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A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
Published on: January 12, 2018
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Counselling and management for anticipated extremely preterm birth
Brigitte Lemyre1, Gregory Moore1
1Canadian Paediatric Society, Fetus and Newborn Committee, Ottawa, Ontario.
Paediatrics & Child Health
|February 28, 2018
Summary
This revised statement offers a prognosis-based approach for counselling parents of extremely preterm infants. It incorporates gestational age, fetal factors, and Canadian survival data to guide management decisions.
Area of Science:
- Neonatal Medicine
- Perinatal Counselling
- Medical Ethics
Background:
- Counselling parents of extremely preterm infants presents unique challenges.
- Effective communication and informed decision-making are crucial in perinatal care.
Purpose of the Study:
- To propose a revised, prognosis-based approach for counselling couples facing the birth of an extremely preterm infant.
- To update data on survival, neurodevelopmental disability, and quality of life in Canada.
- To provide a framework for presenting management options to parents.
Main Methods:
- Utilizing a prognosis-based approach considering gestational age, estimated fetal weight, antenatal corticosteroids, pregnancy type, fetal status, anomalies, and place of birth.
- Updating Canadian data on infant survival and long-term neurodevelopmental outcomes.
- Focusing on effective communication strategies for healthcare providers.
Main Results:
- The revised approach integrates multiple prognostic factors for a comprehensive assessment.
- Updated Canadian data provides current benchmarks for survival and long-term outcomes.
- A structured framework is proposed to facilitate shared decision-making.
Conclusions:
- A prognosis-based approach enhances counselling for parents of extremely preterm infants.
- Updated data and a clear framework support informed parental decision-making.
- This statement replaces the 2012 guidance, reflecting advancements in perinatal care.
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