We will conduct formative research among Spanish-speaking Latina and low income English-speaking women and their providers, as the initial step in developing a decision support tool. The tool will facilitate informed, shared decision making about neonatal resuscitation among women who present to labor and delivery at periviable gestations and their health care providers. We will conduct design sessions with women who delivered infants at 22-25 weeks gestation, pregnant women between 22 and 25 weeks gestation, and health care providers involved in their care, to help us gain an understanding of periviable birth issues and decision support needs from multiple perspectives.