Format

Send to:

Choose Destination
See comment in PubMed Commons below
Paediatr Child Health. 2012 Oct;17(8):432-6.

A qualitative study of predelivery counselling for extreme prematurity.

Author information

  • 1Department of Pediatrics, St Michael's Hospital, Toronto;

Abstract

in English, French

OBJECTIVE:

To ascertain from parents of neonates born before 27 weeks' gestational age how to improve predelivery counselling for delivery room resuscitation.

METHODS:

Qualitative ethnographic study using semistructured, face-to-face interviews of 10 families. Data were analyzed using a constant comparative method.

RESULTS:

Parents had no previous knowledge about prematurity. They would have preferred prioritized information during predelivery counselling focused on the immediate risks to their child. Resuscitation wishes were inconsistently sought. Opportunities for repeat discussions involving both parents were often missed. Parents agreed that the opportunity to explicitly state resuscitation wishes should be offered. Additional materials, such as pamphlets or videos, would improve counselling.

CONCLUSIONS:

Information about prematurity should be offered when the pregnancy is deemed high risk, with repeat counselling opportunities for both parents to discuss options. Once the decision is made to resuscitate, parents want the neonatal team to convey a message of hope and compassion.

KEYWORDS:

Counselling; Informed consent; Prematurity; Qualitative; Resuscitation

PMID:
24082803
[PubMed]
PMCID:
PMC3474383
Free PMC Article
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for PubMed Central
    Loading ...
    Write to the Help Desk