Decision-making in imminent extreme premature births: perceived shared decision-making, parental decisional conflict and decision regret.
Journal
Journal of perinatology : official journal of the California Perinatal Association
ISSN: 1476-5543
Titre abrégé: J Perinatol
Pays: United States
ID NLM: 8501884
Informations de publication
Date de publication:
09 2021
09 2021
Historique:
received:
12
01
2021
accepted:
09
07
2021
pubmed:
22
7
2021
medline:
21
10
2021
entrez:
21
7
2021
Statut:
ppublish
Résumé
To describe levels of perceived shared decision making (SDM), decisional conflict (DC), and decision regret (DR) in prenatal counseling by pregnant women, partners, neonatologists, and obstetricians regarding decision-making around imminent extreme premature birth in which a decision about palliative comfort care versus early intensive care had to be made. Multicenter, cross-sectional study using surveys to determine perceived SDM at imminent extreme premature birth in parents and physicians, and to determine DC and DR in parents. In total, 73 participants from 22 prenatal counseling sessions were included (21 pregnant women, 20 partners, 14 obstetricians, 18 neonatologists). High perceived levels of SDM were found (median 82,2), and low levels of DC (median 23,4) and DR at one month (median 12, 5). Reported levels of self-perceived SDM in the setting of prenatal counseling in extreme prematurity were high, by both the parents and the physicians. Levels of DC and DR were low.
Identifiants
pubmed: 34285357
doi: 10.1038/s41372-021-01159-7
pii: 10.1038/s41372-021-01159-7
doi:
Types de publication
Journal Article
Multicenter Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
2201-2207Informations de copyright
© 2021. The Author(s), under exclusive licence to Springer Nature America, Inc.
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