The distribution, practice, and attitudes of maternal-fetal medicine specialists.

Abstract:

OBJECTIVES:This study was carried out to determine the distribution of maternal-fetal medicine (MFM) subspecialists and to profile MFM subspecialists' (1) target patient populations, (2) practice organization, (3) workloads, (4) services provided, and (5) job satisfaction. STUDY DESIGN:The membership of the Society for Maternal-Fetal Medicine was compared with birth projections for metropolitan statistical areas. A survey was sent to Society for Maternal-Fetal Medicine members. RESULTS:The national supply of MFM subspecialists was 0.34, with individual census regions ranging from 0.22 to 0.52 per thousand births. MFM subspecialists report spending 64% of their time in clinical pursuits, 9% in research, and 12% in administration. They evaluate an average of 512 patients annually and work a 67-hour week (SD, 15.8 hours). Ninety-four percent perform deliveries and 87% perform targeted ultrasound examinations. Overall job satisfaction averages 7.4 on a 10-point scale. CONCLUSION:The data provide useful bench-marking information for MFM subspecialists exploring options for practice and for health care planners and organizations developing staffing plans. Despite changes in the health care system, MFM subspecialists continue to express a positive attitude toward their work.

journal_name

Am J Obstet Gynecol

authors

Coustan DR,Schwartz RM,Gagnon DE,VanDorsten JP,Society for Maternal-Fetal Medicine.

doi

10.1067/mob.2001.119719

subject

Has Abstract

pub_date

2001-11-01 00:00:00

pages

1218-25

issue

5

eissn

0002-9378

issn

1097-6868

pii

S0002-9378(01)82544-8

journal_volume

185

pub_type

杂志文章
  • A comparative study of laparoscopic extraperitoneal lymphadenectomy [correction of laparoscopy] with the use of ultrasonically activated shears.

    abstract:OBJECTIVE:We evaluated the use of the harmonic scalpel in reducing the occurrence of symptomatic lymphoceles and its related complications in paraaortic laparoscopic lymphadenectomies (PALLs). STUDY DESIGN:All PALL that were performed at the Institut Claudius Regaud between January 2003 and June 2007 were included. Si...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/j.ajog.2009.05.026

    authors: Rafii A,Camicas A,Ferron G,Mery E,Gladieff L,Delannes M,Querleu D

    更新日期:2009-10-01 00:00:00

  • The epidemiology of urethral-vesical dysfunction in the female patient.

    abstract::The specific purposes of this report are twofold: (1) to summarize the descriptive epidemiology of urethral-vesical dysfunction in a population of 1439 female patients referred for urodynamic evaluation of symptoms and (2) to analyze the association between demographic, clinical, and investigative data. On the basis o...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(85)90016-x

    authors: Quigley GJ,Harper AC

    更新日期:1985-01-15 00:00:00

  • Embryo survival after pronuclear microinjection and trophectoderm biopsy.

    abstract:OBJECTIVE:Our purpose was to compare murine embryo development after pronuclear microinjection of a gene construct, followed by trophectoderm biopsy at the blastocyst state, with development after a single micromanipulation, and with cultured controls. STUDY DESIGN:alpha-Myosin heavy-chain gene sequence was microinjec...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0002-9378(94)70122-9

    authors: Burwinkel TH,Kim HN,Buster JE,Minhas BS,Carson SA

    更新日期:1994-04-01 00:00:00

  • Suburethral sling using the transobturator approach: a quality-of-life analysis.

    abstract:OBJECTIVE:The objective of the study was to determine the degree of benefit of a transobturator midurethral polypropylene sling in patients with stress urinary incontinence through a quality-of-life instrument and outcome analysis. STUDY DESIGN:Forty-seven patients completed the validated Individual Incontinence Impac...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/j.ajog.2005.07.036

    authors: Lukban JC

    更新日期:2005-12-01 00:00:00

  • The incidence and significance of polynuclear follicles.

    abstract::In the treatment of pelvic disorders, ovarian tissue was surgically removed from 165 patients (divided into four age groups) and examined microscopically. This article presents the incidence of polynuclear follicles and discusses potential signficance of these structures in the histogenesis of the ovarian teratoma. ...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(77)90289-7

    authors: Sherrer C,Gerson B,Woodruff JD

    更新日期:1977-05-01 00:00:00

  • Clinical effectiveness of a new cervical indwelling catheter in the management of premature rupture of the membranes: a Japanese collaborative study.

    abstract::The aim of this multiinstitutional study was to evaluate a new cervical indwelling catheter in 84 patients with premature rupture of the membranes at less than 33 weeks' gestation. The average time of insertion of the catheter was 29.1 weeks' gestation, at an average of 2.0 days after rupture, and was left in place fo...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0002-9378(88)80080-2

    authors: Ogita S,Mizuno M,Takeda Y,Arai M,Sugawa T,Kuwabara Y,Hashimoto T,Nishijima M,Imanaka M

    更新日期:1988-08-01 00:00:00

  • Effects of narcotic drugs on fetal behavioral activity: acute methadone exposure.

    abstract::The effects of acute methadone exposure on fetal behavioral activity were investigated in 10 unanesthetized fetal lamb preparations. Fetal behavioral activity was interpreted indirectly from the electrocorticogram (ECoG), electromyogram, electrooculogram, blood pressure, heart rate (FHR), and breathing movements (FBMs...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(83)91056-6

    authors: Szeto HH

    更新日期:1983-05-15 00:00:00

  • Correlations of placental perfusion and PlGF protein expression in early human pregnancy.

    abstract:OBJECTIVE:The purpose of this study was to investigate temporal correlations between maternal serum placenta growth factor levels and placental perfusion in early human pregnancies. STUDY DESIGN:Systolic umbilical artery Doppler blood flow velocity indices at fetal and placental insertion sites were measured between 7...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/j.ajog.2006.01.012

    authors: Welch PC,Amankwah KS,Miller P,McAsey ME,Torry DS

    更新日期:2006-06-01 00:00:00

  • Best practices in surgical abortion.

    abstract::Surgical abortion in the first trimester comprises the majority of voluntary pregnancy interruptions performed in the United States. The majority of these procedures are done in outpatient settings with the patient under local anesthesia. Appropriate volume of and deep injection of local anesthetic can reduce pain ass...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1067/s0002-9378(03)00107-8

    authors: Keder LM

    更新日期:2003-08-01 00:00:00

  • Outcome of corticotropin stimulation testing in women with androgen excess and ovulatory dysfunction.

    abstract:OBJECTIVE:Our objective was to evaluate women with clinical signs or chemical evidence of androgen excess by corticotropin stimulation testing. STUDY DESIGN:Seventy-six women with evidence of androgen excess were evaluated by corticotropin stimulation testing. Results were examined by plasma levels of dehydroepiandros...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0002-9378(11)91406-9

    authors: Bates GW,French GM,Humphries BB,Blackhurst DW

    更新日期:1992-08-01 00:00:00

  • Prolonged periods without food intake during pregnancy increase risk for elevated maternal corticotropin-releasing hormone concentrations.

    abstract:OBJECTIVE:Fasting during pregnancy stimulates preterm delivery in animals and increases women's risk for preterm delivery. Fasting stimulates hypothalamic corticotropin-releasing hormone production in animals. Elevated maternal corticotropin-releasing hormone concentrations are associated with preterm birth. We hypothe...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1067/mob.2001.115863

    authors: Herrmann TS,Siega-Riz AM,Hobel CJ,Aurora C,Dunkel-Schetter C

    更新日期:2001-08-01 00:00:00

  • Fetal biophysical profile scoring: a prospective study in 1,184 high-risk patients.

    abstract::The results of a prospective clinical management based on fetal biophysical profile scoring method was evaluated in 1,184 referred high-risk patients. Six perinatal deaths occurred in the study group (perinatal mortality of 5.06 per 1,000); only one fetus suffered unpredictable and unpreventable death (true false nega...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(81)90275-1

    authors: Manning FA,Baskett TF,Morrison I,Lange I

    更新日期:1981-06-01 00:00:00

  • Gestational dating by metabolic profile at birth: a California cohort study.

    abstract:BACKGROUND:Accurate gestational dating is a critical component of obstetric and newborn care. In the absence of early ultrasound, many clinicians rely on less accurate measures, such as last menstrual period or symphysis-fundal height during pregnancy, or Dubowitz scoring or the Ballard (or New Ballard) method at birth...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/j.ajog.2015.11.029

    authors: Jelliffe-Pawlowski LL,Norton ME,Baer RJ,Santos N,Rutherford GW

    更新日期:2016-04-01 00:00:00

  • Plasma estrogens in euthyroid and thyrotoxic women.

    abstract::Plasma levels of estrogen were measured daily by radioimmunoassay for 28 consecutive days in 12 healthy euthyroid women and 15 thyrotoxic women (10 with hypomenorrhea and 5 with amenorrhea) before commencement of therapy (except in one case) in an effort to increase understanding of the relationship between the thyroi...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(75)90732-2

    authors: Akande EO

    更新日期:1975-08-01 00:00:00

  • The promise of pharmacologic modification of ovum transport in contraceptive development.

    abstract::The mechanisms whereby estradiol retards ovum transport through the rabbit oviduct were investigated. 40 controls were given intravenous injections of 100 units of human chorionic gonadotropin (HCG). (Ovulation follows injection by 10-14 hours.) 24 hours after injection 20 controls were sacrificed; a 90.5% recovery...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(73)91043-0

    authors: Pauerstein CJ,Fremming BD,Hodgson BJ,Martin JE

    更新日期:1973-05-15 00:00:00

  • Obstetric and neonatal risks among extremely macrosomic babies and their mothers.

    abstract:OBJECTIVE:We estimated the risk of complications at birth of extremely large babies (≥5000 g). STUDY DESIGN:This was a cohort study including all births of extremely large babies in 1996 through 2005 and comparison cohort with normal birthweight (1:2) identified in the national birth registration. RESULTS:There were ...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/j.ajog.2010.12.036

    authors: Vidarsdottir H,Geirsson RT,Hardardottir H,Valdimarsdottir U,Dagbjartsson A

    更新日期:2011-05-01 00:00:00

  • Is manual palpation of uterine contractions accurate?

    abstract:OBJECTIVE:The aims of this study were to assess the accuracy of uterine contraction palpation, determine whether the accuracy of palpation improves with experience, determine clinical factors that affect the accuracy of palpation, and evaluate the range of intrauterine pressure present when an observer notes the contra...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0002-9378(96)70397-6

    authors: Arrabal PP,Nagey DA

    更新日期:1996-01-01 00:00:00

  • Proposed diagnostic criteria for the case definition of amniotic fluid embolism in research studies.

    abstract::Amniotic fluid embolism is a leading cause of maternal mortality in developed countries. Our understanding of risk factors, diagnosis, treatment, and prognosis is hampered by a lack of uniform clinical case definition; neither histologic nor laboratory findings have been identified unique to this condition. Amniotic f...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/j.ajog.2016.06.037

    authors: Clark SL,Romero R,Dildy GA,Callaghan WM,Smiley RM,Bracey AW,Hankins GD,D'Alton ME,Foley M,Pacheco LD,Vadhera RB,Herlihy JP,Berkowitz RL,Belfort MA

    更新日期:2016-10-01 00:00:00

  • Perimortem cesarean delivery: were our assumptions correct?

    abstract:OBJECTIVE:The recommendation to perform a perimortem cesarean delivery within 4 minutes of maternal cardiac arrest was introduced in 1986. This recommendation was based on the assumptions that cardiopulmonary resuscitation is ineffective in the third trimester because of aortocaval compression, and that fetal and perha...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1016/j.ajog.2005.02.038

    authors: Katz V,Balderston K,DeFreest M

    更新日期:2005-06-01 00:00:00

  • Influence of alcohol intake on postoperative morbidity after hysterectomy.

    abstract::Postoperative morbidity after hysterectomy was prospectively studied in 229 consecutive patients in our departments. The incidence of alcohol abuse (greater than 60 gm of alcohol daily) and social drinking (between 25 and 60 gm of alcohol daily) was 6.5% for each. When compared with the social drinkers and the control...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(92)91695-7

    authors: Felding C,Jensen LM,Tønnesen H

    更新日期:1992-02-01 00:00:00

  • The correlation of ultrasonic placental grading and fetal pulmonary maturation in five hundred sixty-three pregnancies.

    abstract::In a previous study, it was suggested that the presence of a grade III placenta correlates 100% with a mature lecithin/sphingomyelin (L/S) ratio and may replace amniocentesis in confirming fetal lung maturity. In this study that hypothesis was tested in 563 pregnancies. All patients underwent amniocentesis and simulta...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(82)90478-1

    authors: Harman CR,Manning FA,Stearns E,Morrison I

    更新日期:1982-08-15 00:00:00

  • The effect of pretreatment with magnesium sulfate on the initiation of seizure foci in anesthetized cats.

    abstract::The therapeutic effect of magnesium sulfate remains unknown. Its role as an anticonvulsant is controversial. The effect of pretreatment with parenteral magnesium sulfate on the ability to initiate penicillin-induced seizure foci in anesthetized cats was studied. All animals in the experimental group achieved serum mag...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(89)90482-1

    authors: Koontz WL,Reid KH

    更新日期:1989-02-01 00:00:00

  • Does hysterectomy without adnexectomy in patients with prior tubal interruption increase the risk of subsequent hydrosalpinx?

    abstract:OBJECTIVE:Our purpose was to examine the hypothesis that hysterectomy without adnexectomy after tubal interruption is associated with the development of hydrosalpinx. STUDY DESIGN:In this case-control study, patients with a pathologic diagnosis of hydrosalpinx were compared with a group of patients undergoing adnexect...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1067/mob.2002.130212

    authors: Morse AN,Hammer RA,Walter AJ,Baker S,Magtibay PM

    更新日期:2002-12-01 00:00:00

  • Impact of treatment for fecal incontinence on constipation symptoms.

    abstract:OBJECTIVE:Defecatory symptoms, such as a sense of incomplete emptying and straining with bowel movements, are paradoxically present in women with fecal incontinence. Treatments for fecal incontinence, such as loperamide and biofeedback, can worsen or improve defecatory symptoms, respectively. The primary aim of this st...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.ajog.2019.11.1256

    authors: Andy UU,Jelovsek JE,Carper B,Meyer I,Dyer KY,Rogers RG,Mazloomdoost D,Korbly NB,Sassani JC,Gantz MG,Pelvic Floor Disorders Network.

    更新日期:2020-06-01 00:00:00

  • Lipid peroxidation in pregnancy: new perspectives on preeclampsia.

    abstract::Basic research during the past two decades has led to increased awareness of the role of lipid peroxidation in various physiologic and pathophysiologic processes. A number of reports indicate that preeclampsia is associated with elevated blood levels of lipid peroxidation products. In view of its potentially destructi...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1016/0002-9378(89)90778-3

    authors: Hubel CA,Roberts JM,Taylor RN,Musci TJ,Rogers GM,McLaughlin MK

    更新日期:1989-10-01 00:00:00

  • Multicenter randomized trial of cerclage for preterm birth prevention in high-risk women with shortened midtrimester cervical length.

    abstract:OBJECTIVE:The objective of the study was to assess cerclage to prevent recurrent preterm birth in women with short cervix. STUDY DESIGN:Women with prior spontaneous preterm birth less than 34 weeks were screened for short cervix and randomly assigned to cerclage if cervical length was less than 25 mm. RESULTS:Of 1014...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1016/j.ajog.2009.08.015

    authors: Owen J,Hankins G,Iams JD,Berghella V,Sheffield JS,Perez-Delboy A,Egerman RS,Wing DA,Tomlinson M,Silver R,Ramin SM,Guzman ER,Gordon M,How HY,Knudtson EJ,Szychowski JM,Cliver S,Hauth JC

    更新日期:2009-10-01 00:00:00

  • Physiologic role of nitric oxide in the maintenance of uterine quiescence in nonpregnant and pregnant sheep.

    abstract:OBJECTIVE:This study evaluated the role of nitric oxide in the maintenance of uterine quiescence in nonpregnant and pregnant ewes. STUDY DESIGN:Sixteen ovariectomized nonpregnant and 10 pregnant (115 days' gestation) chronically instrumented ewes were studied. Uterine contractility was assessed by electromyography and...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1067/mob.2000.105428

    authors: Mirabile CP Jr,Massmann GA,Figueroa JP

    更新日期:2000-07-01 00:00:00

  • Extracellular and intracellular magnesium depletion in pregnancy and gestational diabetes.

    abstract:OBJECTIVE:Our purpose was to investigate a possible ionic basis linking pregnancy and gestational diabetes with the vascular disorders associated with them. STUDY DESIGN:We used phosphorus 31 nuclear magnetic resonance spectroscopy and magnesium- and calcium-specific ion electrodes to measure erythrocyte intracellular...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0002-9378(95)90035-7

    authors: Bardicef M,Bardicef O,Sorokin Y,Altura BM,Altura BT,Cotton DB,Resnick LM

    更新日期:1995-03-01 00:00:00

  • Prevalence of anal human papillomavirus infection and anal HPV-related disorders in women: a systematic review.

    abstract::The aim of this study was to systematically review the findings of publications addressing the epidemiology of anal human papillomavirus (HPV) infection, anal intraepithelial neoplasia, and anal cancer in women. We conducted a systematic review among publications published from Jan. 1, 1997, to Sept. 30, 2013, to limi...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1016/j.ajog.2015.03.034

    authors: Stier EA,Sebring MC,Mendez AE,Ba FS,Trimble DD,Chiao EY

    更新日期:2015-09-01 00:00:00

  • Pelvic floor electrical stimulation in the treatment of genuine stress incontinence: a multicenter, placebo-controlled trial.

    abstract:OBJECTIVE:Our purpose was to determine the efficacy of transvaginal electrical stimulation in treating genuine stress incontinence. STUDY DESIGN:This was a multicenter, prospective, randomized, double-blind, placebo-controlled 15-week trial comparing the use of an active pelvic floor stimulator with a sham device. Thi...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1016/0002-9378(95)90172-8

    authors: Sand PK,Richardson DA,Staskin DR,Swift SE,Appell RA,Whitmore KE,Ostergard DR

    更新日期:1995-07-01 00:00:00