Intervention at the Border of Viability

Abstract

To investigate prenatal management and outcome of infants born at the border of viability during 2 periods, 2001 to 2003 (late epoch) and 1993 to 1995 (early epoch).

Intensity of Perinatal Care for Extremely Preterm Infants: Outcomes at 2.5 Years

“…As reported in other studies, 2,27,28 better survival was associated with increased age at death. Although some infants died later in high-activity regions, in most cases the increased age at death (median: 2.5 days) allowed for a trial of life.…”

Mortality rates for extremely low‐birthweight infants: A regional, population‐based study in Japan during 2005–2009

“…Prematurity itself is a major problem in perinatal medicine and is associated with increased rates of infant mortality. The mortality of infants born at 22–24 weeks of gestation was still high, although the mortality shown in this study was lower than those in other studies 1,4–6 . Infants born at 22–24 weeks' gestation are fragile and vulnerable, with immature organ systems 9–11 .…”

“…All neonates were fully resuscitated. We showed a lower neonatal mortality rate (9.2%) and infant mortality rate at 1 year (14.9%) compared with rates in other countries 4–6 . We compared the neonatal and infant mortality rate of the tertiary center with that of the non‐tertiary center in this study.…”

“…Donohue et al . showed that there has been no reduction in mortality in more than a decade despite more interventions for infants born at 22–24 weeks' gestation 4 …”

The Impact of Neonatologists' Religiosity and Spirituality on Health Care Delivery for High-Risk Neonates

“…9 Data supporting this concern have recently been published indicating that despite more aggressive interventions on the part of perinatologist and neonatologist to save extremely preterm infants at a single U.S. perinatal referral center, no increase in survival has been seen in more than a decade. 18 Our study has limitations. While we had representation from 95% of AAP Neonatal-Perinatal Training Programs, only 35% of neonatologists practicing in these programs participated in the study.…”