Evidence map›Paper›PMID 39521888›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2025

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

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

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In one paragraph

Article in Journal of perinatology : official journal of the California Perinatal Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Eric A RaynalDivision of Neonatology and Pulmonary Biology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA. eric.raynal@cchmc.org.ORCID http://orcid.org/0000-0002-0606-8722
Isabella K PallottoJames M. Anderson Center for Health Systems Excellence, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.ORCID http://orcid.org/0009-0003-5702-5081
Jennifer M BradyDivision of Neonatology and Pulmonary Biology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.ORCID http://orcid.org/0000-0002-2464-480X
DonnaMaria E CortezzoDivisions of Neonatology and Pain and Palliative Care, Connecticut Children's Medical Center, Hartford, CT, USA.ORCID http://orcid.org/0000-0002-7555-7829
Ellen A LipsteinUniversity of Cincinnati College of Medicine, Department of Pediatrics, Cincinnati, OH, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe objective of this study was to identify factors birthing parents consider related to potential resuscitation of a periviable infant. STUDY

designBirthing 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.

resultQualitative 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.

conclusionThis 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.

Indexed as

Decision MakingFetal ViabilityParentsResuscitationAdultFemaleGestational AgeHumansInfant, Extremely PrematureInfant, NewbornIntensive Care Units, NeonatalInterviews as TopicMalePregnancyQualitative ResearchReferral and Consultation

Identifiers

What OpenQuestion holds

Textmetadata
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.