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Objective <p>To investigate conflict resolution and decisional authority among diverse family structures in periviable resuscitation decision-making.</p> Methods <p>We recruited 60 parent dyads, including 30 with prior periviable delivery experience and 30 first-time expecting dyads between 22 and 26 weeks gestation. Our diverse sample included heterosexual and same-sex partnerships, married and unmarried partners. Virtual interviews explored decision-making, engagement, and conflict resolution.</p> Results <p>Four themes emerged: “Mom is the priority,” highlighting maternal decisional authority; “partner involvement is crucial,” emphasizing engagement; “parents prioritize who will be caring for the child,” indicating caregiver considerations; and “parents want empathy and support,” underscoring emotional needs.</p> Conclusions <p>Findings reveal maternal priority in decision-making, the importance of partner involvement, and a challenges with lacking inclusive legal and ethical guidance for non-heteronormative families. The study highlights the need for shared decision-making that considers family structures, legal aspects, and emotional complexities to enhance inclusive, informed decision-making processes for parents facing periviable delivery.</p>

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Who decides? Exploring decisional dynamics for periviable resuscitation among diverse family structures

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年4月16日

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  • Erika R. Cheng,
  • Shelley M. Hoffman,
  • Victoria Schultz,
  • Naomi Castellon-Perez,
  • Hannah Witting,
  • Carli King,
  • Brownsyne Tucker Edmonds

摘要

Objective

To investigate conflict resolution and decisional authority among diverse family structures in periviable resuscitation decision-making.

Methods

We recruited 60 parent dyads, including 30 with prior periviable delivery experience and 30 first-time expecting dyads between 22 and 26 weeks gestation. Our diverse sample included heterosexual and same-sex partnerships, married and unmarried partners. Virtual interviews explored decision-making, engagement, and conflict resolution.

Results

Four themes emerged: “Mom is the priority,” highlighting maternal decisional authority; “partner involvement is crucial,” emphasizing engagement; “parents prioritize who will be caring for the child,” indicating caregiver considerations; and “parents want empathy and support,” underscoring emotional needs.

Conclusions

Findings reveal maternal priority in decision-making, the importance of partner involvement, and a challenges with lacking inclusive legal and ethical guidance for non-heteronormative families. The study highlights the need for shared decision-making that considers family structures, legal aspects, and emotional complexities to enhance inclusive, informed decision-making processes for parents facing periviable delivery.