The Periviable GOALS Decision Support Tool

This study is testing a decision-support tool called the Periviable GOALS tool, which helps pregnant people and their families make informed decisions about care for extremely premature babies born around 22-26 weeks of pregnancy. The tool guides conversations about options like resuscitation or comfort care. You may be eligible if: - You are a pregnant adult (18 years or older) - You are between 22 and 26 weeks pregnant - You are admitted to Labor and Delivery with a complication that could lead to very early delivery (e.g., ruptured membranes, preterm labor, preeclampsia, growth restriction) - You have already been counseled by your healthcare team about newborn treatment options You may NOT be eligible if: - You are under 18 years old - You are currently incarcerated - You are medically unstable (in active labor at 6 cm dilation or more) - You are emotionally unstable - You have a known fatal fetal anomaly - You have not yet been counseled about newborn care options Talk to your doctor to see if this trial is right for you.