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Antenatal Periviability Counseling and Decision Making: A Retrospective Examination by the Investigating Neonatal Decisions for Extremely Early Deliveries Study Group

Journal title
American journal of perinatology
Publication year
Feltman, D. M.; Fritz, K. A.; Datta, A.; Carlos, C.; Hayslett, D.; Tonismae, T.; Lawrence, C.; Batton, E.; Coleman, T.; Jain, M.; Andrews, B.; Famuyide, M.; Tucker Edmonds, B.; Laventhal, N.; Leuthner, S.

OBJECTIVE: To describe periviability counseling practices and decision making. STUDY DESIGN: This is a retrospective review of mothers and newborns delivering between 22 and 24 completed weeks from 2011 to 2015 at six U.S. centers. Maternal and fetal/neonatal clinical and maternal sociodemographic data from medical records and geocoded sociodemographic information were collected. Separate analyses examined characteristics surrounding receiving neonatology consultation; planning neonatal resuscitation; and centers' planned resuscitation rates. RESULTS: Neonatology consultations were documented for 40, 63, and 72% of 498 mothers delivering at 22, 23, and 24?weeks, respectively. Consult versus no-consult mothers had longer median admission-to-delivery intervals (58.7 vs. 8.7?h, p?

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