TY - JOUR
T1 - Prenatal counseling for extreme prematurity at the limit of viability
T2 - A scoping review
AU - De Proost, Lien
AU - Geurtzen, Rosa
AU - Ismaili M'hamdi, Hafez
AU - Reiss, I. K.M.(Irwin)
AU - Steegers, E. A.P.(Eric)
AU - (Joanne) Verweij, E. J.
N1 - Funding Information:
The authors wish to thank Maarten Engel and Elise Krabbendam from the Erasmus MC Medical Library for developing and updating the search strategies. Thanks also to Dr. Geertjan Zuijdwegt for editing this article. Furthermore, we are very thankful to the anonymous reviewers of our article; we believe that their valuable suggestions have significantly improved the quality of our manuscript.
Publisher Copyright:
© 2021 The Authors
PY - 2021/11/6
Y1 - 2021/11/6
N2 - Objectives: To explore, based on the existing body of literature, main characteristics of prenatal counseling for parents at risk for extreme preterm birth. Methods: A scoping review was conducted searching Embase, Medline, Web of Science, Cochrane, CINAHL, and Google Scholar. Results: 46 articles were included. 27 of them were published between 2017 and 2021. More than half of them were conducted in the United States of America. Many different study designs were represented. The following characteristics were identified: personalization, parent-physician relationships, shared decision-making, physician bias, emotions, anxiety, psychosocial factors, parental values, religion, spirituality, hope, quality of life, and uncertainty. Conclusions: Parental values are mentioned in 37 of the included articles. Besides this, uncertainty, shared decision-making, and emotions are most frequently mentioned in the literature. However, reflecting on the interrelation between all characteristics leads us to conclude that personalization is the most notable trend in prenatal counseling practices. More and more, it is valued to adjust the counseling to the parent(s). Practice implications: This scoping review emphasizes again the complexity of prenatal counseling at the limit of viability. It offers an exploration of how it is currently approached, and reflects on how future research can contribute to optimizing it.
AB - Objectives: To explore, based on the existing body of literature, main characteristics of prenatal counseling for parents at risk for extreme preterm birth. Methods: A scoping review was conducted searching Embase, Medline, Web of Science, Cochrane, CINAHL, and Google Scholar. Results: 46 articles were included. 27 of them were published between 2017 and 2021. More than half of them were conducted in the United States of America. Many different study designs were represented. The following characteristics were identified: personalization, parent-physician relationships, shared decision-making, physician bias, emotions, anxiety, psychosocial factors, parental values, religion, spirituality, hope, quality of life, and uncertainty. Conclusions: Parental values are mentioned in 37 of the included articles. Besides this, uncertainty, shared decision-making, and emotions are most frequently mentioned in the literature. However, reflecting on the interrelation between all characteristics leads us to conclude that personalization is the most notable trend in prenatal counseling practices. More and more, it is valued to adjust the counseling to the parent(s). Practice implications: This scoping review emphasizes again the complexity of prenatal counseling at the limit of viability. It offers an exploration of how it is currently approached, and reflects on how future research can contribute to optimizing it.
UR - http://www.scopus.com/inward/record.url?scp=85120875901&partnerID=8YFLogxK
U2 - 10.1016/j.pec.2021.10.033
DO - 10.1016/j.pec.2021.10.033
M3 - Review article
AN - SCOPUS:85120875901
VL - 105
SP - 1743
EP - 1760
JO - Patient Education and Counseling
JF - Patient Education and Counseling
SN - 0738-3991
IS - 7
ER -