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Assessing shared decision making during antenatal consultations regarding extreme prematurity.

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Shared decision-making (SDM) consultations for extremely preterm infants did not significantly increase the likelihood of making antenatal care decisions compared to standard consultations. Both approaches similarly facilitated care decisions.

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Area of Science:

  • Perinatal Medicine
  • Maternal-Fetal Medicine
  • Neonatal Care

Background:

  • Antenatal decision-making for extremely preterm infants is complex.
  • Shared decision-making (SDM) is promoted to improve patient involvement.
  • The impact of SDM on care decisions for high-risk pregnancies requires assessment.

Purpose of the Study:

  • To evaluate if shared decision-making (SDM) style antenatal consultations increase the likelihood of making neonatal care decisions for extremely preterm infants compared to standard consultations.

Main Methods:

  • Prospective cohort study with retrospective chart review.
  • Data collected from pregnant women between 22 0/7 and 25 6/7 weeks gestation.
  • Comparison of SDM-style versus standard antenatal consultations.

Main Results:

  • 137 of 217 cases received antenatal consultations; 82 (60%) were SDM-style.
  • Care decisions were made in 88% of consultations.
  • No significant difference in decision-making rates between SDM and standard consultations (RR 1.08, 95% CI [0.95-1.26]).

Conclusions:

  • Both SDM-style and standard antenatal consultations comparably facilitate care decisions.
  • The consultation style did not significantly influence the rate of antenatal care decisions for extremely preterm infants.