Comparing neonatal morbidity and mortality estimates across specialty in periviable counseling

Brownsne Tucker Edmonds, Fatima McKenzie, Janet E. Panoch, Richard Frankel

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Objective: To describe and compare estimates of neonatal morbidity and mortality communicated by neonatologists and obstetricians in simulated periviable counseling encounters.Methods: A simulation-based study of 16 obstetricians (OBs) and 15 neonatologists counseling standardized patients portraying pregnant women with ruptured membranes at 23 weeks gestation. Two investigators tabulated all instances of numerically-described risk estimates across individuals and by specialty.Results: Overall, 12/15 (80%) neonatologists utilized numeric estimates of survival; 6/16 (38%) OBs did. OBs frequently deferred the discussion of "exact numbers" to neonatologists. The 12 neonatologists provided 13 unique numeric estimates, ranging from 3% to 50% survival. Half of those neonatologists provided two to three different estimates in a single encounter. By comparison, six OBs provided four unique survival estimates ("50%", "30-40%", "1/3-1/2", "

Original languageEnglish (US)
Pages (from-to)2145-2149
Number of pages5
JournalJournal of Maternal-Fetal and Neonatal Medicine
Volume28
Issue number18
DOIs
StatePublished - Dec 12 2015

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Infant Mortality
Counseling
Morbidity
Survival
Neonatologists
Pregnant Women
Research Personnel
Pregnancy
Membranes

Keywords

  • Doctor-patient communication
  • extreme prematurity
  • periviability
  • risk-communication

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology

Cite this

Comparing neonatal morbidity and mortality estimates across specialty in periviable counseling. / Tucker Edmonds, Brownsne; McKenzie, Fatima; Panoch, Janet E.; Frankel, Richard.

In: Journal of Maternal-Fetal and Neonatal Medicine, Vol. 28, No. 18, 12.12.2015, p. 2145-2149.

Research output: Contribution to journalArticle

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