Evidence map›Paper›PMID 20410761›Full record

ArticleObstetrics and gynecology2010

Providing advice to parents for women at acutely high risk of periviable delivery.

William A Grobman, Karen Kavanaugh, Teresa Moro, Raye-Ann DeRegnier, Teresa Savage

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in Obstetrics and gynecology, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 2 pooled it
2.2field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 2 syntheses or guidelines pooled it, 97 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Supporting parents' emotional and mental health in the antenatal consultation.Journal of perinatology : official journal of the California Perinatal Association · 2025
    Review
  5. Development of a checklist for evaluation of shared decision-making in consultation for extremely preterm delivery.Journal of perinatology : official journal of the California Perinatal Association · 2025
    Article
  6. Article
  7. Article
  8. Article
  9. Antenatal consultation and deliberation: adapting to parental preferences.Journal of perinatology : official journal of the California Perinatal Association · 2023
    Article
  10. Words matter: exploring communication between parents and neonatologists.Journal of perinatology : official journal of the California Perinatal Association · 2022
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Prospective parents' perspectives on antenatal decision making for the anticipated birth of a periviable infant.The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians · 2019
    Article
  17. Article
  18. Article
  19. Article
  20. Prenatal (non)treatment decisions in extreme prematurity: evaluation of Decisional Conflict and Regret among parents.Journal of perinatology : official journal of the California Perinatal Association · 2017
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

William A GrobmanFrom the Department of Obstetrics and Gynecology and the Department of Pediatrics, Northwestern University Medical School, and the Department of Women, Children, and Family Health Science, University of Illinois at Chicago College of Nursing, Chicago, Illinois.
Karen Kavanaugh
Teresa Moro
Raye-Ann DeRegnier
Teresa Savage
Northwestern University · US

Funding

Life Support Decisions for Extremely Premature InfantsR01NR007904 · NINR · UNIVERSITY OF ILLINOIS AT CHICAGO · PI KAVANAUGH, KAREN L · 2004 to 2007
$1.7M
NINR NIH HHS R01 NR007904PHS HHS R01 07904
6 · The paper itself

Abstract

objectiveTo better understand preferred approaches that health care professionals could use when caring for parents who are at risk of giving birth to an extremely premature infant.

methodsWomen who were at high risk of having a periviable birth were recruited from three tertiary care hospitals with level 3 neonatal intensive care units. These women, as well as their partners, physicians, and nurses underwent structured interviews both before and after delivery. Interviews were analyzed for advice that was provided to health care professionals who could be involved in the future counseling of antenatal patients at high risk of periviable delivery.

resultsForty women, 14 fathers, and 52 health care providers participated in the interview process. Two main themes were identified--namely, the fundamental importance of information provision and support. Nevertheless, although all participants agreed about the importance of these actions, several areas of discordance among participants were noted. Nearly one third of parents emphasized the importance of "hope"; 60% and 45% recommended the provision of supplementary written and Internet materials, respectively. In contrast, most health care providers expressed the importance of "objectivity," and only 15% and 5% thought written or Internet materials, respectively, were desirable, given the concern that supplementary information sources could be misleading.

conclusionBoth patients and providers agree about the centrality of information provision and emotional support for women at risk of periviable delivery. This study not only elucidates preferred approaches and methods by which this information and support could be optimized, but also shows pitfalls that, if not avoided, may impair the relationship between provider and patient.

Indexed as

CounselingPregnancy, High-RiskAdultDecision MakingFemaleHumansInfant, NewbornInfant, PrematureParentsPhysician-Patient RelationsPregnancyPregnancy Outcome

Identifiers

PMID20410761
PMCPMC3735348
OpenAlexW1993308167

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.