Department of Obstetrics and Gynecology, Alpert School of Medicine of Brown University, Women and Infant's Hospital of Rhode Island, Providence, Rhode Island, USA.
Am J Perinatol. 2012 Sep;29(8):599-608. doi: 10.1055/s-0032-1311984. Epub 2012 May 25.
To survey generalist obstetrician-gynecologists about their satisfaction with and patterns of referral to maternal-fetal medicine (MFM) specialists.
A survey was sent three times to 1030 randomly selected American Congress of Obstetricians and Gynecologists members across the country, and results were tabulated.
A total of 516 surveys (50%) were returned; 68% of respondents were satisfied (S) with available MFM services and 31% were not satisfied (Not S). S and Not S respondents were similar with respect to age, gender, years in practice, type of practice, hours worked per week, proximity to MFM specialists, number of deliveries per year, and level of nursery in their hospital. Reasons for dissatisfaction included: MFM specialist not readily available (49%), during the day (26%), at night (35%), or on weekends (36%); MFM specialist unwilling to take care of hospitalized patients (26%); or MFM specialist does only ultrasound, chorionic villus sampling, and amniocentesis (32%). Although some generalists do not consult MFM specialists frequently, the majority of both S and Not S respondents would request an MFM consult or comanagement for 26 of 38 specific maternal, fetal, and obstetric diagnoses/complications.
The majority of obstetrician-gynecologists are satisfied with their MFM support. The dissatisfaction expressed by 31% of generalists might be ameliorated if individual MFM specialists increased their availability and/or broadened their scope of practice.
调查普通妇产科医生对母胎医学（MFM）专家的满意度和转介模式。
向全国范围内随机抽取的 1030 名美国妇产科医师大会成员发送了三次调查，然后对结果进行了制表。
共收回 516 份调查（50%）；68%的受访者对现有的 MFM 服务感到满意（S），31%的受访者不满意（Not S）。在年龄、性别、从业年限、执业类型、每周工作时间、与 MFM 专家的距离、每年分娩量以及医院的新生儿科水平等方面，S 和 Not S 受访者相似。不满意的原因包括：MFM 专家不易获得（49%），白天（26%）、晚上（35%）或周末（36%）；MFM 专家不愿意照顾住院患者（26%）；或 MFM 专家只做超声、绒毛膜活检和羊膜穿刺术（32%）。尽管一些普通医生不经常咨询 MFM 专家，但大多数 S 和 Not S 受访者都会为 38 种特定的母体、胎儿和产科诊断/并发症中的 26 种请求 MFM 咨询或共同管理。
大多数妇产科医生对他们的 MFM 支持感到满意。如果个别 MFM 专家增加可用性和/或扩大其执业范围，可能会改善 31%的普通医生的不满。
