Patient Preferences a Factor in Premature Birth Options

Patient Preferences a Factor in Premature Birth Options
Patient Preferences a Factor in Premature Birth Options

(HealthDay News) Obstetric decisions in managing and counseling for periviable deliveries are heavily influenced by patient preference and perspectives on patient autonomy.

To examine factors influencing obstetric decision-making and counseling for patients with high-risk periviable neonates, Brownsyne Tucker Edmonds, MD, MPH, of the University of Pennsylvania in Philadelphia, and associates conducted 21 in-depth interviews with obstetricians from several Philadelphia hospitals that offer labor and delivery services.

The researchers found that patient preferences had a strong influence on obstetric decision-making and counseling. They further discovered that most institutions had no formal clinical standards for periviable care or managing premature deliveries between 2226 weeks, which resulted in a wide variation in practices.

"The impact of institutional variation and in vitro fertilization on periviable decision-making warrants further consideration," the authors write. "Interventions to train and support obstetricians in communicating uncertainty, managing expectations, and assessing values and understanding are needed."

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