{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T18:26:54Z","timestamp":1788805614455,"version":"build-2803163510"},"reference-count":27,"publisher":"Walter de Gruyter GmbH","issue":"8","funder":[{"DOI":"10.13039\/501100001659","name":"Deutsche Forschungsgemeinschaft","doi-asserted-by":"publisher","award":["DFG, Project No. 456320782"],"award-info":[{"award-number":["DFG, Project No. 456320782"]}],"id":[{"id":"10.13039\/501100001659","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,10,26]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec id=\"j_jpm-2022-0547_abs_001\">\n                  <jats:title>Objectives<\/jats:title>\n                  <jats:p>Antenatal treatment and information influences the course of pregnancy and parental decision-making in cases of threatened prematurity on the borderline of viability. Numerous studies have shown significant interprofessional differences in assessing ethical boundary decisions; hence, this study aimed to evaluate obstetricians attitudes, practices and antenatal parental counseling regarding threatened preterm birth in Germany.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_jpm-2022-0547_abs_002\">\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>An anonymous online questionnaire was administered to 543 obstetricians at tertiary perinatal centers and prenatal diagnostic centers in Germany. The survey contained questions on basic ethical issues assessed using the Likert scale and a case vignette regarding the practical procedures of an imminent extreme premature birth at 23 1\/7 gestational weeks.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_jpm-2022-0547_abs_003\">\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>In the case of unstoppable preterm birth, 15\u202f% of clinicians said they would carry out a cesarean section; however, specialists from centers with a high number of very low birth weight infants would do so significantly more often. Among respondents, 29.8\u202f% did not take any therapeutic measures without discussing the child\u2019s treatment options with their parents, 19.9\u202f% refused to offer actionable advice to the parents, and 57\u202f% said they would advise parents to seek intensive care treatment for the child with the option of changing treatment destination in the event of serious complications. Moreover, 84\u202f% said they would provide information together with neonatologists.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_jpm-2022-0547_abs_004\">\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Joint counseling with neonatologists is widely accepted. The size of the perinatal center significantly influences the practical approach to threatened preterm births. Respect for parents\u2019 decision-making autonomy regarding the child\u2019s treatment options is central and influences therapy initiation.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1515\/jpm-2022-0547","type":"journal-article","created":{"date-parts":[[2023,5,31]],"date-time":"2023-05-31T15:00:38Z","timestamp":1685545238000},"page":"1097-1103","source":"Crossref","is-referenced-by-count":4,"title":["German obstetrician\u2019s self-reported attitudes and handling in threatening preterm birth at the limits of viability"],"prefix":"10.1515","volume":"51","author":[{"given":"Katja","family":"Schneider","sequence":"first","affiliation":[{"name":"Department of Neonatology , Charit\u00e9 University Medicine Berlin , Berlin , Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johanna","family":"M\u00fcller","sequence":"additional","affiliation":[{"name":"Department of Obstetrics , University Hospital Jena , Jena , Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ekkehard","family":"Schleu\u00dfner","sequence":"additional","affiliation":[{"name":"Department of Obstetrics , University Hospital Jena , Jena , Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"374","published-online":{"date-parts":[[2023,5,30]]},"reference":[{"key":"2023100415421279399_j_jpm-2022-0547_ref_001","doi-asserted-by":"crossref","unstructured":"Humberg, A, H\u00e4rtel, C, Rausch, TK, Stichtenoth, G, Jung, P, Wieg, C, et al.. 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