Evaluating Decisional Regret Among Mothers

Christiana Care Health Services211 enrolled

Overview

The anticipated birth of an extremely low gestational age infant presents many complex and ethically challenging questions, including whether to initiate resuscitation or comfort care after delivery. Failure to identify and align decision-making to parents' values during periviabilty counseling may result in greater opportunity for decisional regret. The goal of the proposed research is to assess decisional regret in mothers of extremely premature births and to compare decisional regret in mothers who chose resuscitation at time of delivery to those who chose comfort care. Approximately 1000 mothers of infants born extremely premature at 2 perinatal centers in the US will be surveyed.

Study Type

OBSERVATIONAL

Enrollment

211

Conditions

Extreme Prematurity Birth, Preterm Pregnancy Preterm

Eligibility

Sex: FEMALEMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Mothers of infants born between 22 and 25 completed weeks gestation during the study timeframe. * Mothers who had a documented perinatal consult * Greater than 18 years old Exclusion Criteria: * Potential life limiting fetal diagnoses aside from prematurity and non-English primary language

Locations (1)

Outcomes

Primary Outcomes

Decisional regret

To assess decisional regret in mothers of extremely premature liveborn infants.

Time frame: Within the last 14 years

Comparison of decisional regret

Comparison of decisional regret in mothers who chose resuscitation versus mothers who chose comfort care at the time of delivery.

Time frame: Within the last 14 years

Secondary Outcomes

Define characteristics associated with decisional regret

Identify characteristics, and specifically potentially modifiable characteristics, that are associated with decisional regret in our population of mothers.

Time frame: Within the last 14 years