Evidence map›Paper›PMID 40234600›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2025

Who decides? Exploring decisional dynamics for periviable resuscitation among diverse family structures.

Erika R Cheng, Shelley M Hoffman, Victoria Schultz, Naomi Castellon-Perez, Hannah Witting, Carli King, Brownsyne Tucker Edmonds

Abstract read
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. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

7 authors.

Erika R ChengIndiana University School of Medicine, Indiana University, Indianapolis, IN, USA. echeng@iu.edu.ORCID http://orcid.org/0000-0001-8289-5087
Shelley M HoffmanIndiana University School of Medicine, Indiana University, Indianapolis, IN, USA.
Victoria SchultzIndiana University School of Medicine, Indiana University, Indianapolis, IN, USA.
Naomi Castellon-PerezIndiana University School of Medicine, Indiana University, Indianapolis, IN, USA.
Hannah WittingIndiana University School of Medicine, Indiana University, Indianapolis, IN, USA.ORCID http://orcid.org/0000-0001-8392-9103
Carli KingIndiana University School of Medicine, Indiana University, Indianapolis, IN, USA.ORCID http://orcid.org/0000-0002-0773-1848
Brownsyne Tucker EdmondsIndiana University School of Medicine, Indiana University, Indianapolis, IN, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate conflict resolution and decisional authority among diverse family structures in periviable resuscitation decision-making.

methodsWe recruited 60 parent dyads, including 30 with prior periviable delivery experience and 30 first-time expecting dyads between 22 and 26 weeks gestation. Our diverse sample included heterosexual and same-sex partnerships, married and unmarried partners. Virtual interviews explored decision-making, engagement, and conflict resolution.

resultsFour themes emerged: "Mom is the priority," highlighting maternal decisional authority; "partner involvement is crucial," emphasizing engagement; "parents prioritize who will be caring for the child," indicating caregiver considerations; and "parents want empathy and support," underscoring emotional needs.

conclusionsFindings reveal maternal priority in decision-making, the importance of partner involvement, and a challenges with lacking inclusive legal and ethical guidance for non-heteronormative families. The study highlights the need for shared decision-making that considers family structures, legal aspects, and emotional complexities to enhance inclusive, informed decision-making processes for parents facing periviable delivery.

Indexed as

Decision MakingDecision Making, SharedFetal ViabilityParentsResuscitationAdultFamily StructureFemaleHumansInfant, NewbornInterviews as TopicMalePregnancyQualitative Research

Identifiers

PMID40234600
PMCPMC12431837

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.