Maternal Counseling for Preterm Deliveries, Assessing an Effective Method of Counseling

Progress in the frontiers of neonatology has continually pushed back the limit of viability
and significantly improved the survival of extremely preterm infants. An important component
of medical management before a preterm delivery is counseling the parents about probabilities
of survival and long term complications.

Hypothesis: Preterm counseling is more effective when parents receive verbal counseling
supplemented with written and pictorial information then verbal counseling alone.

Methodology: There will be two groups of study (verbal, pictorial and written vs verbal
alone). All patients admitted to the L and D department of Stroger hospital between 23 to 34
weeks of gestation with threatened premature delivery will be enrolled in the study. They
will be randomly assigned to 1 of 2 groups. After counseling, parents will be asked to
complete a 32 point questionnaire to check their knowledge of outcomes of prematurity.

To reach statistically significant results, the investigators will need 40 patients in each
group. The study will be done over a period of one year

Inclusion Criteria:

- Pregnant women between 23 to 34 weeks gestation assessed by obstetrician to need
counseling

Exclusion Criteria:

- Pregnancies with known life threatening defects considered as non compatible with
life.

- Mothers previously admitted and counseled will also be excluded