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Variation of practice and poor outcomes for extremely low gestation births: ordained before birth?

Abstract

no abstract is needed for an editorial

  • neonatal intensive care unit
  • end of life decisions
  • gestational age
  • family centered care
  • prematurity
  • communication
  • neonatal outcomes
  • clinical ethics
  • bioethics.

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Footnotes

  • Contributors All authors have drafted the ideas to be in this editorial together. AJ made a plan for the editorial. AJ wrote the first draft of the editorial. NM optimised the first draft.

  • Competing interests NM is Chair of the NHS England Neonatal Critical Care Clinical Reference Group.

  • Provenance and peer review Commissioned; internally peer reviewed.

  • Author note Parent representatives: JB is the father of Maren and Lily who were born at 25 weeks of gestational age, Lily died in the first week of life, Marenis is now 7 years old. MH is the father of Domenica who was born at 22 weeks of gestational age. She is now 5 years old. SN is the mother of Marcus, who was born at 23 weeks of gestational age, was not offered intervention and intensive care admission. He died during birth. For a more complete description of the families please see reference 6.

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  • Original article
    Caroline Diguisto François Goffinet Elsa Lorthe Gilles Kayem Jean-Christophe Roze Pascal Boileau Babak Khoshnood Valérie Benhammou Bruno Langer Loic Sentilhes Damien Subtil Elie Azria Monique Kaminski Pierre-Yves Ancel Laurence Foix–L’Hélias
  • Fantoms
    Ben J Stenson