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Assessing shared decision making during antenatal consultations regarding extreme prematurity.
Sharon Ding1,2, Vid Bijelić2, Thierry Daboval1,2,3,4
1Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada.
Summary
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.
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.
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