Archives of Disease in Childhood - Fetal and Neonatal Edition 2009;94:2-5
LEADING ARTICLES
Management of babies born extremely preterm at less than 26 weeks of gestation: a framework for clinical practice at the time of birth
1 BAPM, London, UK
2 BLISS, London, UK
3 RCN, London, UK
4 RCM, London, UK
5 RCPCH, London, UK
6 NNA, London, UK
7 RCOG, London, UK
Professor Andrew R Wilkinson, University of Oxford, Department of Paediatrics, Neonatal Unit, Women’s Centre, John Radcliffe Hospital, Oxford OX3 9DU, UK; andrew.wilkinson@paediatrics.ox.ac.uk
Accepted 9 September 2008
| The first 150 words of the full text of this article appear below. |
Management of the delivery of an extremely preterm baby is one of the most challenging aspects of perinatal medicine. The ethical, social, economic and legal issues have recently been reviewed by the Nuffield Council on Bioethics.1 The professions and advocates for parents were encouraged to consider the pattern of care appropriate for babies born before 26 weeks’ gestation on the basis of the best information currently available. There are limitations to contemporary evidence, particularly in terms of predicting outcome after the shortest of pregnancies. While recognising these limitations, and although every pregnancy is different, some general principles can be described.
This is not a set of instructions, but a framework to highlight the range of evidence and opinion that needs to be considered by staff and parents. Care of the mother, her fetus and the baby will always need to be individualised and should be led by senior staff in
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