Delivery Decisions in Extreme Prematurity: Evaluating Decisional Regret
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Extreme Prematurity
- Sponsor
- Christiana Care Health Services
- Enrollment
- 211
- Locations
- 1
- Primary Endpoint
- Comparison of decisional regret
- Status
- Completed
- Last Updated
- 4 years ago
Overview
Brief Summary
The anticipated birth of an extremely low gestational age infant presents many complex and ethically challenging questions, including whether to initiate resuscitation or comfort care after delivery. Failure to identify and align decision-making to parents' values during periviabilty counseling may result in greater opportunity for decisional regret. The goal of the proposed research is to assess decisional regret in mothers of extremely premature births and to compare decisional regret in mothers who chose resuscitation at time of delivery to those who chose comfort care. Approximately 1000 mothers of infants born extremely premature at 2 perinatal centers in the US will be surveyed.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Mothers of infants born between 22 and 25 completed weeks gestation during the study timeframe.
- •Mothers who had a documented perinatal consult
- •Greater than 18 years old
Exclusion Criteria
- •Potential life limiting fetal diagnoses aside from prematurity and non-English primary language
Outcomes
Primary Outcomes
Comparison of decisional regret
Time Frame: Within the last 14 years
Comparison of decisional regret in mothers who chose resuscitation versus mothers who chose comfort care at the time of delivery.
Decisional regret
Time Frame: Within the last 14 years
To assess decisional regret in mothers of extremely premature liveborn infants.
Secondary Outcomes
- Define characteristics associated with decisional regret(Within the last 14 years)