ArticleJournal of perinatology : official journal of the California Perinatal Association2015
Comparing obstetricians' and neonatologists' approaches to periviable counseling.
Article in Journal of perinatology : official journal of the California Perinatal Association, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it, 41 citations in OpenAlex.
- Factors influencing appropriate use of interventions for management of women experiencing preterm birth: A mixed-methods systematic review and narrative synthesis.PLoS medicine · 2022Pooled it
- Development of a Joint-Specialty Simulation-Based Workshop to Optimize Counseling at Extreme Prematurity.MedEdPORTAL : the journal of teaching and learning resources · 2026Article
- [Expert recommendations on antenatal counseling for extremely preterm infants].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2025Article
- Maternal fetal medicine, obstetric, and neonatology perspectives on joint prenatal counseling at periviable gestational ages.Journal of perinatology : official journal of the California Perinatal Association · 2025Article
- 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 · 2025Article
- Social Vulnerability and Pregnancy Option Counseling in the Setting of Periviable Delivery.Journal of clinical medicine · 2025Article
- Feasibility and acceptability of chaplain decision coaching on Periviable resuscitation decision quality: A pilot study.PEC innovation · 2024Article
- Differences in the attitudes towards resuscitation of extremely premature infants between neonatologists and obstetricians: a survey study in China.Frontiers in pediatrics · 2023Article
- Attitudes About Extremely Preterm Birth Among Obstetric and Neonatal Health Care Professionals in England: A Qualitative Study.JAMA network open · 2022Article
- Article
- Decision-making approaches for children with life-limiting conditions: results from a qualitative phenomenological study.BMC medical ethics · 2022Article
- Decision making at extreme prematurity: Innovation in clinician education.Seminars in perinatology · 2022Article
- Joint periviability counseling between neonatology and obstetrics is a rare occurrence.Journal of perinatology : official journal of the California Perinatal Association · 2020Article
- Neonatology in Austria: ethics to improve practice.Medicine, health care, and philosophy · 2020Article
- Regional and Racial-Ethnic Differences in Perinatal Interventions Among Periviable Births.Obstetrics and gynecology · 2020Article
- Creation of a Decision Support Tool for Expectant Parents Facing Threatened Periviable Delivery: Application of a User-Centered Design Approach.The patient · 2019Article
- Discordance in Antenatal Corticosteroid Use and Resuscitation Following Extremely Preterm Birth.The Journal of pediatrics · 2019Observational
- 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 · 2019Article
- "We want to do everything": how parents represent their experiences with maternal-fetal surgery online.Journal of perinatology : official journal of the California Perinatal Association · 2018Article
- Preferred prenatal counselling at the limits of viability: a survey among Dutch perinatal professionals.BMC pregnancy and childbirth · 2018Article
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
Abstract
objectiveTo compare the management options, risks and thematic content that obstetricians and neonatologists discuss in periviable counseling. STUDY
designSixteen obstetricians and 15 neonatologists counseled simulated patients portraying a pregnant woman with ruptured membranes at 23 weeks of gestation. Transcripts from video-recorded encounters were qualitatively and quantitatively analyzed for informational content and decision-making themes.
resultObstetricians more frequently discussed antibiotics (P=0.005), maternal risks (<0.001) and cesarean risks (<0.005). Neonatologists more frequently discussed neonatal complications (P=0.044), resuscitation (P=0.015) and palliative options (P=0.023). Obstetricians and neonatologists often deferred questions about steroid administration to the other specialty. Both specialties organized decision making around medical information, survival, quality of life, time and support. Neonatologists also introduced themes of values, comfort or suffering, and uncertainty.
conclusionObstetricians and neonatologists provided complementary counseling content to patients, yet neither specialty took ownership of steroid discussions. Joint counseling and/or family meetings may minimize observed redundancy and inconsistencies in counseling.
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What OpenQuestion holds
Registered trials
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.