Perspectives on periviable birth from the parents of surviving infants - Report - MDSpire

Perspectives on periviable birth from the parents of surviving infants

  • By

  • Jennifer L H Peterson

  • Sweatha Anathalingam

  • Edward D Johnstone

  • Ajit Mahaveer

  • Debbie M Smith

  • July 2, 2026

  • 0 min

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Clinical Report: Insights from Parents of Infants Who Survived Periviable Births

Background

Periviable births, occurring between 22 and 24 weeks of gestation, present high risks of mortality and long-term disability. Understanding parental perspectives is crucial for improving communication and care strategies in these emotionally charged situations.

Data Highlights

DemographicsDevelopmental MilestonesParental Stress Scale
157 infants surveyed4 children achieving age-appropriate milestonesSignificant caregiving demands reported
10 parents responded6 children with varying developmental delaysParental satisfaction expressed despite stress

Key Findings

  • Parents reported a mix of joy and stress in raising children born during the periviable period.
  • Four children achieved age-appropriate developmental milestones, while six experienced varying degrees of delay.
  • Parents expressed a desire for balanced discussions that include both risks and the possibility of survival.
  • Many parents felt that pre-birth conversations were overly focused on negative outcomes.
  • Parents noted a lack of compassion and inconsistent information from healthcare professionals.

Clinical Implications

Healthcare professionals should strive for compassionate, balanced communication with parents regarding periviable births. Emphasizing both risks and potential outcomes may help alleviate parental stress and improve their overall experience.

Conclusion

The insights from this survey underscore the importance of integrating trauma-informed principles into periviable care discussions. Addressing parental concerns and fostering supportive communication can enhance the care experience for families.

Related Resources & Content

  1. BMJ Paediatrics Open, 2023 -- Impact of parent education programmes on confidence and self-efficacy in parents of preterm infants: a systematic review
  2. Frontiers in Pediatrics, 2023 -- Educational materials to empower parents of preterm infants within a family-centered early intervention in the NICU
  3. BMC Pregnancy and Childbirth, 2023 -- Visual Biofeedback (VB) through Trans-Perineal Ultrasound (TPU) during the active second stage of labor to improve maternal childbirth satisfaction: protocol of a randomized controlled trial
  4. Intensive Care Medicine, 2010 -- An In-Depth Investigation of Parental Experiences in Seven Pediatric Intensive Care Units in the Netherlands
  5. Periviable Birth | ACOG, 2025 -- ACOG/SMFM Obstetric Care Consensus No. 6
  6. Neonatal Resuscitation Guidelines, 2025 -- Updated guidelines by the American Heart Association and American Academy of Pediatrics
  7. Periviable Birth | ACOG
  8. Neonatal Resuscitation Guidelines
  9. Outcomes of Preterm Infants Born at 22 to 23 Weeks' Gestation in 11 International Neonatal Networks. | EBSCOhost

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