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Antenatal Consultations at Extreme Prematurity: A Systematic Review of Parent Communication Needs

Ashraf Kharrat1, Gregory P Moore1, Stéphanie Beckett2

  • 1Department of Pediatrics, University of Ottawa, Ottawa, Ontario, Canada.

The Journal of Pediatrics
|December 11, 2017
PubMed

Insights

Parents desire compassionate communication, not just information, during antenatal consultations for extremely preterm infants. Healthcare professionals should focus on supportive interactions to enhance parental engagement and satisfaction.

Area of Science:

  • Perinatal medicine
  • Maternal-fetal medicine
  • Neonatology

Background:

  • Antenatal consultations for extremely preterm infants are critical for parental preparation.
  • Understanding parental expectations is key to improving care quality.

Purpose of the Study:

  • To synthesize parental expectations for healthcare professional interactions during antenatal consultations for extremely preterm infants.
  • To identify strategies for enhancing communication and support.

Main Methods:

  • Systematic literature review with textual narrative synthesis.
  • Searches of Medline, CINAHL, PsycInfo, Embase, and grey literature.
  • Thematic analysis of 19 included studies.

Main Results:

  • Parental expectations extend beyond information content to the manner of delivery.
  • Key themes include perceived support, understanding, hope, spirituality, and decision-making.
  • Quality of interaction significantly impacts parental perception.

Conclusions:

  • Findings can inform clinical practice guidelines for antenatal consultations.
  • Strategies focusing on supportive communication can improve parental engagement and satisfaction.
  • Emphasizing empathetic interaction is crucial for families facing extreme preterm birth.
Abstract

Keywords:
antenatal consultationcommunicationextremely premature infantneonatal intensive care unitneonatologypatient–physician relationshipshared decision-making

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