{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,18]],"date-time":"2026-07-18T15:21:06Z","timestamp":1784388066814,"version":"3.55.0"},"reference-count":0,"publisher":"Georg Thieme Verlag KG","issue":"02","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Perinatol"],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:p>\n            Objective\u2003To describe periviability counseling practices and decision making.<\/jats:p><jats:p>\n            Study Design\u2003This 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.<\/jats:p><jats:p>\n            Results\u2003Neonatology consultations were documented for 40, 63, and 72% of 498 mothers delivering at 22, 23, and 24\u2009weeks, respectively. Consult versus no-consult mothers had longer median admission-to-delivery intervals (58.7 vs. 8.7\u2009h, p\u2009&lt;\u20090.001). Consultations were seen more frequently when parental decision making was evident. In total, 76% of mothers had neonatal resuscitation planned. Resuscitation versus no-resuscitation newborns had higher mean gestational ages (24.0 vs. 22.9\u2009weeks, p\u2009&lt;\u20090.001) and birthweights (618 vs. 469\u2009g, p\u2009&lt;\u20090.001). Planned resuscitation rates differed at higher (HR) versus lower (LR) rate centers at 22 (43 vs. 7%, p\u2009&lt;\u20090.001) and 23 (85 vs. 58%, p\u2009&lt;\u20090.001) weeks. HR versus LR centers' populations had more socioeconomic hardship markers but fewer social work consultations (odds ratio: 0.31; confidence interval: 0.15\u20130.59, p\u2009&lt;\u20090.001).<\/jats:p><jats:p>\n            Conclusion\u2003Areas requiring improvement included delivery\/content of neonatology consultations, social work support, consideration of centers' patient populations, and opportunities for shared decisions.<\/jats:p>","DOI":"10.1055\/s-0039-1694792","type":"journal-article","created":{"date-parts":[[2019,8,22]],"date-time":"2019-08-22T22:41:50Z","timestamp":1566513710000},"page":"184-195","source":"Crossref","is-referenced-by-count":22,"title":["Antenatal Periviability Counseling and Decision Making: A Retrospective Examination by the Investigating Neonatal Decisions for Extremely Early Deliveries Study Group"],"prefix":"10.1055","volume":"37","author":[{"given":"Dalia M.","family":"Feltman","sequence":"additional","affiliation":[{"name":"Division of Neonatology, Department of Pediatrics, Evanston Hospital, NorthShore University HealthSystem, Evanston, Illinois"},{"name":"Department of Pediatrics, University of Chicago Pritzker School of Medicine, Chicago, Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katie A.","family":"Fritz","sequence":"additional","affiliation":[{"name":"Tennessee Valley Neonatology, Huntsville, Alabama"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Avisek","family":"Datta","sequence":"additional","affiliation":[{"name":"Department of Research, NorthShore University HealthSystem Research Institute, Evanston, Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christine","family":"Carlos","sequence":"additional","affiliation":[{"name":"Division of Neonatology, Department of Pediatrics, University of Chicago Comer Children's Hospital, Chicago, Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Drew","family":"Hayslett","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Mississippi Medical Center, Jackson, Mississippi"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tiffany","family":"Tonismae","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Indiana University School of Medicine, Indianapolis, Indiana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christin","family":"Lawrence","sequence":"additional","affiliation":[{"name":"Division of Neonatal-Perinatal Medicine, Department of Pediatrics, University of Michigan C.S. Mott Children's Hospital, Ann Arbor, Michigan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily","family":"Batton","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Chicago Comer Children's Hospital, Chicago, Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tasha","family":"Coleman","sequence":"additional","affiliation":[{"name":"Division of Neonatology, Department of Pediatrics, University of Mississippi Medical Center, Jackson, Mississippi"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meenu","family":"Jain","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, St Vincent Hospital, Indianapolis, Indiana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bree","family":"Andrews","sequence":"additional","affiliation":[{"name":"Division of Neonatology, Department of Pediatrics, University of Chicago Comer Children's Hospital, Chicago, Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mobolaji","family":"Famuyide","sequence":"additional","affiliation":[{"name":"Division of Neonatology, Department of Pediatrics, University of Mississippi Medical Center, Jackson, Mississippi"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brownsyne","family":"Tucker Edmonds","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Indiana University School of Medicine, Indianapolis, Indiana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naomi","family":"Laventhal","sequence":"additional","affiliation":[{"name":"Division of Neonatal-Perinatal Medicine, Department of Pediatrics, University of Michigan C.S. Mott Children's Hospital, Ann Arbor, Michigan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven","family":"Leuthner","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Division of Neonatology, Medical College of Wisconsin, Milwaukee, Wisconsin"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2019,8,22]]},"container-title":["American Journal of Perinatology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0039-1694792.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,1,18]],"date-time":"2020-01-18T23:31:33Z","timestamp":1579390293000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0039-1694792"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,8,22]]},"references-count":0,"journal-issue":{"issue":"02","published-online":{"date-parts":[[2020,1,18]]},"published-print":{"date-parts":[[2020,1]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0039-1694792","relation":{},"ISSN":["0735-1631","1098-8785"],"issn-type":[{"value":"0735-1631","type":"print"},{"value":"1098-8785","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,8,22]]}}}