* 1. Do you offer or perform non-medically indicated deliveries <39 weeks (deliveries done for non-medical reasons)?

* 2. When is the earliest gestational age that you feel it is safe to deliver for non-medical reasons?

* 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 often 2 3- 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

* 4. For healthy normal pregnancies do you present the option of an induction prior to 39 weeks gestation?

* 5. For healthy normal pregnancies do you present the option of a scheduled repeat cesarean section prior to 39 weeks gestation?

* 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:

* 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?

* 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?

* 12. What is your preferred method for calculating gestational age for your patients (Choose one)?

* 13. How do you manage patients who present late for care with a prior cesarean section? (Check all that apply)

* 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)

* 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)

* 18. Do you think your hospital performs too many early term inductions?

* 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 Barrier 2 3 4 5 6- 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.

* 20. What best influences you to change practice especially on an issue like <39 weeks non-medically indicated delivery? (Rank the top three)

  Most influential Somewhat influential Least influential
Published scientific research
ACOG published materials
Grand rounds or other professional education presentations
Hospital policy
Patient demands
Peer-to-Peer sharing

* 21. Please indicate the hospital level where you maintain privileges and perform most of your deliveries.

* 22. How long have you been practicing obstetrics?

23. Which sub-specialty do you practice?

* 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.

T