Preferred prenatal counselling at the limits of viability: a survey among Dutch perinatal professionals

Autor: Rosella P.M.G. Hermens, Rosa Geurtzen, Arno van Heijst, Hubertina C.J. Scheepers, Jos M. T. Draaisma, Marije Hogeveen, Mallory Woiski
Přispěvatelé: RS: GROW - R4 - Reproductive and Perinatal Medicine, Obstetrie & Gynaecologie, MUMC+: MA Medische Staf Obstetrie Gynaecologie (9)
Rok vydání: 2018
Předmět:
Male
0302 clinical medicine
PARENTS
Pregnancy
Surveys and Questionnaires
030212 general & internal medicine
GeneralLiterature_REFERENCE(e.g.
dictionaries
encyclopedias
glossaries)
Netherlands
Response rate (survey)
Patient Education as Topic/methods
Obstetrics and Gynecology
Middle Aged
Women's cancers Radboud Institute for Health Sciences [Radboudumc 17]
3. Good health
Directive Counseling/methods
Obstetrics
Perinatal Care
Premature birth
Premature Birth/physiopathology
Female
Parental consent
Research Article
Adult
medicine.medical_specialty
Attitude of Health Personnel
EXTREME PREMATURITY
Decision Making
Reproductive medicine
Gestational Age
INTENSIVE-CARE
lcsh:Gynecology and obstetrics
Directive Counseling
EXTREMELY PRETERM BIRTH
Healthcare improvement science Radboud Institute for Health Sciences [Radboudumc 18]
THRESHOLD
03 medical and health sciences
DELIVERY
All institutes and research themes of the Radboud University Medical Center
030225 pediatrics
Intensive care
medicine
MANAGEMENT
Humans
Patient participation
lcsh:RG1-991
business.industry
Other Research Radboud Institute for Health Sciences [Radboudumc 0]
Guideline
medicine.disease
EXTREMELY PREMATURE-INFANTS
HIGH-RISK
(extreme) prematurity
Family medicine
Counselling
Patient Participation
Neonatology
business
Decision-making
(limits of) viability
Zdroj: BMC Pregnancy and Childbirth, 18,
BMC Pregnancy and Childbirth
BMC Pregnancy and Childbirth, 18:7. BioMed Central Ltd
BMC Pregnancy and Childbirth, Vol 18, Iss 1, Pp 1-8 (2018)
BMC Pregnancy and Childbirth, 18, pp.
ISSN: 0278-2650
1471-2393
Popis: Background Since 2010, intensive care can be offered in the Netherlands at 24+0 weeks gestation (with parental consent) but the Dutch guideline lacks recommendations on organization, content and preferred decision-making of the counselling. Our aim is to explore preferred prenatal counselling at the limits of viability by Dutch perinatal professionals and compare this to current care. Methods Online nationwide survey as part of the PreCo study (2013) amongst obstetricians and neonatologists in all Dutch level III perinatal care centers (n = 205).The survey regarded prenatal counselling at the limits of viability and focused on the domains of organization, content and decision-making in both current and preferred practice. Results One hundred twenty-two surveys were returned out of 205 eligible professionals (response rate 60%). Organization-wise: more than 80% of all professionals preferred (but currently missed) having protocols for several aspects of counselling, joint counselling by both neonatologist and obstetrician, and the use of supportive materials. Most professionals preferred using national or local data (70%) on outcome statistics for the counselling content, in contrast to the international statistics currently used (74%). Current decisions on initiation care were mostly made together (in 99% parents and doctor). This shared decision model was preferred by 95% of the professionals. Conclusions Dutch perinatal professionals would prefer more protocolized counselling, joint counselling, supportive material and local outcome statistics. Further studies on both barriers to perform adequate counselling, as well as on Dutch outcome statistics and parents’ opinions are needed in order to develop a national framework. Trial registration Clinicaltrials.gov, NCT02782650, retrospectively registered May 2016. Electronic supplementary material The online version of this article (10.1186/s12884-017-1644-6) contains supplementary material, which is available to authorized users.
Databáze: OpenAIRE
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