Multiple pregnancy: Knowledge and practice patterns of obstetricians and gynecologists

Jane Cleary-Goldman, Maria A. Morgan, Julian N. Robinson, Mary E. D'Alton, Jay Schulkin

Research output: Contribution to journalReview articlepeer-review

21 Scopus citations


OBJECTIVE: We sought to assess knowledge and practices of obstetricians regarding multiple gestation. METHODS: A questionnaire investigating knowledge and practice patterns pertaining to multiple gestation was mailed to randomly selected American College of Obstetricians and Gynecologists (ACOG) Fellows and Junior Fellows in January 2003. Fifty-one percent (589/1,146) of the surveys were returned. RESULTS: Statistical analysis included the responses from 430 practicing obstetricians. More than 60% rated their training regarding management of multiples as adequate. Men (56.5%) were older and had been in practice longer than females. Sixty-two percent of general obstetrician- gynecologists managed twins without input from a maternal-fetal medicine specialist An understanding of chorionicity was less than anticipated. The majority of practitioners managed twins according to recent ACOG educational materials. They did not use prophylactic cerclage, home uterine-activity monitoring, or tocolytics. Fort-six percent encouraged prophylactic bed rest The management of breech second twins varied. CONCLUSION: Most obstetricians manage multiples according to current ACOG educational materials independent of maternal-fetal medicine specialists. This survey identified knowledge gaps, specifically in chorionicity, indicating the need to develop educational strategies addressing these insufficiencies.

Original languageEnglish
Pages (from-to)232-237
Number of pages6
JournalObstetrics and Gynecology
Issue number2
StatePublished - Aug 2004
Externally publishedYes


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