Evidence · Research paper
Perinatal practice in extreme premature delivery: variation in Dutch physicians' preferences despite guideline.
- Comfort and nursing care
- Delivery room and stabilisation
- Ethics
- Families and professional practice
- Medical
- Newborn life support
- Palliative and end-of-life care
- Preterm stabilisation
This paper is from 2016, more than five years ago. Newer evidence may have been published since.
Summary
An online survey of obstetricians and neonatologists in the ten Dutch level III perinatal centres explored preferences for treatment decisions at the limits of viability, set against the 2010 Dutch guideline offering active care from 24+0 weeks. Views varied most at 24 and 25 weeks, with wide ranges in perceived lower gestational limits for caesarean section, neonatologist attendance and resuscitation interventions. Obstetricians and neonatologists disagreed on limits for chest compressions and adrenaline. Congenital anomalies, small for gestational age status and incomplete antenatal corticosteroids were the main factors restricting active treatment.
Summary written for NICUlearn. Always read the original.
- Licence:
- Open (Creative Commons)
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