Perinatal care at an extremely low gestational age (22-25 weeks). An Italian approach: the "Carta di Firenze".
نویسندگان
چکیده
Guidelines on life or death strategies in extremely preterm infants have been formulated in various countries worldwide. The general agreement is not to initiate resuscitation in neonates when gestational age is less than or equal to 22 weeks, and intensive care is assured for infants of 25 weeks and over; in the middle there is a sort of ‘‘grey zone’’. To provide helpful suggestions for initial management of threatened birth in infants at a gestational age of 25 completed weeks or less, a working group in Florence recently reviewed existing studies on survival and morbidity rates, international guidelines and practice recommendations. A consensus document was drawn up, and this was evaluated by several scientific societies (Italian Paediatric Society (SIP), Italian societies of obstetricians and gynaecologists (AGUI, AOGOI), Italian Society of Legal Medicine (SIMLA), Italian Society of Perinatal Medicine (SIMP), Italian Society of Anaesthesiologists (SIARTI), and the Italian Society of Paediatric Anaesthesia (SARNePI), and is currently being examined by the Italian National Bioethical Committee. The issues addressed include:
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امید به حیات و بروز عوارض در نوزادان با وزن تولد کمتر از 1000 گرم
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INTRODUCTION Major advances in perinatal care over the latest decades have increased the survival rate of extremely premature infants. Centralisation of perinatal care was implemented in Denmark from 1995. This study evaluates the effect of organisational changes of perinatal care on survival and morbidity of live-born infants with gestational ages (GA) of 22-28 weeks. METHODS Three cohort st...
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عنوان ژورنال:
- Archives of disease in childhood. Fetal and neonatal edition
دوره 92 6 شماره
صفحات -
تاریخ انتشار 2007