Related Experiment Video
Updated: May 7, 2026
11:50
Clinical Practice Protocol of Creative Music Therapy for Preterm Infants and Their Parents in the Neonatal Intensive Care Unit
Published on: January 7, 2020
Counselling and management for anticipated extremely preterm birth
Paediatrics & Child Health
|October 2, 2013
Summary
Parents of extremely preterm infants (22-25 weeks gestation) need clear, compassionate guidance from healthcare teams. Shared decision-making and individualized care plans are crucial for managing complex infant prognoses.
Area of Science:
- Perinatal Medicine
- Neonatology
- Maternal-Fetal Medicine
Background:
- Extremely preterm birth (22-25 weeks gestational age) presents complex ethical and clinical challenges.
- Parents require comprehensive information and support for decision-making regarding infant care.
- Healthcare professionals play a vital role in guiding families through these critical choices.
Purpose of the Study:
- To outline best practices for managing extremely preterm infants.
- To emphasize the importance of shared decision-making between parents and healthcare providers.
- To guide individualized care based on gestational age and prognostic factors.
Main Methods:
- Review of current guidelines and clinical recommendations for extremely preterm birth.
- Emphasis on multidisciplinary team approach involving obstetrics and neonatology.
- Individualized assessment of prognostic factors for infants at 23-25 weeks GA.
Main Results:
- For infants born at or before 22 weeks GA, a non-interventional approach is generally recommended due to low survival rates.
- For infants born at 23-25 weeks GA, individualized counseling on prognosis and shared decision-making is essential.
- Compassionate palliative care is mandated for all non-resuscitated or unsuccessfully resuscitated extremely preterm infants.
Conclusions:
- Effective management of extremely preterm birth requires clear communication, shared decision-making, and individualized care plans.
- Consultation with tertiary perinatal centers is vital for optimal outcomes.
- Compassionate care, including palliative options, must be provided to all extremely preterm infants.
Related Concept Videos
01:19Mitral Valve Prolapse III: Nursing Management
The nursing management of Mitral Valve Prolapse, or MVP, centers around patient education, symptom monitoring, and lifestyle modifications.Patient Education on MVP Diagnosis and Heredity: Nurses should provide comprehensive education about MVP, a condition where the mitral valve does not close appropriately during heartbeats. This education often includes the condition's pathophysiology, symptoms, and potential complications, like arrhythmias or mitral regurgitation. Though not fully...
01:30Pneumonia V: Nursing management and Prevention
Nursing management of pneumonia involves promoting airway patency, facilitating rest and conserving energy, encouraging fluid intake, maintaining nutrition, and educating patients.
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed.
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed.
01:26Acute Coronary Syndrome V: Nursing Management
Nursing Assessment:Nursing management of acute coronary syndrome (ACS) involves taking the patient's history, focusing on primary complaints such as chest pain, dyspnea, and excessive sweating (diaphoresis), as well as other symptoms like back or jaw pain, nausea, vomiting, palpitations, dizziness, and fatigue. The nurse also reviews the patient's history of cardiac events, risk factors such as hypertension, diabetes, smoking, family history, and current medications.In the objective assessment,...
01:30Preventive Healthcare Services
Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
01:22Aneurysm IV: Nursing Management
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
01:30Asthma-IV: Nursing Management
The nursing management of asthma is a comprehensive approach that relies heavily on the expertise and dedication of healthcare professionals. It involves thorough assessment, accurate diagnosis, strategic planning, effective implementation, and diligent evaluation. By meticulously following this step-by-step process, healthcare professionals play a crucial role in providing the best possible care and treatment for patients with asthma, enhancing their overall health and well-being.
First, in...
First, in...