TABLE 3.
Receiving treatment by characteristics of the provider and hospital
| Variable | Antenatal corticosteroid for fetal lung maturity (n = 500 eligible),a n (%) | Progesterone for prevention of preterm birth (n = 753 eligible),b n (%) | Magnesium sulfate for neuroprotection (n = 181 eligible),c n (%) |
|---|---|---|---|
| Hospital annual delivery volume | |||
| Tertile 1 | 225 (92.6) | 110 (36.2) | 53 (68.0) |
| Tertile 2 | 162 (92.6) | 118 (44.7) | 55 (72.4) |
| Tertile 3 | 76 (92.7) | 64 (34.6) | 21 (77.8) |
| Hospital availability of maternal-fetal medicine 24/7 | |||
| No | 31 (83.8)d | 48 (47.1) | 8 (61.5) |
| Yes | 432 (93.3)d | 244 (37.5) | 121 (72.0) |
| Attending specialty | |||
| General obstetrics | 221 (91.3) | 179 (38.2) | 60 (69.8) |
| Maternal-fetal medicine | 242 (93.8) | 113 (39.8) | 69 (72.6) |
| Attending years since graduated medical school | |||
| 0–9.9 (includes no attending at delivery) | 102 (93.6)d | 56 (38.9) | 31 (73.8) |
| 10–14.9 | 113 (96.6)d | 70 (40.9) | 32 (65.3) |
| 15–19.9 | 94 (94.0)d | 50 (36.5) | 23 (74.2) |
| 20–24.9 | 37 (78.7)d | 35 (35.4) | 8 (72.7) |
| ≥25 | 115 (92.0)d | 77 (40.3) | 34 (72.3) |
Patients eligible for antenatal corticosteroid for fetal lung maturity were those who delivered in the labor and delivery department before 34 weeks of gestation and delivered 4 or more hours after admission;
Patients eligible for progesterone for the prevention of preterm birth were those who delivered in the labor and delivery department with a singleton pregnancy, with a history of a prior spontaneous preterm delivery, who had at least 2 prenatal care visits, and whose pregnancy was dated by a first- or second-trimester ultrasound or had assisted reproductive technology;
Patients eligible for magnesium sulfate for neuroprotection were those who delivered in the labor and delivery department before 32 weeks of gestation, did not have gestational hypertension or pre-eclampsia, and delivered 4 or more hours after admission;
Statistically significant χ2 or Fisher exact test (P < .05).