Non-Medically Indicated Deliveries <39 Weeks Provider Survey

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1. Do you offer or perform non-medically indicated deliveries <39 weeks (deliveries done for non-medical reasons)?
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2. When is the earliest gestational age that you feel it is safe to deliver for non-medical reasons?
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3. Please rank the top three reasons (1 = most often and 3= least often) your patients give when requesting or scheduling a <39 weeks delivery.
1- Most often23- Least often
Scheduling convenience
Uncomfortable, tired of being pregnant
Prior pregnancy complications
History of rapid labor/lives far away
Wants to be delivered by her doctor
Not applicable - patients do not request elective deliveries
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4. For healthy normal pregnancies do you present the option of an induction prior to 39 weeks gestation?
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5. For healthy normal pregnancies do you present the option of a scheduled repeat cesarean section prior to 39 weeks gestation?
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6. Do you think it is safe to delay scheduled non-medically indicated deliveries (elective inductions and elective cesareans) until after 39 +0 weeks?
7. If you do not think it is safe to delay scheduled non-medically indicated deliveries until after 39 + 0 weeks, please explain why:
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8. Which of the following do you think will occur if non-medically indicated deliveries <39 weeks are eliminated? (Check all that apply)
9. Does the possibility of a malpractice lawsuit play a role in your decision for an early term induction?
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10. Which of the following are valid medical indications for induction < 39 weeks according to ACOG? (Check all that apply)
11. In your opinion, what non-ACOG reasons exist for performing inductions <39 weeks?
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12. What is your preferred method for calculating gestational age for your patients (Choose one)?
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13. How do you manage patients who present late for care with a prior cesarean section? (Check all that apply)
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14. Is there consistency among practitioners at your hospital for calculating gestational age before scheduling a <39 weeks delivery?
15. Does your hospital currently have any of the below in place?
(Check all that apply)
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16. If your hospital has a <39 weeks delivery policy, could a physician intentionally circumvent it?
17. If yes, what reason(s) could be used? (Check all that apply)
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18. Do you think your hospital performs too many early term inductions?
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19. Rank the barriers that your hospital faces in trying to decrease < 39 weeks non-medically indicated deliveries. (1= Largest Barrier and 6= Smallest Barrier)
1- Largest Barrier23456- Smallest Barrier
Physicians’ knowledge of non-medically indicated early term delivery health outcomes vs. full term health outcomes.
Staff knowledge of non-medically indicated early term delivery health outcomes vs. full term delivery health outcomes.
Patient knowledge of non-medically indicated early term delivery health outcomes vs. full term delivery health outcomes.
Providing real time data for hospital staff about rates of non-medically indicated early term deliveries
Consistent support and enforcement by medical leadership.
Concern about establishing correct gestational age of the fetus.
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20. What best influences you to change practice especially on an issue like <39 weeks non-medically indicated delivery? (Rank the top three)
Most influentialSomewhat influentialLeast influential
Published scientific research
ACOG published materials
Grand rounds or other professional education presentations
Hospital policy
Patient demands
Peer-to-Peer sharing
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21. Please indicate the hospital level where you maintain privileges and perform most of your deliveries.
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22. How long have you been practicing obstetrics?
23. Which sub-specialty do you practice?
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24. Which of the following communication techniques do you prefer to use? (Check all that apply)
25. Would you be willing to serve as an advocate for implementing a comprehensive program at your hospital to eliminate non-medically indicated deliveries < 39 weeks?
26. The first 200 individuals to complete this survey will receive a $5 Starbucks gift card. Please include your name and mailing address below.
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