The anticipated birth of an extremely low gestational age infant presents many complex and ethically challenging questions, including whether to initiate resuscitation or comfort care after delivery. Failure to identify and align decision-making to parents' values during periviabilty counseling may result in greater opportunity for decisional regret. The goal of the proposed research is to assess decisional regret in mothers of extremely premature births and to compare decisional regret in mothers who chose resuscitation at time of delivery to those who chose comfort care. Approximately 1000 mothers of infants born extremely premature at 2 perinatal centers in the US will be surveyed.

Inclusion Criteria:

• Mothers of infants born between 22 and 25 completed weeks gestation during the study timeframe.
• Mothers who had a documented perinatal consult
• Greater than 18 years old

Exclusion Criteria:

• Potential life limiting fetal diagnoses aside from prematurity and non-English primary language

Gender eligibility for this study will be determined by women who had the ability to become pregnant and give birth at one of 2 perinatal centers.

The study population will consist of mothers who delivered infants between 22 and 25 completed weeks gestation during the study timeframe at one of two US perinatal centers.