title: Attitudes towards the resuscitation of periviable infants: a national survey of American Muslim physicians.
abstract: OBJECTIVE
  To examine the associations between American Muslim physicians' characteristics and intended behaviours towards resuscitation of 22- and 23-week gestation infants.
  
  
  METHODS
  This national survey of physician members of the Islamic Medical Association of North America inquired about physician religiosity, their practice of referring to Islamic resources for bioethical guidance, their preferred model of patient-doctor decision-making and the perceived importance of quality-of-life determinations with respect to medical decision-making. Four vignettes described birth of a 22- and a 23-week gestation infant. Respondents were given estimated survival data for each and asked whether they would attempt resuscitation.
  
  
  RESULTS
  A total of 255 of 626 responses received. About 51% and 85% of respondents believed that a 22- and a 23-week gestation infant should be resuscitated, respectively. If parents opposed resuscitation, 44% (22 weeks) and 46% (23 weeks) of respondents still endorsed resuscitating. Respondents who were more religious, referred more often to Islamic bioethical resources and did not believe that quality-of-life determinations were tied to life's value had greater odds of endorsing resuscitation in many of the scenarios.
  
  
  CONCLUSIONS
  American Muslim physicians have high rates of support for delivery room resuscitation of periviable infants. Their intended behaviour appears to associate with religious values.
authors.affiliation: Department of Neonatology, Beth Israel Deaconess Medical Center, Boston, MA, USA.|Harvard Medical School, Boston, MA, USA.
authors.forename: Bonnie
authors.initials: B
authors.lastname: Arzuaga
authors.affiliation: Initiative on Islam and Medicine, Program on Medicine and Religion, The University of Chicago, Chicago, IL, USA.|Section of Pediatric Critical Care, Department of Pediatrics, The University of Chicago, Chicago, IL, USA.
authors.forename: Huda
authors.initials: H
authors.lastname: Adam
authors.affiliation: Initiative on Islam and Medicine, Program on Medicine and Religion, The University of Chicago, Chicago, IL, USA.
authors.forename: Maha
authors.initials: M
authors.lastname: Ahmad
authors.affiliation: Initiative on Islam and Medicine, Program on Medicine and Religion, The University of Chicago, Chicago, IL, USA.|Section of Emergency Medicine, Department of Medicine, The University of Chicago, Chicago, IL, USA.|MacLean Center for Clinical Medical Ethics, The University of Chicago, Chicago, IL, USA.
authors.forename: Aasim
authors.initials: A
authors.lastname: Padela
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D062071:Infant, Extremely Premature; D007231:Infant, Newborn; D007514:Islam / Q000523:psychology*; D008297:Male; D008875:Middle Aged; D018743:Perinatal Care / Q000941:ethics*; D011788:Quality of Life; D012151:Resuscitation / Q000523:psychology*; D011795:Surveys and Questionnaires; D055815:Young Adult
keywords: Muslim physicians; Neonatal resuscitation; Periviability; Quality-of-life; Religious influences