Trudinger B J, Boshell L
Department of Obstetrics and Gynaecology, University of Sydney, Westmead Hospital, New South Wales.
Aust N Z J Obstet Gynaecol. 1987 Aug;27(3):188-95. doi: 10.1111/j.1479-828x.1987.tb00984.x.
A survey of the practices of obstetricians in the management of premature labour was carried out. A questionnaire consisting of 16 clinical problems was drawn up. All Fellows and Members of the RACOG resident in Australia were surveyed by mail and 707 (74.3% of those in active practice) returned completed questionnaires. Results were analysed by State, seniority and practice size. The survey revealed many differences in management even in situations tested by clinical trials (e.g. premature rupture of membranes, use of steroids). There was uncertainty about when to attempt inhibition with tocolytics. Obstetricians had a more pessimistic view concerning neonatal survival than recent published neonatal results indicate. The role of chorioamnionitis seemed undervalued. There were many differences when results were analysed by State and seniority.
对产科医生处理早产的实践进行了一项调查。拟定了一份包含16个临床问题的问卷。通过邮件对所有居住在澳大利亚的皇家澳大利亚妇产科医师学会会员和准会员进行了调查,707人(占活跃执业医生的74.3%)返回了完整的问卷。结果按州、资历和执业规模进行了分析。该调查显示,即使在临床试验所检验的情况下(如胎膜早破、使用类固醇),管理方面也存在许多差异。对于何时尝试使用宫缩抑制剂进行抑制存在不确定性。产科医生对新生儿存活率的看法比近期发表的新生儿结果所显示的更为悲观。绒毛膜羊膜炎的作用似乎未得到充分重视。按州和资历分析结果时存在许多差异。