cesarean for a patient desiring resuscitation. Offering induction differed significantly based on the provider's practice setting, region, religious service attendance and political affiliation. In multivariable analyses, political affiliation remained a significant predictor of offering induction (p = 0.03).
  
  
  CONCLUSIONS
  Most MFMs offer induction for PPROM at 22 weeks. A noteworthy proportion is willing to order steroids and perform cesarean. Personal beliefs and practice characteristics may contribute to these decisions. While little is known about the efficacy of these interventions at 22 weeks, some MFMs will offer obstetrical intervention if resuscitation is intended.
authors.affiliation: a Department of Obstetrics and Gynecology , Indiana University School of Medicine , Indianapolis , IN , USA and.
authors.forename: Brownsyne
authors.initials: B
authors.lastname: Tucker Edmonds
authors.affiliation: a Department of Obstetrics and Gynecology , Indiana University School of Medicine , Indianapolis , IN , USA and.
authors.forename: Fatima
authors.initials: F
authors.lastname: McKenzie
authors.affiliation: b Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine , NorthShore University Health System, Pritzker School of Medicine, University of Chicago , Evanston , IL , USA.
authors.forename: Barrett K
authors.initials: BK
authors.lastname: Robinson
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009774:Obstetrics / Q000706:statistics & numerical data*; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data*; D011247:Pregnancy; D011262:Pregnancy Trimester, Second; D047928:Premature Birth; D011795:Surveys and Questionnaires
keywords: Extreme prematurity; obstetric delivery; periviability; physician’s practice patterns; premature obstetric labor