Balancing survival and suffering: factors influencing parental decision making after periviable consultation.

IF 2.4 3区医学 Q2 OBSTETRICS & GYNECOLOGY

Journal of Perinatology Pub Date : 2024-11-09 DOI:10.1038/s41372-024-02166-0

Eric A Raynal, Isabella K Pallotto, Jennifer M Brady, DonnaMaria E Cortezzo, Ellen A Lipstein

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引用次数: 0

Abstract

Objective: The objective of this study was to identify factors birthing parents consider related to potential resuscitation of a periviable infant.

Study design: Birthing parents who received a prenatal consult from a newborn intensive care unit provider between 22.0 and 24.6 weeks gestational age were eligible to participate in a semi-structured interview focused on their periviable decision making. Interview transcripts were coded and analyzed using thematic content analysis.

Result: Qualitative analysis shows that birthing parents attribute their decision to a balance between vitality and suffering, with the balance point influenced by various elements. While parents described the choice they made, none reported that the information they received during the prenatal consult had a significant impact.

Conclusion: This study highlights the minimal impact that information given during a periviable consult has on parental decision making. Information from this study can be used to develop an improved model of perinatal consultation.

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平衡生存与痛苦：影响父母在围产期会诊后做出决定的因素。

研究目的本研究旨在确定分娩父母考虑的与围产期婴儿可能的复苏有关的因素：研究设计：孕龄在 22.0 到 24.6 周之间、接受过新生儿重症监护室产前咨询的分娩父母均有资格参加半结构式访谈，访谈的重点是他们对围产期决策的看法。访谈记录采用主题内容分析法进行编码和分析：定性分析显示，分娩父母将他们的决定归因于生命力和痛苦之间的平衡，而平衡点受到各种因素的影响。虽然父母们描述了他们所做的选择，但没有人表示产前咨询中获得的信息对他们产生了重大影响：本研究强调了围产期咨询所提供的信息对父母决策的影响微乎其微。这项研究提供的信息可用于开发一种更好的围产期咨询模式。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Perinatology 医学-妇产科学

CiteScore

5.40

自引率

6.90%

发文量

284

审稿时长

3-8 weeks

期刊介绍： The Journal of Perinatology provides members of the perinatal/neonatal healthcare team with original information pertinent to improving maternal/fetal and neonatal care. We publish peer-reviewed clinical research articles, state-of-the art reviews, comments, quality improvement reports, and letters to the editor. Articles published in the Journal of Perinatology embrace the full scope of the specialty, including clinical, professional, political, administrative and educational aspects. The Journal also explores legal and ethical issues, neonatal technology and product development. The Journal’s audience includes all those that participate in perinatal/neonatal care, including, but not limited to neonatologists, perinatologists, perinatal epidemiologists, pediatricians and pediatric subspecialists, surgeons, neonatal and perinatal nurses, respiratory therapists, pharmacists, social workers, dieticians, speech and hearing experts, other allied health professionals, as well as subspecialists who participate in patient care including radiologists, laboratory medicine and pathologists.