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Objectives <p>To explore inequities in prenatal consultation and parental resuscitation decisions across high-mortality conditions.</p> Study design <p>We conducted a retrospective chart review of pregnant people whose liveborn neonates were diagnosed with high-mortality conditions. We examined two cohorts: periviable infants (22 0/7–24 6/7 weeks) and infants with severe congenital anomalies.</p> Results <p>A total of 194 neonates met eligibility criteria for the periviable cohort, 197 for the congenital anomaly cohort. In the periviable cohort, 94% of White vs. 81% of Black pregnant people received neonatology consultation (<i>p</i> = 0.009). A total of 96% of those with commercial insurance vs. 82% of those with Medicaid received consultation (<i>p</i> = 0.005). Half of Hispanic pregnant people did not receive neonatology consultation (<i>p</i> = 0.02). In the congenital anomaly cohort, pregnant people who spoke a language other than English were less likely to receive consultation (44% vs. 81%, <i>p</i> = 0.02).</p> Conclusions <p>This regional assessment found previously unrecognized inequities in prenatal neonatology consultation.</p>

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Inequities in prenatal neonatology consultation in high-mortality neonatal populations

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年8月20日

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  • Samantha L. Simpson,
  • Kylie Mena,
  • DonnaMaria E. Cortezzo,
  • Chunyan Liu,
  • Shelley R. Ehrlich,
  • Sarah Eaton,
  • Ting Ting Fu,
  • Andrew F. Beck,
  • James M. Greenberg,
  • Emily R. Miller

摘要

Objectives

To explore inequities in prenatal consultation and parental resuscitation decisions across high-mortality conditions.

Study design

We conducted a retrospective chart review of pregnant people whose liveborn neonates were diagnosed with high-mortality conditions. We examined two cohorts: periviable infants (22 0/7–24 6/7 weeks) and infants with severe congenital anomalies.

Results

A total of 194 neonates met eligibility criteria for the periviable cohort, 197 for the congenital anomaly cohort. In the periviable cohort, 94% of White vs. 81% of Black pregnant people received neonatology consultation (p = 0.009). A total of 96% of those with commercial insurance vs. 82% of those with Medicaid received consultation (p = 0.005). Half of Hispanic pregnant people did not receive neonatology consultation (p = 0.02). In the congenital anomaly cohort, pregnant people who spoke a language other than English were less likely to receive consultation (44% vs. 81%, p = 0.02).

Conclusions

This regional assessment found previously unrecognized inequities in prenatal neonatology consultation.