Prenatal counseling for extreme prematurity at the limit of viability: a scoping review

This scoping review identifies characteristics of prenatal counseling for extreme prematurity at the limit of viability. Embase, Medline, Web of Science, Cochrane, CINAHL, and Google Scholar were searched. 47 articles were included. Almost half of them were published between 2018 and 2021. The following characteristics could be identified: personalization, parent-physician relationships, shared decision-making, bias, emotions and anxiety, psychosocial factors, parental values, religion, spirituality and hope, quality of life, and uncertainty. A trend in time towards personalization was also remarkable. However, more research is needed on parental perspectives on personalizing prenatal counseling.