Archives of Disease in Childhood - Fetal and Neonatal Edition 2008;93:F403-F406
LEADING ARTICLES
Extremely preterm births: recommendations for treatment in European countries
Neonatal Intensive Care Unit, A Meyer Children Hospital, University of Florence, Florence, Italy
Dr M S Pignotti, Neonatal Intensive Care Unit, University of Florence, Viale Pieraccini 24, 50100 Firenze, Italy; m.pignotti@meyer.it
Accepted 8 July 2008
| The first 150 words of the full text of this article appear below. |
With the advances in medical technology, the outcome for high-risk infants has greatly improved, and the limit of human viability has shifted towards an increasingly lower gestational age. However, hand in hand with the positive outcome of saving neonates, modern neonatal intensive care has also brought to light several issues of an ethical nature in the care of these infants, especially those considered to be affected by incurable diseases or severely injured during pregnancy, delivery or the early neonatal period, those affected by major and/or multiple congenital abnormalities, and those at the borderline of viability (25 or fewer completed weeks of gestation). The survival rate of extremely preterm infants improved in the early 1990s, largely as a result of greater use of surfactant therapy and antenatal corticosteroids. However, this improvement in survival may not have been associated with a proportionate decrease in morbidity.1–10 Chronic lung disease, sepsis and poor growth
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