Antenatal management of the expectant mother and extreme preterm infant at the limits of viability.

Hdl Handle:
http://hdl.handle.net/10147/206216
Title:
Antenatal management of the expectant mother and extreme preterm infant at the limits of viability.
Authors:
Khan, R; Burgoyne, L; O'Connell, M; Dempsey, E M
Affiliation:
Neonatal Intensive Care Unit, Cork University Maternity Hospital, Wilton, Cork.
Citation:
Ir Med J. 2010 Oct;103(9):266-9.
Journal:
Irish medical journal
Issue Date:
31-Jan-2012
URI:
http://hdl.handle.net/10147/206216
PubMed ID:
21186749
Abstract:
We explored the opinions of healthcare providers on the antenatal management and outcome of preterm delivery at less than 28 weeks gestation. An anonymous postal questionnaire was sent to health care providers. The response rate was 55% (74% Obstetrician, 70% neonatologist). Twenty four weeks is the limit at which most would advocate intervention. At 23 weeks 67% of neonatologists advocate antenatal steroids. 50% of all health care providers advocate cardiotocographic monitoring at 24 weeks gestation. Written information on survival and long-term outcome is provided by 8% of the respondents. Neonatologists (50%) were more likely than obstetrician (40%) to advocate caesarean section at 25 weeks. We conclude that 24 weeks is the limit at which most would advocate intervention. Significant variation exists both between and within each health care group at less than 25 weeks. Establishment and provision of national outcome data may aid decision making at the limits of viability.
Language:
eng
MeSH:
Female; *Fetal Viability; Gestational Age; Humans; Infant, Newborn; Ireland; Physician's Practice Patterns/*statistics & numerical data; Pregnancy; *Premature Birth; *Prenatal Care; Questionnaires
ISSN:
0332-3102 (Print); 0332-3102 (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorKhan, Ren_GB
dc.contributor.authorBurgoyne, Len_GB
dc.contributor.authorO'Connell, Men_GB
dc.contributor.authorDempsey, E Men_GB
dc.date.accessioned2012-01-31T16:43:20Z-
dc.date.available2012-01-31T16:43:20Z-
dc.date.issued2012-01-31T16:43:20Z-
dc.identifier.citationIr Med J. 2010 Oct;103(9):266-9.en_GB
dc.identifier.issn0332-3102 (Print)en_GB
dc.identifier.issn0332-3102 (Linking)en_GB
dc.identifier.pmid21186749en_GB
dc.identifier.urihttp://hdl.handle.net/10147/206216-
dc.description.abstractWe explored the opinions of healthcare providers on the antenatal management and outcome of preterm delivery at less than 28 weeks gestation. An anonymous postal questionnaire was sent to health care providers. The response rate was 55% (74% Obstetrician, 70% neonatologist). Twenty four weeks is the limit at which most would advocate intervention. At 23 weeks 67% of neonatologists advocate antenatal steroids. 50% of all health care providers advocate cardiotocographic monitoring at 24 weeks gestation. Written information on survival and long-term outcome is provided by 8% of the respondents. Neonatologists (50%) were more likely than obstetrician (40%) to advocate caesarean section at 25 weeks. We conclude that 24 weeks is the limit at which most would advocate intervention. Significant variation exists both between and within each health care group at less than 25 weeks. Establishment and provision of national outcome data may aid decision making at the limits of viability.en_GB
dc.language.isoengen_GB
dc.subject.meshFemaleen_GB
dc.subject.mesh*Fetal Viabilityen_GB
dc.subject.meshGestational Ageen_GB
dc.subject.meshHumansen_GB
dc.subject.meshInfant, Newbornen_GB
dc.subject.meshIrelanden_GB
dc.subject.meshPhysician's Practice Patterns/*statistics & numerical dataen_GB
dc.subject.meshPregnancyen_GB
dc.subject.mesh*Premature Birthen_GB
dc.subject.mesh*Prenatal Careen_GB
dc.subject.meshQuestionnairesen_GB
dc.titleAntenatal management of the expectant mother and extreme preterm infant at the limits of viability.en_GB
dc.contributor.departmentNeonatal Intensive Care Unit, Cork University Maternity Hospital, Wilton, Cork.en_GB
dc.identifier.journalIrish medical journalen_GB
dc.description.provinceMunster-

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