{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T16:38:33Z","timestamp":1787243913548,"version":"build-2736575974"},"reference-count":43,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2024,11,29]],"date-time":"2024-11-29T00:00:00Z","timestamp":1732838400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Prenatal Diagnosis"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Prenatal counseling following a fetal diagnosis of critical congenital heart disease (CCHD) is challenging and requires delivery of detailed and complete information to ensure appropriate decision making and pregnancy support.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>An anonymous 50\u2010item survey was distributed to providers who performed fetal cardiac counseling. The primary purpose was to evaluate on a national scale physician beliefs and attitudes toward available choices after a fetal diagnosis of CCHD and their association with reported counseling practices. Participants were specifically asked to indicate how likely they were to recommend postnatal interventional and\/or surgical treatment, postnatal palliative care, or termination of pregnancy. The primary outcome variables were provider responses to statements about pregnancies complicated by CCHD diagnosed in utero.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      There were 138 respondents, with most somewhat or strongly agreeing that providing counseling on surgical and catheter\u2010based interventions anticipated in the short\u2010 and long\u2010term (99%, 136\/138), counseling on a \u201ccomfort care\u201d alternative with limited intervention (97%, 134\/138), and options for pregnancy termination at different stages (91%, 126\/138) should be included. Physicians that disagreed with the statement \u201csome life is better than no life at all\u201d were statistically more likely (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001) to report that prenatal counseling regarding \u201coptions for pregnancy termination services at different stages of pregnancy\u201d was important. There was a statistically significant difference in the counseling provided to parents based on the physician's personal and professional views on palliative care and termination of pregnancy.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Physicians' self\u2010reported beliefs impact the counseling content provided to families in the setting of a prenatal diagnosis of CCHD.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pd.6706","type":"journal-article","created":{"date-parts":[[2024,11,29]],"date-time":"2024-11-29T22:49:31Z","timestamp":1732920571000},"page":"752-763","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Evaluating How Beliefs Among Pediatric Cardiology Providers May Affect Fetal Cardiac Counseling\u2014A National Perspective"],"prefix":"10.1002","volume":"45","author":[{"given":"Caitlin S.","family":"Haxel","sequence":"first","affiliation":[{"name":"Division of Pediatric Cardiology Department of Pediatrics University of Vermont Children's Hospital Larner College of Medicine at the University of Vermont  Burlington Vermont USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1503-7100","authenticated-orcid":false,"given":"Christina","family":"Ronai","sequence":"additional","affiliation":[{"name":"Department of Cardiology Department of Pediatrics Harvard Medical School Boston Children's Hospital  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna M.","family":"Martens","sequence":"additional","affiliation":[{"name":"Department of Cardiology Department of Pediatrics Harvard Medical School Boston Children's Hospital  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chelsey C.","family":"Lim","sequence":"additional","affiliation":[{"name":"Division of Pediatric Cardiology Department of Pediatrics Harvard Medical School Massachusetts General Hospital  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6450-916X","authenticated-orcid":false,"given":"Nelangi","family":"Pinto","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiology Department of Pediatrics University of Washington School of Medicine Seattle Children's Hospital  Seattle Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joanne S.","family":"Chiu","sequence":"additional","affiliation":[{"name":"Division of Pediatric Cardiology Department of Pediatrics Harvard Medical School Massachusetts General Hospital  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,11,29]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.3389\/fped.2020.00026"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.4103\/apc.APC_125_16"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/oxfordjournals.aje.a113979"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.2710"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/heart.83.4.414"},{"key":"e_1_2_9_7_1","unstructured":"Centers for Diease Control and Prevention.Congenital Heart Defects (CHDs): Estimating the Number of People with Congenital Heart Defects Living in the United States. 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