Rachel Reed1,2, Tracy Grossman3,4, Gulce Askin5, Linda M Gerber5, Ericalyn Kasdorf6. 1. Division of Newborn Medicine, New York-Presbyterian Hospital-Weill Cornell Medical Center, New York, NY, USA. Rachel.reed@mountsinai.org. 2. Division of Newborn Medicine, Mount Sinai Health System, New York, NY, USA. Rachel.reed@mountsinai.org. 3. Division of Maternal-Fetal Medicine, New York-Presbyterian Hospital-Weill Cornell Medical Center, New York, NY, USA. 4. Division of Maternal-Fetal Medicine, New York University Langone Medical Center, New York, NY, USA. 5. Department of Population Health Sciences, New York-Presbyterian Hospital-Weill Cornell Medical Center, New York, NY, USA. 6. Division of Newborn Medicine, New York-Presbyterian Hospital-Weill Cornell Medical Center, New York, NY, USA.
Abstract
OBJECTIVE: To investigate the frequency with which neonatal and maternal-fetal medicine (MFM) providers perform joint periviability counseling (JPC), compare content of counseling, and identify perceived barriers to JPC. STUDY DESIGN: An anonymous REDCap survey was e-mailed to members of the American Academy of Pediatrics Section on Neonatal-Perinatal Medicine and to members of the Society for MFM. RESULTS: There were 424 neonatal and 115 MFM participants. Fifty-two percent of neonatal and 35% of MFM respondents reported rarely/never performing JPC (p < 0.001), while 80% and 82%, respectively felt it would improve counseling. Content of counseling was similar, except for length of stay with 93% of neonatal vs. 85% of MFM respondents addressing this (p = 0.03). The majority (>60%) of respondents in both groups reported that clinical duties posed a significant/great barrier to JPC. CONCLUSION: JPC is recommended but infrequently performed, with both specialties interested in further collaboration to strengthen the counseling provided.
OBJECTIVE: To investigate the frequency with which neonatal and maternal-fetal medicine (MFM) providers perform joint periviability counseling (JPC), compare content of counseling, and identify perceived barriers to JPC. STUDY DESIGN: An anonymous REDCap survey was e-mailed to members of the American Academy of Pediatrics Section on Neonatal-Perinatal Medicine and to members of the Society for MFM. RESULTS: There were 424 neonatal and 115 MFM participants. Fifty-two percent of neonatal and 35% of MFM respondents reported rarely/never performing JPC (p < 0.001), while 80% and 82%, respectively felt it would improve counseling. Content of counseling was similar, except for length of stay with 93% of neonatal vs. 85% of MFM respondents addressing this (p = 0.03). The majority (>60%) of respondents in both groups reported that clinical duties posed a significant/great barrier to JPC. CONCLUSION: JPC is recommended but infrequently performed, with both specialties interested in further collaboration to strengthen the counseling provided.
Authors: Rosa Geurtzen; Jos Draaisma; Rosella Hermens; Hubertina Scheepers; Mallory Woiski; Arno van Heijst; Marije Hogeveen Journal: Patient Educ Couns Date: 2018-07-04
Authors: R Geurtzen; Arno Van Heijst; Rosella Hermens; Hubertina Scheepers; Mallory Woiski; Jos Draaisma; Marije Hogeveen Journal: BMC Pregnancy Childbirth Date: 2018-01-03 Impact factor: 3.007
Authors: Rosa Geurtzen; Arno van Heijst; Jos Draaisma; Laura Ouwerkerk; Hubertina Scheepers; Mallory Woiski; Rosella Hermens; Marije Hogeveen Journal: Eur J Pediatr Date: 2017-07-07 Impact factor: 3.183