Induction of labor for maternal indications at a periviable gestational age; Survey on management, reporting and auditing amongst dutch maternal-fetal medicine specialists and neonatologists

Leonoor van Eerden*, Christianne J. M. de Groot, Godelieve C. M. L. Page-Christiaens, Eva Pajkrt, Gerda G. Zeeman, Antoinette C. Bolte

*Corresponding author for this work

Research output: Contribution to journalReview articleAcademicpeer-review


Background In cases of life-threatening maternal conditions in the periviable period, professionals may consider immediate delivery with fetal demise as a consequence of the treatment. We sought the opinion of involved medical professionals on management, reporting, and auditing in these cases. Methods We performed an online survey amongst all registered maternal-fetal medicine (MFM) specialists and neonatologists in the Netherlands. The survey presented two hypothetical cases of severe early-onset pre-eclampsia at periviable gestational ages. Management consisted of immediate termination or expectant management directed towards newborn survival. Findings In the case managed by immediate termination, 62% percent answered that fetal demise resulting from induction of labor for maternal indications should be audited only within the medical profession. In the case of expectant management, 17% of the participants agreed with this management. Some answers revealed a significant difference in opinion between the medical specialists. Conclusion Perspective of MFM specialists and neonatologists differs with regard to counseling prospect parents in case of severe early onset pre-eclampsia. The majority of professionals is willing to report late termination (after 24 weeks' gestation) for severe maternal disease to medical experts for internal audits but not for legal auditing.
Original languageEnglish
Pages (from-to)E295-E300
JournalAJP Reports
Issue number4
Publication statusPublished - 1 Oct 2018

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