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Guideline

Swiss Recommendations for the Perinatal Care of Extremely Low Gestational Age Neonates.

Swiss Society of Neonatology2026Full text
  • Comfort and nursing care
  • Communicating with families
  • Delivery room and stabilisation
  • Ethics
  • Families and professional practice
  • Family-integrated care
  • Medical
  • Nursing
  • Palliative and end-of-life care
  • Preterm stabilisation

Summary

Revised Swiss interdisciplinary recommendations (updating the 2011 version) for the perinatal care of extremely low gestational age neonates. They emphasise individualised risk assessment incorporating modifiable and non-modifiable factors beyond gestational age, and shared decision-making with parents. Infants below 23 0/7 weeks should receive comfort-focused palliative care, while care at or above 23 0/7 weeks follows one of three trajectories: comfort-focused, survival-focused, or a grey zone where parental preferences guide the choice.

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