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Effect of neonatal outcome estimates on decision-making preferences of mothers facing preterm birth

JAMA Apr 23, 2020

Kidszun A, Matheisl D, Tippmann S, et al. - Researchers here aimed at assessing if probabilistic data affect parents’ choices in prognostic gray zones. It was hypothesized that expectant mothers’ preferences for life-sustaining treatments would not be affected by better or worse neonatal outcome estimates. The prognostic gray zone includes extremely preterm infants born before a gestational age (GA) of 25 weeks. Prognostic gray zones means that outcomes are poor but not hopeless and that life-sustaining therapies are not obligatory. Decisions concerning treatment are value-laden and challenging and should be shared between parents and physicians while imperatively aligned with parental preferences. Physicians commonly present numerical outcome estimates when counseling parents and may consider that parents make their preferences from them.

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