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Updated: Jul 13, 2026
14:43
A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
Published on: January 12, 2018
Delivery in the 'grey zone': collaborative approach to extremely preterm birth
John Keogh1, John Sinn, Keith Hollebone
1Department of Obstetrics and Gynaecology, Hornsby Hospital, Hornsby, NSW, Australia.
Summary
New guidelines suggest offering non-initiation of resuscitation for babies between 23 and 25 weeks gestation. This approach acknowledges increasing obligations to treat as fetal development advances.
Area of Science:
- Perinatal care
- Neonatal resuscitation
- Fetal development
Background:
- Consensus workshop on Perinatal Care at the limits of viability in NSW and ACT.
- Addressed education, counselling, and management strategies.
- Focused on ethical considerations for preterm infants.
Framework:
- Consensus reached on offering non-initiation of resuscitation and intensive care.
- Gestation range: 23 weeks 0 days to 25 weeks 6 days.
- Acknowledged increasing obligation to treat with advancing gestation.
Implementation:
- Recommendations for clinical practice at the limits of viability.
- Guidance for healthcare providers on complex ethical decisions.
- Facilitating informed parental counselling and decision-making.
Implications:
- Guidance for obstetricians on managing extremely preterm infants.
- Impact on neonatal intensive care unit (NICU) resource allocation.
- Ethical framework for end-of-life care discussions in neonatology.
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