Parents need to be involved in prenatal decisions about neonatal treatment if their baby is likely to be born extremely premature -in the so-called grey zone, which is between 22 and 26 weeks of gestation, depending on time, country and culture. [1][2][3] The two treatment options in this grey zone are intensive care and comfort care.Intensive care treatment comes with great uncertainty regarding the outcome: some infants will not survive, some will go through life with one or more disabilities, and others will grow up without any problems. 4 As decisions in the grey zone are value laden, 5 a shared decisionmaking approach is recommended. [6][7][8][9] This involves mutual recognition of the need for a decision, followed by a discussion of the treatment options with their pros and cons, as well as an exploration of the parental values to be incorporated. 10,11 This exploration, known as values clarification, will allow treatment decisions to be aligned with personal goals and circumstances. 12 When a prenatal