Drago Matthew J, Raviv Gabriella, Weintraub Andrea, Guttmann Katherine
Department of Pediatrics, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
The Brookdale Department of Geriatrics and Palliative Care, The Icahn School of Medicine at Mount Sinai, New York, NY, USA.
J Perinatol. 2025 Mar 17. doi: 10.1038/s41372-025-02260-x.
To explore perspectives of maternal fetal medicine specialists (MFMs), obstetricians (OBs), and neonatologists (Neos) about antenatal counseling at periviable gestational ages and examine how those perceptions impact multidisciplinary counseling.
Semi-structured interviews were conducted and thematic analysis performed until thematic saturation.
Interviews of 7 Neos and 8 OB/MFMs identified three themes: (1) roles in periviability counseling; (2) training and lifelong learning to develop/enhance communication skills; and (3) managing interdisciplinary dynamics. Participants agreed on consult content and the appropriate subspecialist to discuss specific topics but differed in their approaches. Subspecialty perspectives differed on resuscitation, survival, and developmental outcomes. Formal communication skills training was identified as a means to scaffold conversations into a uniform approach.
Despite near universal agreement that joint perviability counseling would be beneficial, logistical barriers and lack of a shared framework may hinder its implementation. Formal communication skills training may support organized joint counseling.
探讨母胎医学专家（MFM）、产科医生（OB）和新生儿科医生（Neo）对孕可活孕周产前咨询的看法，并研究这些看法如何影响多学科咨询。
进行半结构化访谈并进行主题分析，直至主题饱和。
对7名新生儿科医生和8名产科/母胎医学专家的访谈确定了三个主题：（1）孕可活状态咨询中的角色；（2）通过培训和终身学习来培养/提高沟通技巧；（3）管理跨学科互动。参与者在咨询内容和讨论特定主题的合适专科医生方面达成一致，但方法有所不同。在复苏、生存和发育结局方面，各专科观点存在差异。正式的沟通技巧培训被认为是将对话构建成统一方法的一种手段。
尽管几乎普遍认为联合孕可活状态咨询有益，但后勤障碍和缺乏共同框架可能会阻碍其实施。正式的沟通技巧培训可能有助于组织联合咨询。
