Affiliation
Paediatrics and Newborn Medicine, Coombe Women and Infant University Hospital,, Dublin, Ireland.Issue Date
2012-02-01T10:57:01ZMeSH
Age Factors*Attitude of Health Personnel
Fetal Viability
*Gestational Age
Health Personnel/psychology/*statistics & numerical data
Humans
Infant Mortality
Infant, Newborn
*Infant, Premature
Intensive Care, Neonatal
Ireland
Questionnaires
*Resuscitation
Survival Analysis
Time Factors
Treatment Outcome
Withholding Treatment
Metadata
Show full item recordCitation
Acta Paediatr. 2009 Sep;98(9):1456-60.Journal
Acta paediatrica (Oslo, Norway : 1992)DOI
10.1111/j.1651-2227.2009.01400.xPubMed ID
19673731Abstract
BACKGROUND: Advances in neonatal care continue to lower the limit of viability. Decision making in this grey zone remains a challenging process. OBJECTIVE: To explore the opinions of healthcare providers on resuscitation and outcome in the less than 28-week preterm newborn. DESIGN/METHODS: An anonymous postal questionnaire was sent to health care providers working in maternity units in the Republic of Ireland. Questions related to neonatal management of the extreme preterm infant, and estimated survival and long-term outcome. RESULTS: The response rate was 55% (74% obstetricians and 70% neonatologists). Less than 1% would advocate resuscitation at 22 weeks, 10% of health care providers advocate resuscitation at 23 weeks gestation, 80% of all health care providers would resuscitate at 24 weeks gestation. 20% of all health care providers would advocate cessation of resuscitation efforts on 22-25 weeks gestation at 5 min of age. 65% of Neonatologists and 54% trainees in Paediatrics would cease resuscitation at 10 min of age. Obstetricians were more pessimistic about survival and long term outcome in newborns delivered between 23 and 27 weeks when compared with neonatologists. This difference was also observed in trainees in paediatrics and obstetrics. CONCLUSION: Neonatologists, trainees in paediatrics and neonatal nurses are generally more optimistic about outcome than their counterparts in obstetrical care and this is reflected in a greater willingness to provide resuscitation efforts at the limits of viability.Language
engISSN
1651-2227 (Electronic)0803-5253 (Linking)
ae974a485f413a2113503eed53cd6c53
10.1111/j.1651-2227.2009.01400.x
Scopus Count
Collections
Related articles
- Antenatal management of the expectant mother and extreme preterm infant at the limits of viability.
- Authors: Khan R, Burgoyne L, O'Connell M, Dempsey EM
- Issue date: 2010 Oct
- Attitudes of obstetric and pediatric health care providers toward resuscitation of infants who are born at the margins of viability.
- Authors: Lavin JP Jr, Kantak A, Ohlinger J, Kaempf JW, Tomlinson M, Campbell B, Fofah O, Edwards W, Allbright K, Hagen E, Suresh G, Schriefer J
- Issue date: 2006 Nov
- Limits of viability: definition of the gray zone.
- Authors: Seri I, Evans J
- Issue date: 2008 May
- Perceptions of the limit of viability: neonatologists' attitudes toward extremely preterm infants.
- Authors: Sanders MR, Donohue PK, Oberdorf MA, Rosenkrantz TS, Allen MC
- Issue date: 1995 Nov-Dec
- Ensuring accurate knowledge of prematurity outcomes for prenatal counseling.
- Authors: Blanco F, Suresh G, Howard D, Soll RF
- Issue date: 2005 Apr