{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T17:53:24Z","timestamp":1784051604705,"version":"3.55.0"},"reference-count":23,"publisher":"Georg Thieme Verlag KG","issue":"S 01","funder":[{"name":"REDCap from NorthShore University HealthSystem"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Perinatol"],"published-print":{"date-parts":[[2021,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Objective\u2003This study aimed to compare attitudes of providers regarding perinatal management and outcomes for periviable newborns of caregivers at centers with higher resuscitation (HR) and lower resuscitation (LR) rates in the delivery room.<\/jats:p><jats:p>\n          Study Design\u2003All obstetric and neonatal clinical providers at six U.S. sites were invited to complete an anonymous online survey. Survey responses were compared with clinical data collected from a previous retrospective study comparing centers' rates of planned resuscitation. Responses were analyzed by multivariable logistic and linear regression to assess how HR versus LR center respondents differed in management preferences and outcome predictions.<\/jats:p><jats:p>\n          Results\u2003Paradoxically, HR versus LR respondents, when adjusting for other variables, were less likely to respond that interventions such as antenatal steroids (odds ratio: 0.61, 95% confidence interval [CI]: 0.42\u20130.88, p\u2009&lt;\u20090.009) and resuscitation (OR: 0.59, 95% CI: 0.44\u20130.78, p\u2009&lt;\u20090.001) should be given at 22 weeks. HR versus LR respondents also reported lower likelihood of survival and acceptable quality of life (OR: 0.7, 95% CI: 0.53\u20130.93, p\u2009=\u20090.012) at 23 weeks.<\/jats:p><jats:p>\n          Conclusion\u2003Despite higher rates of planned resuscitation at 22 and 23 weeks, steroid usage and survival rates did not differ between HR and LR sites. In this subsequent survey, respondents from HR centers had a less favorable outlook on interventions for these newborns than those at LR centers, suggesting that instead of driving practices, attitudes may be more closely associated with experiences of clinical outcomes.<\/jats:p>","DOI":"10.1055\/s-0040-1709128","type":"journal-article","created":{"date-parts":[[2020,4,15]],"date-time":"2020-04-15T23:21:50Z","timestamp":1586992910000},"page":"e193-e200","source":"Crossref","is-referenced-by-count":11,"special_numbering":"S","title":["Ethical Cultures in Perinatal Care: Do They Exist? Correlation of Provider Attitudes with Periviability Practices at Six Centers"],"prefix":"10.1055","volume":"38","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":"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":"Katie A.","family":"Fritz","sequence":"additional","affiliation":[{"name":"Division of Neonatology, Tennessee Valley Neonatology, Huntsville, Alabama"}],"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":"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":"Tiffany","family":"Tonismae","sequence":"additional","affiliation":[{"name":"Maternal, Fetal, & Neonatal Institute, Johns Hopkins All Children\u2019s Hospital, St. Petersburg, Florida"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Drew","family":"Hayslett","sequence":"additional","affiliation":[{"name":"Division of Pediatric Palliative Care, Department of Pediatrics, University of Mississippi Medical Center, Jackson, Mississippi"}],"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":"Brownsyne Tucker","family":"Edmonds","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Indiana University School of Medicine, Indianapolis, Indiana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven","family":"Leuthner","sequence":"additional","affiliation":[{"name":"Division of Neonatology, Department of Pediatrics, Medical College of Wisconsin, Milwaukee, Wisconsin"}],"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"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5675-5782","authenticated-orcid":false,"given":"Dalia M.","family":"Feltman","sequence":"additional","affiliation":[{"name":"Division of Neonatology, Department of Pediatrics, NorthShore Evanston Hospital, Evanston, Illinois"},{"name":"Department of Pediatrics, University of Chicago Pritzker School of Medicine, Chicago, Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2020,4,15]]},"reference":[{"issue":"19","key":"ref1","doi-asserted-by":"crossref","first-page":"1801","DOI":"10.1056\/NEJMoa1410689","article-title":"Between-hospital variation in treatment and outcomes in extremely preterm infants","volume":"372","author":"M A Rysavy","year":"2015","journal-title":"N Engl J Med"},{"issue":"02","key":"ref2","doi-asserted-by":"crossref","first-page":"287","DOI":"10.1016\/j.clp.2017.01.009","article-title":"Survival of infants born at periviable gestational ages","volume":"44","author":"R M Patel","year":"2017","journal-title":"Clin Perinatol"},{"issue":"04","key":"ref3","doi-asserted-by":"crossref","first-page":"781","DOI":"10.1542\/peds.113.4.781","article-title":"Center differences and outcomes of extremely low birth weight infants","volume":"113","author":"B R 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