Prenatal counseling for extreme prematurity at the limit of viability: A scoping review

Lien De Proost; Rosa Geurtzen; Hafez Ismaili M'hamdi; I. K.M.(Irwin) Reiss; E. A.P.(Eric) Steegers; E. J. (Joanne) Verweij

doi:10.1016/j.pec.2021.10.033

Prenatal counseling for extreme prematurity at the limit of viability: A scoping review

Lien De Proost^*, Rosa Geurtzen, Hafez Ismaili M'hamdi, I. K.M.(Irwin) Reiss, E. A.P.(Eric) Steegers, E. J. (Joanne) Verweij

^*Corresponding author for this work

Research output: Contribution to journal › Review article › Academic › peer-review

22 Citations (Scopus)

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Abstract

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.

Original language	English
Pages (from-to)	1743-1760
Number of pages	18
Journal	Patient Education and Counseling
Volume	105
Issue number	7
DOIs	https://doi.org/10.1016/j.pec.2021.10.033
Publication status	Published - Jul 2022

Bibliographical note

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

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Prenatal counseling for extreme prematurity at the limit of viabilityProof, 1.01 MBLicence: CC BY-NC-ND

Cite this

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title = "Prenatal counseling for extreme prematurity at the limit of viability: A scoping review",

abstract = "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.",

author = "\{De Proost\}, Lien and Rosa Geurtzen and \{Ismaili M'hamdi\}, Hafez and Reiss, \{I. K.M.(Irwin)\} and Steegers, \{E. A.P.(Eric)\} and \{(Joanne) Verweij\}, \{E. J.\}",

note = "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: {\textcopyright} 2021 The Authors",

year = "2022",

month = jul,

doi = "10.1016/j.pec.2021.10.033",

language = "English",

volume = "105",

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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 - 2022/7

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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.

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Prenatal counseling for extreme prematurity at the limit of viability: A scoping review

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