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]

Détails

ID Serval
serval:BIB_B17B9CBB9D28
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Synthèse (review): revue aussi complète que possible des connaissances sur un sujet, rédigée à partir de l'analyse exhaustive des travaux publiés.
Collection
Publications
Institution
Titre
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]
Périodique
Revue medicale suisse
Auteur(s)
Legardeur H., Beauport L., Vial Y., Roth-Kleiner M.
ISSN
1660-9379 (Print)
ISSN-L
1660-9379
Statut éditorial
Publié
Date de publication
19/02/2020
Peer-reviewed
Oui
Volume
16
Numéro
682
Pages
350-353
Langue
français
Notes
Publication types: Journal Article ; Review
Publication Status: ppublish
Résumé
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.
Mots-clé
Female, Gestational Age, Humans, Infant, Extremely Premature, Infant, Newborn, Obstetric Labor, Premature, Perinatal Care, Pregnancy, Premature Birth
Pubmed
Création de la notice
20/02/2020 15:24
Dernière modification de la notice
09/01/2021 6:26
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