Despite successful resuscitation, infants between 23 and 26 weeks have a very poor prognosis for survival when presenting with bradycardia, cyanosis and no respiratory efforts (1-min Apgar = 1) at birth. According to our data, initiating active treatment for an infant at 23 weeks with bradycardia and apnoea is almost always unsuccessful, whereas by 26 weeks gestation, the chance of survival is higher than the probability of death.
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