Division of Newborn Medicine, New York-Presbyterian Hospital-Weill Cornell Medical Center, New York, NY, USA.
Division of Newborn Medicine, Mount Sinai Health System, New York, NY, USA.
J Perinatol. 2020 Dec;40(12):1789-1796. doi: 10.1038/s41372-020-00796-8. Epub 2020 Aug 28.
To investigate the frequency with which neonatal and maternal-fetal medicine (MFM) providers perform joint periviability counseling (JPC), compare content of counseling, and identify perceived barriers to JPC.
An anonymous REDCap survey was e-mailed to members of the American Academy of Pediatrics Section on Neonatal-Perinatal Medicine and to members of the Society for MFM.
There were 424 neonatal and 115 MFM participants. Fifty-two percent of neonatal and 35% of MFM respondents reported rarely/never performing JPC (p < 0.001), while 80% and 82%, respectively felt it would improve counseling. Content of counseling was similar, except for length of stay with 93% of neonatal vs. 85% of MFM respondents addressing this (p = 0.03). The majority (>60%) of respondents in both groups reported that clinical duties posed a significant/great barrier to JPC.
JPC is recommended but infrequently performed, with both specialties interested in further collaboration to strengthen the counseling provided.
调查新生儿和母胎医学（MFM）提供者进行联合围产儿生存能力咨询（JPC）的频率，比较咨询内容，并确定 JPC 的障碍感知。
对儿科学会新生儿围产期医学分会和母胎医学协会的成员进行了匿名的 REDCap 调查。
共有 424 名新生儿和 115 名 MFM 参与者。52%的新生儿和 35%的 MFM 受访者报告很少/从未进行过 JPC（p<0.001），而 80%和 82%的受访者分别认为这将改善咨询。咨询内容相似，除了住院时间，93%的新生儿受访者和 85%的 MFM 受访者都提到了这一点（p=0.03）。大多数（>60%）的受访者表示，临床职责对 JPC 构成了重大/巨大障碍。
JPC 是被推荐的，但很少执行，两个专业都有兴趣进一步合作，以加强提供的咨询。
