ArticleJournal of perinatology : official journal of the California Perinatal Association2019
Neonatologists' preferences regarding guidelines for periviable deliveries: do we really know what we want?
Article in Journal of perinatology : official journal of the California Perinatal Association, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 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
13 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Part 3: Ethics: 2025 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care.Circulation · 2025Guideline
- Decision-Making at the Limit of Viability in Newborns: Insights from a Survey of Medical Professionals.Children (Basel, Switzerland) · 2026Article
- Ethical challenges and moral conflicts in periviability prenatal counseling: a scoping review of healthcare professionals' perspectives.BMC medical ethics · 2026Article
- Are guidelines needed? International perspectives on decision-making and practice variation in the care of extremely preterm infants.Journal of perinatology : official journal of the California Perinatal Association · 2026Article
- 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
- Withdrawal and withholding of life sustaining treatment (WWLST): an under recognised factor in the morbidity or mortality of periviable infants?-a narrative review.Translational pediatrics · 2024Review
- Perspectives of United States neonatologists on genetic testing practices.Genetics in medicine : official journal of the American College of Medical Genetics · 2022Article
- Perspectives on Resuscitation Decisions at the Margin of Viability among Specialist Newborn Care Providers in Ghana and Ethiopia: A Qualitative Analysis.BMC pediatrics · 2022Article
- The child with medical complexity.Italian journal of pediatrics · 2021Review
- Joint periviability counseling between neonatology and obstetrics is a rare occurrence.Journal of perinatology : official journal of the California Perinatal Association · 2020Article
- Prevalence and predictors of donor milk programs among U.S. advanced neonatal care facilities.Journal of perinatology : official journal of the California Perinatal Association · 2020Article
- The Extremely Preterm Infant: Ethical Considerations in Life-and-Death Decision-Making.Frontiers in pediatrics · 2020Review
- Moral Distress in the Neonatal Intensive Care Unit: What Is It, Why It Happens, and How We Can Address It.Frontiers in pediatrics · 2020Review
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo examine neonatology providers' preferences regarding periviability guidelines. STUDY
designAn online cross-sectional survey of American Academy of Pediatrics Section on Neonatal-Perinatal Medicine members.
resultsMost of the 480 respondents desired standardized guidelines for upper (85%) and lower (87%) gestational age limits for offering resuscitation and comfort care. Standardization was most to least frequently desired at the national, institutional, and regional levels. Within scenarios involving parents' preferences conflicting with institutional guidelines, respondents chose parent-preferred options more often (66 vs. 34%). Overall, resuscitation (48%) versus comfort care (52%) were nearly equally chosen. In emergency scenarios, more versus less experienced respondents favored parent-preferred options over guidelines (55 vs. 46%, p = 0.003) and chose resuscitation over comfort care (50 vs. 36%, p < 0.001).
conclusionsNeonatal providers desire age-based periviability guidelines, but do not agree on the level of standardization. Such limits may be insufficient to guide clinical practice. Policies should include processes that direct providers through fair transparent decision-making.
Indexed as
Identifiers
30659238What 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.