Edmonds, Brownsyne TuckerMcKenzie, FatimaHendrix, Kristin S.Perkins, Susan M.Zimet, Gregory D.2016-03-042016-03-042015-03Edmonds, B. T., McKenzie, F., Hendrix, K. S., Perkins, S. M., & Zimet, G. D. (2015). The influence of resuscitation preferences on obstetrical management of periviable deliveries. Journal of Perinatology : Official Journal of the California Perinatal Association, 35(3), 161–166. http://doi.org/10.1038/jp.2014.1750743-8346https://hdl.handle.net/1805/8698Objective Determine the relative influence of patient's resuscitation preferences on periviable delivery management. Methods Surveyed 295 obstetrician-gynecologists about managing periviable preterm premature rupture of membranes. Across 10 vignettes, we systematically varied gestational age; occupation; method of conception; and resuscitation preference. Physicians rated their likelihood (0-10) of proceeding with induction, steroids, and cesarean. Data were analyzed via conjoint analysis. Results 205 physician responses were included. Median ratings for management decisions were: induction 1.89; steroids 5.00; cesarean for labor 3.89; cesarean for distress 4.11. Gestational age had the greatest influence on physician ratings across all decisions (importance values ranging from 72.6-86.6), followed by patient's resuscitation preference (range= 9.3-21.4). Conclusion Gestational age is weighted more heavily than patients’ resuscitation preferences in obstetricians’ decision-making for periviable delivery management. Misalignment of antenatal management with parental resuscitation preferences may adversely affect periviable outcomes. Interventions are needed to facilitate more patient-centered decision-making in periviable care.en-USPublisher PolicyDecision MakingFetal ViabilityResuscitationArticle