Table 2 MFM providers’ response based on years of experience
Variable | > 10 years of experience 82 (%) | ≤ 10 years of experience 62 (%) | p Value |
|---|---|---|---|
Antenatal workup | |||
US | 82 (100%) | 62 (100%) | 0.09 |
Doppler | 51 (62.2%) | 22 (35.5%) | 0.002 |
Biophysical profile | 61 (74.4%) | 49 (79.0%) | 0.52 |
Non-stress test | 66 (80.5%) | 45 (72.6%) | 0.26 |
MRI | 5 (6.15) | 0 (0%) | 0.05 |
Time of start testing | 0.02 | ||
≤ 24 weeks | 2 (2.5%) | 1 (1.6%) | |
28 weeks | 16 (20%) | 3 (4.8%) | |
32 weeks | 53 (66.3%) | 55 (88.7%) | |
33 weeks | 0 (0%) | 0 (0%) | |
34 weeks | 9 (11.3%) | 3 (4.8%) | |
Frequency of bowel wall thickness/bowel dilation | |||
Weekly | 20 (24.4%) | 16 (25.8%) | 0.85 |
Every 2 weeks | 18 (22%) | 11 (17.7%) | 0.53 |
Every 3 weeks | 4 (4.9%) | 6 (9.7%) | 0.26 |
Every 4 weeks | 23 (28%) | 20 (32.3%) | 0.59 |
Mesenteric and umbilical artery by Doppler US | |||
Weekly | 11 (13.4%) | 12 (19.4%) | 0.34 |
Every 2 weeks | 15 (18.3%) | 3 (4.8%) | 0.02 |
Every 3 weeks | 1 (1.2%) | 3 (4.8%) | 0.19 |
Every 4 weeks | 8 (9.8%) | 3 (4.8%) | 0.27 |
Estimated fetal weight | |||
Weekly | 82 (100%) | 62 (100%) | 1 |
Every 2 weeks | 21 (25.6%) | 8 (12.9%) | 0.06 |
Every 3 weeks | 21 (25.6%) | 20 (32.3%) | 0.38 |
Every 4 weeks | 41 (50%) | 35 (56.5%) | 0.44 |
Fetal growth and fetal growth lag | |||
Weekly | 82 (100%) | 62 (100%) | 1 |
Every 2 weeks | 22 (26.8%) | 9 (14.5%) | 0.08 |
Every 3 weeks | 19 (23.2%) | 17 (27.4%) | 0.56 |
Every 4 weeks | 32 (39%) | 22 (35.5%) | 0.66 |
Amniotic fluid index | |||
Weekly | 36 (43.9%) | 32 (51.6%) | 0.36 |
Every 2 weeks | 20 (24.4%) | 7 (11.3%) | 0.05 |
Every 3 weeks | 5 (6.1%) | 8 (12.9%) | 0.16 |
Every 4 weeks | 18 (22%) | 16 (25.8%) | 0.59 |
Umbilical ring size | |||
Weekly | 2 (2.4%) | 1 (1.6%) | 0.73 |
Every 2 weeks | 4 (4.9%) | 2 (3.2%) | 0.62 |
Every 3 weeks | 2 (2.4%) | 0 (0%) | 0.22 |
Every 4 weeks | 8 (9.8%) | 10 (16.1%) | 0.25 |
Abnormalities would lead you to change surveillance | 0.001 | ||
Bowel status or appearance | 1 (1.2%) | 6 (9.7%) | |
Mesenteric and umbilical artery | 1 (1.2%) | 2 (3.2%) | |
Estimated fetal weight | 5 (6.2%) | 16 (25.8%) | |
Fetal growth | 6 (7.4%) | 6 (9.7%) | |
Fetal growth lag | 13 (16%) | 4 (6.5%) | |
Amniotic fluid index | 18 (22.2%) | 7 (11.3%) | |
All Apply | 37 (45.7%) | 21 (33.9%) | |
Do you recommend elective premature delivery in case of any abnormalities | 0.68 | ||
Yes | 55 (70.5%) | 41 (67.2%) | |
No | 23 (29.5%) | 20 (32.8%) | |
In non-complicated gastroschisis, time of the delivery | 0.01 | ||
36 weeks | 6 (7.3%) | 0 (0%) | |
37 weeks | 31 (37.8%) | 31 (50%) | |
38 weeks | 19 (23.2%) | 9 (14.5%) | |
39 weeks | 18 (22%) | 21 (33.9%) | |
Spontaneous | 8 (9.8%) | 1 (0.7%) | |
Mode of delivery | 0.11 | ||
Vaginal | 74 (92.5%) | 60 (98.4%) | |
Caesarean Section | 6 (7.5%) | 1 (1.6%) | |
Do you measure the diameter of the gastroschisis defect | 0.64 | ||
Yes | 27 (33.3%) | 25 (40.3%) | |
No | 52 (64.2%) | 35 (56.5%) | |
I would like to, but not feasible | 2 (2.5%) | 2 (3.2%) | |
Does or would the abdominal wall defect diameter affect your treatment plan? | 0.49 | ||
Yes | 4 (4.9%) | 4 (6.5%) | |
No | 77 (95.1%) | 58 (93.5%) | |
Impact of the abdominal wall defect dimensions on SBS | 0.25 | ||
Yes | 14 (17.7%) | 14 (10.1%) | |
No | 24 (30.4%) | 11 (18.3%) | |
I don’t know | 41 (51.9%) | 35 (58.3%) | |