Optimizing Family Counseling for Anticipated Extremely Preterm Delivery
Boston Children's Hospital
460 participants
Sep 17, 2019
INTERVENTIONAL
Conditions
Summary
Antenatal family counseling for anticipated extremely preterm deliveries remains ethically and practically challenging for maternal-fetal medicine specialists and neonatologists alike. The overall goal of this project is to improve antenatal counseling and counseling outcomes for families facing anticipated extremely preterm delivery through innovative, interdisciplinary simulation-based education for maternal fetal medicine specialists and neonatologists, using language preferred by families, and focusing on eliciting values and building partnerships through advanced communication and relational skills.
Eligibility
Inclusion Criteria3
- Pregnant women and their partners
- English-proficient adult pregnant woman admitted between 22 0/7-25 6/7 weeks' estimated gestation for anticipated extremely preterm delivery and her adult partner (if available) for whom an antenatal neonatal intensive care unit (NICU) consultation was requested and performed
- Practicing MFM or Neonatology provider (attending, fellow, resident, practitioner or RN) from the 3 participating sites: Brigham \& Women's Hospital (BWH), Beth Israel Deaconess Medical Center (BIDMC), South Shore Hospital (SSH)
Exclusion Criteria7
- Non-English proficient
- Fetal congenital malformation(s)
- <18y old
- <22 0/7 or > 25 6/7 weeks' estimated gestation
- Repeat consultation
- Counseling MFM and Neonatology providers
- None
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Interventions
Investigators will first determine preferred language and approaches by families, then redefine current training for prenatal counseling at extreme prematurity by developing and implementing two novel, interdisciplinary simulation-based educational programs for MFM and Neonatology (a workshop and an online module), focusing on eliciting values and building partnerships through advanced communication and relational skills, to improve counseling practices and outcomes
Locations(3)
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NCT03819933