Assessing shared decision making during antenatal consultations regarding extreme prematurity

Sharon Ding; Vid Bijelić; Thierry Daboval; Sandra Dunn; Brigitte Lemyre; Nick Barrowman; Gregory P Moore

doi:10.1038/s41372-022-01542-y

Assessing shared decision making during antenatal consultations regarding extreme prematurity

J Perinatol. 2023 Jan;43(1):29-33. doi: 10.1038/s41372-022-01542-y. Epub 2022 Oct 25.

Authors

Sharon Ding^{1

2}, Vid Bijelić², Thierry Daboval^{1

2

3

4}, Sandra Dunn^{2

5}, Brigitte Lemyre^{1

2

3

4}, Nick Barrowman^{1

2}, Gregory P Moore^{6

7

8

9}

Affiliations

¹ Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada.
² CHEO Research Institute, Ottawa, ON, Canada.
³ Department of Obstetrics, Division of Newborn Care, The Ottawa Hospital, Ottawa, ON, Canada.
⁴ Department of Paediatrics, Children's Hospital of Eastern Ontario, Ottawa, ON, Canada.
⁵ School of Nursing, University of Ottawa, Ottawa, ON, Canada.
⁶ Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada. [email protected].
⁷ CHEO Research Institute, Ottawa, ON, Canada. [email protected].
⁸ Department of Obstetrics, Division of Newborn Care, The Ottawa Hospital, Ottawa, ON, Canada. [email protected].
⁹ Department of Paediatrics, Children's Hospital of Eastern Ontario, Ottawa, ON, Canada. [email protected].

PMID: 36284208
DOI: 10.1038/s41372-022-01542-y

Abstract

Objective: To assess whether antenatal decisions regarding the neonatal care at birth for extremely preterm infants are more likely to be made when using shared decision-making (SDM)-style consultations compared to standard consultations.

Study design: In 2015, we implemented a clinical practice guideline promoting SDM use within antenatal consultations in our single-centre university-based perinatal unit. We conducted a prospective cohort study with a retrospective chart review based on data collected from all pregnant women presenting to obstetrical triage between 22 + 0 and 25 + 6 weeks gestation between September 2015 and June 2018.

Result: Two-hundred-and-seventeen cases presented; 137 received antenatal consultations with 82 (60%) being SDM-style. Decisions were frequently made (88%; 120/137) after the consultations, with no significant difference between consultation style (RR 1.08, 95% CI [0.95-1.26], p = 0.28).

Conclusion: The provision of either an SDM-style or a standard antenatal consultation seemed to comparably facilitate the reaching of a care decision.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

Decision Making
Decision Making, Shared*
Female
Humans
Infant, Extremely Premature
Infant, Newborn
Infant, Newborn, Diseases*
Pregnancy
Prospective Studies
Referral and Consultation
Retrospective Studies