Prise en charge de la prématurité extrême. Réflexions du département hospitalo-universitaire (DHU) « risques et grossesse » [Perinatal care for extremely preterm infants. Considerations of the "risks in pregnancy" department]

Details

Serval ID
serval:BIB_3998B1134685
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Prise en charge de la prématurité extrême. Réflexions du département hospitalo-universitaire (DHU) « risques et grossesse » [Perinatal care for extremely preterm infants. Considerations of the "risks in pregnancy" department]
Journal
Archives de pediatrie
Author(s)
Jarreau P.H., Allal L., Autret F., Azria E., Anselem O., Boujenah L., Crenn-Hebert C., Desfrere L., Girard G., Goffinet F., Huon C., Kayem G., Lamau M.C., Legardeur H., Luton D., Menard S., Patkai J., Rajguru-Kasemi M., Tessier V.
ISSN
1769-664X (Electronic)
ISSN-L
0929-693X
Publication state
Published
Issued date
12/2017
Peer-reviewed
Oui
Volume
24
Number
12
Pages
1287-1292
Language
french
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
Decisions regarding whether to initiate or forgo intensive care for extremely premature infants are often based on gestational age alone. However, other factors also affect the prognosis for these patients and must be taken into account. After a short review of these factors, we present the thoughts and proposals of the Risks and Pregnancy department. The proposals are to limit emergency decisions, to better take into account other factors than gestational age and prenatal predicted fetal weight in assessing the prognosis, to introduce multidisciplinary consultation in the evaluation and proposals that will be discussed with the parents, and to separate prenatal steroid therapy from decision-making regarding whether or not to administer intensive care.
Keywords
Algorithms, Female, Humans, Infant, Extremely Premature, Infant, Newborn, Perinatal Care, Pregnancy, Risk Factors
Pubmed
Web of science
Create date
13/12/2021 13:20
Last modification date
14/12/2021 6:33
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