Perinatal Care at the Threshold of Viability

In the United States, an increase in the number of births of extremely preterm infants and in their survival potential has occurred over the last decade. Determining the survival prognosis for the infant of a pregnancy with threatened preterm delivery between 22 and 25 completed weeks of gestation r...

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Bibliographic Details
Published in:Pediatrics (Evanston) 2002-11, Vol.110 (5), p.1024-1027
Main Authors: MacDonald, Hugh, Committee on Fetus and Newborn
Format: Article
Language:English
Subjects:
Biological and medical sciences
Care and treatment
Counseling
Critical care
Delivery. Postpartum. Lactation
Evaluation
Female
Gestational Age
Gynecology. Andrology. Obstetrics
Humans
Infant Mortality
Infant, Low Birth Weight - physiology
Infant, Newborn
Infant, Premature - physiology
Infants (Premature)
Maternal health services
Maternal, fetal and perinatal monitoring
Medical sciences
Neonatology - methods
Obstetric Labor, Premature - epidemiology
Pediatrics
Perinatal Care - methods
Pregnancy
Premature birth
Premature infants
Prenatal Care - methods
Risk Assessment
Survival Rate
United States
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Summary:In the United States, an increase in the number of births of extremely preterm infants and in their survival potential has occurred over the last decade. Determining the survival prognosis for the infant of a pregnancy with threatened preterm delivery between 22 and 25 completed weeks of gestation remains problematic. Many physicians and families encounter the difficulty of making decisions regarding the institution and continuation of life support for an infant born within this threshold period. This report addresses the process of counseling, assisting, and supporting families faced with the dilemma of an extremely preterm delivery.
ISSN:0031-4005
1098-4275
DOI:10.1542/peds.110.5.1024