Table 4.
Variablesa | Progesterone | Cerclage | Pessary | ||||||
---|---|---|---|---|---|---|---|---|---|
Unlikely to follow recommendationb (n = 27) | Undecided or likely to follow recommendationc (n = 220) | p-valued | Unlikely to follow recommendationb (n = 123) | Undecided or likely to follow recommendationc (n = 122) | p-valued | Unlikely to follow recommendationb (n = 70) | Undecided or likely to follow recommendationc (n = 174) | p-valued | |
Pregnant Women’s Characteristics | |||||||||
Age 30 and over | 13 (48.1) | 146 (66.4) | 0.09 | 78 (63.4) | 81 (66.4) | 0.59 | 41 (59.4) | 117 (67.2) | 0.30 |
European or White- Caucasian ethnicity (self-reported) | 23 (85.2) | 197 (90.8) | 0.32 | 109 (88.6) | 108 (90.8) | 0.67 | 58 (84.1) | 159 (92.4) | 0.06 |
Post-secondary education | 23 (85.2) | 190 (86.8) | 0.77 | 104 (84.6) | 106 (87.6) | 0.58 | 57 (82.6) | 153 (87.9) | 0.30 |
Married or in common-law relationship | 22 (81.5) | 212 (96.8) | 0.005 | 116 (94.3) | 116 (95.9) | 0.77 | 65 (94.2) | 167 (96.0) | 0.51 |
Current Smokers | 3 (11.1) | 18 (8.2) | 0.71 | 9 (7.3) | 13 (10.7) | 0.38 | 4 (5.8) | 17 (9.8) | 0.45 |
Primary Healthcare Provider | |||||||||
Obstetrician | 12 (44.4) | 80 (36.4) | 0.32 | 42 (34.2) | 50 (41.0) | 0.26 | 27 (38.6) | 64 (38.8) | 0.52 |
Family physician | 7 (25.9) | 39 (17.7) | 27 (22.0) | 18 (14.8) | 16 (22.9) | 29 (16.7) | |||
Midwife | 8 (29.6) | 89 (40.4) | 46 (37.4) | 50 (41.0) | 23 (32.9) | 73 (42.0) | |||
Otherse | 0 (0.0) | 12 (5.4) | 8 (6.5) | 4 (3.3) | 4 (5.7) | 8 (4.6) | |||
Obstetric History | |||||||||
Prior full-term birth | 13 (48.1) | 107 (48.6) | 0.13 | 58 (47.2) | 60 (49.2) | 0.84 | 32 (45.7) | 86 (49.4) | 0.46 |
Prior preterm birth | 2 (7.4) | 17 (7.7) | 0.67 | 6 (4.9) | 12 (9.8) | 0.21 | 3 (7.9) | 15 (13.9) | 0.40 |
Prior use of preterm birth prevention | 1 (50.0) | 2 (11.8) | 0.31 | 1 (16.7) | 2 (16.7) | 1.00 | 0 (0.0) | 3 (20.0) | 1.00 |
Current Pregnancy Characteristics | |||||||||
Third trimester at point of survey completion | 17 (63.0) | 155 (70.8) | 0.50 | 87 (71.3) | 84 (68.8) | 0.78 | 47 (67.1) | 123 (71.1) | 0.54 |
Increased risk for preterm birth | 1 (3.7) | 9 (4.1) | 1.00 | 2 (1.6) | 7 (5.7) | 0.10 | 0 (0.0) | 9 (5.2) | 0.06 |
Preterm Birth Prevention Preferences and Issues | |||||||||
Preferred no prevention | 20 (76.9) | 137 (63.7) | 0.20 | 96 (78.7) | 61 (52.1) | <0.0001 | 56 (80.0) | 100 (59.5) | 0.003 |
Likely to have concerns about potential harm to baby |
27 (100.0) | 213 (96.8) | 1.00 | 118 (95.9) | 118 (96.7) | 1.00 | 66 (94.3) | 165 (94.8) | 1.00 |
Likely to have concerns about potential harm to mother |
23 (85.2) | 201 (91.4) | 0.29 | 111 (90.2) | 112 (91.2) | 0.82 | 62 (88.6) | 158 (90.8) | 0.64 |
Likely to have concerns about efficacy | 25 (92.6) | 196 (89.1) | 0.75 | 112 (91.1) | 111 (91.0) | 1.00 | 60 (85.7) | 158 (90.8) | 0.26 |
Likely to have concerns about cost | 13 (48.2) | 67 (30.4) | 0.08 |
aData expressed as n (%) unless otherwise specified; b“Unlikely to follow recommendation” included women who selected not very likely or slightly unlikely to follow healthcare provider’s recommendation; c“Undecided or likely to follow recommendation” included women who selected neutral, slightly likely, or very likely to follow healthcare provider’s recommendation; dSignificance was assessed with independent t-test for continuous variables and chi-squared test or Fisher’s exact test for categorical variables; eOthers included Maternal-Foetal Medicine Specialists, Nurses, and Fertility Specialists