Discussion
PRETERM BIRTH, SECONDARY, HIGH-RISK PREGNANCIES, EARLY PREGNANCY
P3 is a novel prenatal program that provides neonatal resuscitation education in early pregnancy to parents with preterm birth risk factors. In this secondary analysis of an RCT, most parents watched at least 1 video and video use increased parental knowledge.Published research on improving the periviable decision-making process has focused on informing parents of neonatal resuscitation options at the time of delivery hospitalization.This study is limited in that findings were based on post hoc analysis. While our single-center trial was not intended to examine effects of knowledge on periviable resuscitation decisions (1 of 120 patients delivered at 22-24 weeks), already having foundational knowledge of options may allow counseling during hospitalization to focus more on personalized information and parental values.Whether to resuscitate an infant who is periviable and preterm is a complex, preference-sensitive decision. These results suggest that the P3 program may offer families with high-risk pregnancies the opportunity to learn about options available and contemplate what they would value for their baby before they may need to make the choice.