The variability of viability: the effect of physicians' perceptions of viability on the survival of very low--birth weight infants.

Abstract:

:Physicians who deliver babies in Alabama were surveyed to determine their level of knowledge about the survival of low--birth weight/early gestational age infants. These estimates of neonatal survival were compared to the actual neonatal survival rates at local hospitals and at the regional perinatal centers in Alabama. In addition, the physicians' knowledge of survival rates was correlated with their management decisions in hypothetical cases of premature labor. Our findings indicate that physicians who perform deliveries tended to underestimate the potential for neonatal survival in premature infants. Equally as important, the range of responses varied markedly. In the hypothetical cases, management decisions often appeared to be based on incorrect information about neonatal survival. These decisions, including not electronically monitoring fetuses, not performing a cesarean section for fetal distress, and not transferring women in premature labor to a perinatal center, if made in actual cases, would result in potentially viable fetuses receiving less than optimal management.

journal_name

Am J Obstet Gynecol

authors

Goldenberg RL,Nelson KG,Dyer RL,Wayne J

doi

10.1016/0002-9378(82)90114-4

subject

Has Abstract

pub_date

1982-07-15 00:00:00

pages

678-84

issue

6

eissn

0002-9378

issn

1097-6868

pii

0002-9378(82)90114-4

journal_volume

143

pub_type

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