Evidence map›Paper›PMID 39809859›Full record

GuidelinePediatric research2025

Communicating neurological prognosis in the prenatal period: a narrative review and practice guidelines.

Natalie K Field, Charu Venkatesan, Dawn Gano, Sonika Agarwal, Kathleen A Young, Sarahn Wheeler, Jeffrey B Russ, Monica E Lemmon

Erratum issuedAbstract readPractice GuidelineReview
PubMed Publisher
In one paragraph

Guideline in Pediatric research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Natalie K FieldDuke University School of Medicine, Durham, NC, USA.
Charu VenkatesanDivision of Neurology, Department of Pediatrics, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, OH, USA.
Dawn GanoDepartments of Neurology and Pediatrics, UCSF Benioff Children's Hospitals, University of California San Francisco, San Francisco, CA, USA.
Sonika AgarwalDepartments of Neurology and Pediatrics, Children's Hospital of Philadelphia, Perelman School of Medicine at University of Pennsylvania, Philadelphia, PA, USA.
Kathleen A YoungDuke University School of Medicine, Durham, NC, USA.
Sarahn WheelerDepartment of Obstetrics and Gynecology, Duke University Medical Center, Durham, NC, USA.
Jeffrey B RussDivision of Neurology, Department of Pediatrics, Duke University School of Medicine, Durham, NC, USA.
Monica E LemmonDivision of Neurology, Department of Pediatrics, Duke University School of Medicine, Durham, NC, USA. monica.lemmon@duke.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Clinicians may face an array of challenges in conducting fetal neurological consultations including prognostic uncertainty, a lack of training in fetal counseling, and limited opportunity to build rapport with families. In this setting, it is critical to employ high-quality, family-centered care to allow expectant parents to make informed decisions. Despite the challenges and gravity of these consultations, there remains limited data outlining best conduct and communication practices. This narrative review aims to summarize relevant literature around counseling within fetal neurology, focusing on three key themes: (1) discussing neurological prognosis and uncertainty, (2) navigating evolving decision making, (3) recognizing bias and understanding patient context. We provide practical recommendations to clinicians conducting fetal neurological counseling and outline future research priorities. IMPACT: Fetal neurological conditions can have a significant impact on child short- and long-term health outcomes. Prenatal consultations are an important venue to discuss information regarding fetal prognosis and decision making with expectant parents. However, there is limited evidence supporting best communication practices within this setting. This review summarizes current literature around expectant parent prognostic communication preferences and outlines practical recommendations and priorities for future research.

Indexed as

Directive CounselingFetal DiseasesNervous System DiseasesPrenatal DiagnosisProfessional-Family RelationsCommunicationDecision Making, SharedFemaleHumansPregnancyPrognosis

Identifiers

PMID39809859

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.