The purpose of this study is to assess in a pilot randomized controlled trial the following PICOT question: In parents facing extreme premature delivery, does the use of an existing validated visual decision aid as compared to standard counseling, reduce the primary outcome of parental decisional conflict? Furthermore, is such a decision aid understood and applicable across differing populations of different ethnic backgrounds and social classes?

Inclusion Criteria:

• physicians who counsel women at the limits of viability
• women who are receiving counseling at the limits of viability

Exclusion Criteria:

• Known congenital malformations or lethal anomalies, still birth in which the fetuses' death was known before labor.