Navigation Links
Parents' Wishes Sway Docs' Choices on Preterm Deliveries
Date:3/2/2012

FRIDAY, March 2 (HealthDay News) -- When making decisions or counseling families on how to manage very premature deliveries, obstetricians are strongly influenced by parents' wishes, especially when the parents want everything done to save their baby's life, a new study finds.

Almost 50 percent of babies born between 22 weeks and 26 weeks gestation (also known as a "periviable" delivery) do not survive, University of Pennsylvania researchers explained. About half of the babies who do survive will have moderate to severe neurologic disability.

The researchers asked 21 obstetricians at academic medical centers in Philadelphia to describe how they would typically deal with a periviable delivery, the factors that influence their decisions and challenges they face in counseling their patients.

The study, published in the March issue of the American Journal of Obstetrics and Gynecology, found that since there often is no formal policy on how to manage very early deliveries, obstetricians' decisions can vary significantly -- even among doctors working at the same hospital.

"While most participants said their first consideration was balancing maternal and child well-being, and the need to weigh the questionable benefits of Cesarean delivery for neonatal survival against the known risks of maternal morbidity, many described a 'do-everything default,'" study author Dr. Brownsyne Tucker Edmonds said in a journal news release.

That "default" means "interventions to prolong the pregnancy [are] universally pursued unless patients actively opted out," said Tucker Edmonds, an assistant professor of obstetrics and gynecology at Indiana University who completed the research during a University of Pennsylvania fellowship.

Although some obstetricians felt it was their job only to offer information and not sway patients' decisions, others felt it was necessary to provide guidance since the complexity and emotionality of these situations may render patients incapable of making sound decisions regarding the care of their babies.

These differences among obstetricians, the researchers said, make it more difficult to manage patients' expectations. Study participants said their greatest challenge was talking to patients about the uncertainty of the situation and its effects on the baby, particularly when parents had less education or faced a language barrier.

More information

The U.S. National Institutes of Health provides more information on preterm delivery and birth.

-- Mary Elizabeth Dallas

SOURCE: American Journal of Obstetrics and Gynecology, news release, Feb. 28, 2012


'/>"/>
Copyright©2010 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. Parents Often Right to Bring Kids With Fever to the ER: Study
2. Training parents is good medicine for children with autism behavior problems
3. Toddlers With Angry Parents May Have More Temper Tantrums
4. Many children with liver transplants from parents can safely stop using anti-rejection drugs
5. Pediatricians Group Urges More Input From Parents
6. U-M study urges parents to enforce booster seat use when carpooling
7. Parents May Hold Key to Treating Kids Obesity
8. Teens of Lesbian Parents Appear Well-Adjusted
9. Most Parents Tell Kids About Test Results for Breast Cancer Genes
10. Most parents who get tested for breast cancer genes share results with their children
11. ADHD Drug Shortage Pushes Parents to Seek Substitutes
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Parents' Wishes Sway Docs' Choices on Preterm Deliveries
(Date:1/23/2017)... ... 2017 , ... Zachary Cattell, President of the Indiana Health ... expert at the 2017 Sector Summit hosted by Ivy Tech Community College on ... Dick, will feature an employer and an association representative from five of Indiana’s ...
(Date:1/23/2017)... ... January 23, 2017 , ... Moisture measurement ... the right method is paramount to success. Selecting an inappropriate measurement method can ... multiple persons use the same equipment. Rare or expensive substances are wasted and ...
(Date:1/23/2017)... ... ... a set of camera tools that allow video editors to integrate up to two texts ... Austin - CEO of Pixel Film Studios. , With ProRandom, video editors can now ... works by using a virtual camera to create the illusion of a shaky camera. ...
(Date:1/23/2017)... ... January 23, 2017 , ... ... (OREF), in partnership with the American Society of Anesthesiologists® (ASA®), the Foundation ... the American Academy of Orthopaedic Surgeons (AAOS) and the Cigna Foundation, encourages ...
(Date:1/23/2017)... ... ... Mill”: a story of love and redemption, hope and uncertainty as a girl makes ... “The Inn at the Mill” is the creation of published author, Lois Kulp, who was ... in Berks County on Crow Hill. The inn, the mill and "Post Yokel" ...
Breaking Medicine News(10 mins):
(Date:1/21/2017)... -- ResMed (NYSE: RMD ), BMC ( Beijing, ... ) today announced they have agreed on a global settlement ... permitted to sell their existing products in exchange for royalty payments ... 3B to close the Florida litigation between ... liability or wrongdoing by any party. The five-year ...
(Date:1/21/2017)... 20, 2017 Research and Markets has announced ... Trends - Technology, Route Of Administration, End User - Forecast to ... ... to grow at a CAGR of around 7.8% over the next ... This industry report analyzes the global markets for Advanced Drug Delivery ...
(Date:1/20/2017)... 20, 2017  Ethicon Endo-Surgery, Inc. announced ... Products, Inc., a privately held medical device ... tools used in operating rooms worldwide. The ... advanced energy devices with Megadyne,s innovative portfolio ... forward in Ethicon,s goal to deliver the ...
Breaking Medicine Technology: