Introduction: Despite the potential to shorten waitlists for life-saving transplants, infant organ donation is rare globally. Infant donors (less than one year of age) can reduce waitlist mortality for both infants and children who require size-matched organs like hearts and lungs, and adults who can receive kidney transplants from infant donors. Infants can donate their organs after death by circulatory criteria (DDCC) if the death follows the withdrawal of life-sustaining measures (WLSM). However, donation rates are very low and providers rarely offer organ donation to families facing the death of their infant. However,, providers have reported concerns about how to introduce the topic of organ donation without causing additional distress to the family. Understanding bereaved parents’ perspectives on infant organ donation and how this option could be discussed with them is an important first step in guiding practice, but no studies have explored parent perspectives on infant DDCC. Understanding these perspectives is essential to improving family-centred care and donation counselling practices. 
Method: This study is an ongoing is an interpretive description study to explore parent perspectives on infant organ donation and the process of DDCC in NICUs and PICUs. This study has been co-designed with two parent partners. Parent partners (DJ and JW) have contributed substantially to defining the goals and research questions, designing appropriate recruitment strategies, writing the interview guide, and conducting member checking of findings. We are conducting individual, semi-structured interviews with parents of an infant who has died after a planned WLSM about their perspectives about the potential for and process of infant DDCC. Data analysis is an iterative and evolving process involving in vivo and then axial coding, merging codes into categories and categories into higher-level themes.
Results: Parent partners have contributed meaningfully to the design of the study. Preliminary results from interviews will be available by the time of the conference.
Conclusion: This co-designed interpretive description study seeks to illuminate bereaved parent perspectives on infant organ donation and the process of DDCC. By involving parent partners throughout, the study prioritizes  family-centered research. Findings will inform donation counseling practices and policies that align more closely with family needs and values in NICU and PICU settings. The collaborative approach offers a model for meaningful parent engagement in sensitive pediatric research.