Title
Management of the neonate at the limits of viability: The Dutch viewpoint
Author
Verloove-Vanhorick, S.P.
TNO Kwaliteit van Leven
Publication year
2006
Abstract
Due to ever-improving medical technology over the course of the last century, the limit of viability has been lowered from around 32 weeks of gestation, first to 28 weeks and, in recent decades, to as low as less than 24 weeks. Long-term follow-up studies (Project on Preterm and Small-for- Gestational-Age Infants, Leiden Follow-up Project on Prematurity, Epidemiological Project for ICU Research and Evaluation, Étude Epidémiologique sur les Petits Ages Gestationnels, Extremely Preterm Infants in Belgium), however, have shown high percentages of deaths and/or disabilities at lower gestational ages in surviving children. Many parents and children are burdened with lifelong iatrogenic disabilities. As a result, the Dutch Paediatric Association and the Dutch Society of Obstetrics and Gynaecology have laid down joint rules for the management of expected/threatened preterm delivery. © RCOG 2006 BJOG An International Journal of Obstetrics and Gynaecology.
Subject
Health
Jeugd en Gezondheid
Disability
Guidelines
Preterm delivery
Treatment
Viability
Steroid
Fetus development
Follow up
Gestation period
Human
Infant mortality
Long term care
Medical assessment
Medical research
Medical society
Medical technology
Physical disability
Practice guideline
Premature labor
Prematurity
Review
Survival
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DOI
https://doi.org/10.1111/j.1471-0528.2006.01119.x
TNO identifier
239694
ISSN
1470-0328
Source
BJOG: An International Journal of Obstetrics and Gynaecology, 113 (SUPPL. 3), 13-16
Document type
article