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Management of babies born extremely preterm at less than 26 weeks of gestation: a framework for clinical practice at the time of birth
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  • Published on:
    Decision making and clinical practice for infants born at less than 26 weeks' gestation
    • Sofia R Aliaga, Perinatal-Neonatal Medicine Fellow
    • Other Contributors:
      • Lynn H. Johnson and Carl Bose

    Dear Editor,

    Recently Wilkinson et al. proposed a framework for decision making and clinical practice for the care of infants born at the limits of viability. (1) They emphasize the importance of using estimates of outcomes to individualize decision making. Their framework utilizes gestational age as the primary variable for predicting outcomes, which are based on data from the EPICure studies.(2, 3) They ack...

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    Conflict of Interest:
    None declared.
  • Published on:
    The Management of Babies born Extremely Preterm at less than 26 weeks of gestation
    • Giuseppe Paterlini, MD
    • Other Contributors:
      • Arosio P., Bellieni C , Biasini A, Cocchi G, Doni D, Guerrini L, Isimbaldi C, Locatelli C, Puccetti R, Rinaldi MR, Squicciarini E, Villani G, Villani P

    Sir, the paper of Wilkinson and colleagues describes an approach to resuscitation of extremely preterm newborn we believe excessively schematic, based only on gestational age and parental expectations. In the same document intensive therapies are suggested only for newborns of 23-24 weeks who show capability of survival, therefore the burden of proof for obtaining intensive care is put on children who have to demonstrate...

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    Conflict of Interest:
    None declared.
  • Published on:
    Management of babies born extremely preterm at less than 26 weeks of gestation.

    Dear Editor, I have read with great interest the article by Wilkinson et al (1) discussing one of the most challenging aspects of perinatal medicine. These authors most appropriately point out that treatment of ELBW newborns needs to be customized and that any intervention should be performed in the patient’s best interest. The authors also emphasise the important role parents have in deciding whether to start and/or co...

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    Conflict of Interest:
    None declared.