Menace sévère d’accouchement entre 23 et 26 SA : algorithme de prise en charge obstétrico-néonatale au CHUV [Perinatal care for extremely preterm labor between 23 and 26 weeks : management in CHUV]

Details

Serval ID
serval:BIB_B17B9CBB9D28
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Menace sévère d’accouchement entre 23 et 26 SA : algorithme de prise en charge obstétrico-néonatale au CHUV [Perinatal care for extremely preterm labor between 23 and 26 weeks : management in CHUV]
Journal
Revue medicale suisse
Author(s)
Legardeur H., Beauport L., Vial Y., Roth-Kleiner M.
ISSN
1660-9379 (Print)
ISSN-L
1660-9379
Publication state
Published
Issued date
19/02/2020
Peer-reviewed
Oui
Volume
16
Number
682
Pages
350-353
Language
french
Notes
Publication types: Journal Article ; Review
Publication Status: ppublish
Abstract
Management of patients at high risk of extreme premature birth between 23 and 26 weeks should be performed by an experienced multidisciplinary team. In order to optimize guidance for couples with regard to this complex decision, we developed joint guidelines between obstetricians and neonatologists, in order to standardize practices and insure individualized care plans. Fetal outcome is not solely associated with gestational age but is multifactorial, and this should be considered when counseling parents. Thus, enhancement of fetal lung maturation, a major prognostic factor, should be promptly acted upon when delivery is anticipated. Antenatal corticosteroids should not be withheld while awaiting the parents' ultimate decision on neonatal care.
Keywords
Female, Gestational Age, Humans, Infant, Extremely Premature, Infant, Newborn, Obstetric Labor, Premature, Perinatal Care, Pregnancy, Premature Birth
Pubmed
Create date
20/02/2020 16:24
Last modification date
09/01/2021 7:26
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