AMERICAN ACADEMY OF PEDIATRICS |
Perinatal Care at the Threshold of Viability
In the United States, an increase in the number of births of extremely preterm infants and in their survival potential has occurred over the last decade. Determining the survival prognosis for the infant of a pregnancy with threatened preterm delivery between 22 and 25 completed weeks of gestation remains problematic. Many physicians and families encounter the difficulty of making decisions regarding the institution and continuation of life support for an infant born within this threshold period. This report addresses the process of counseling, assisting, and supporting families faced with the dilemma of an extremely preterm delivery.
The following policy statement is a revision:
- Antenatal Counseling Regarding Resuscitation at an Extremely Low Gestational Age
- and
Pediatrics 124: 422-427.[Full Text]
The following policy statement has been revised:
- Perinatal Care at the Threshold of Viability
- , , , and
Pediatrics 96: 974-976.
This article has been cited by other articles:
![]() |
D. G. Batton and Committee on Fetus and Newborn Antenatal Counseling Regarding Resuscitation at an Extremely Low Gestational Age Pediatrics, July 1, 2009; 124(1): 422 - 427. [Abstract] [Full Text] [PDF] |
||||
![]() |
J. C. Partridge and B. J. Dickey Decision-making in Neonatal Intensive Care: Interventions on Behalf of Preterm Infants NeoReviews, June 1, 2009; 10(6): e270 - e279. [Abstract] [Full Text] [PDF] |
||||
![]() |
E. D. Kinney The corporate transformation of medical specialty care: the exemplary case of neonatology. J. Law Med. Ethics, December 1, 2008; 36(4): 790 - 802. [PDF] |
||||
![]() |
M. H. Malloy Impact of Cesarean Section on Neonatal Mortality Rates Among Very Preterm Infants in the United States, 2000-2003 Pediatrics, August 1, 2008; 122(2): 285 - 292. [Abstract] [Full Text] [PDF] |
||||
![]() |
M. F. Haward, R. O. Murphy, and J. M. Lorenz Message Framing and Perinatal Decisions Pediatrics, July 1, 2008; 122(1): 109 - 118. [Abstract] [Full Text] [PDF] |
||||
![]() |
A. Janvier, K. Barrington, M. Deschenes, E. Couture, S. Nadeau, and J. Lantos Relationship Between Site of Training and Residents' Attitudes About Neonatal Resuscitation Arch Pediatr Adolesc Med, June 1, 2008; 162(6): 532 - 537. [Abstract] [Full Text] [PDF] |
||||
![]() |
J. E. Tyson, N. A. Parikh, J. Langer, C. Green, R. D. Higgins, and the National Institute of Child Health and Human D Intensive Care for Extreme Prematurity -- Moving beyond Gestational Age N. Engl. J. Med., April 17, 2008; 358(16): 1672 - 1681. [Abstract] [Full Text] [PDF] |
||||
![]() |
M. S. Pignotti and G. Donzelli Perinatal Care at the Threshold of Viability: An International Comparison of Practical Guidelines for the Treatment of Extremely Preterm Births Pediatrics, January 1, 2008; 121(1): e193 - e198. [Abstract] [Full Text] [PDF] |
||||
![]() |
M. S. Pignotti, G. Scarselli, I. Barberi, M. Barni, G. Bevilacqua, F. Branconi, G. Bucci, M. Campogrande, P. Curiel, R. Di Iorio, et al. Perinatal care at an extremely low gestational age (22 25 weeks). An Italian approach: the "Carta di Firenze" Arch. Dis. Child. Fetal Neonatal Ed., November 1, 2007; 92(6): F515 - F516. [Full Text] [PDF] |
||||
![]() |
Committee on Fetus and Newborn Noninitiation or Withdrawal of Intensive Care for High-Risk Newborns Pediatrics, February 1, 2007; 119(2): 401 - 403. [Abstract] [Full Text] [PDF] |
||||
![]() |
B. Luke and M. B. Brown The Changing Risk of Infant Mortality by Gestation, Plurality, and Race: 1989-1991 Versus 1999-2001 Pediatrics, December 1, 2006; 118(6): 2488 - 2497. [Abstract] [Full Text] [PDF] |
||||
![]() |
J. P. Lavin Jr, A. Kantak, J. Ohlinger, J. W. Kaempf, M. Tomlinson, B. Campbell, O. Fofah, W. Edwards, K. Allbright, E. Hagen, et al. Attitudes of Obstetric and Pediatric Health Care Providers Toward Resuscitation of Infants Who Are Born at the Margins of Viability Pediatrics, November 1, 2006; 118(Supplement_2): S169 - S176. [Abstract] [Full Text] [PDF] |
||||
![]() |
S. A. Sayeed The Marginally Viable Newborn: Legal Challenges, Conceptual Inadequacies, and Reasonableness J. Law Med. Ethics, September 1, 2006; 34(3): 600 - 610. [PDF] |
||||
![]() |
J. W. Kaempf and M. W. Tomlinson Advocating for the Very Preterm Infant: In Reply Pediatrics, July 1, 2006; 118(1): 430 - 432. [Full Text] [PDF] |
||||
![]() |
J. W. Kaempf, M. Tomlinson, C. Arduza, S. Anderson, B. Campbell, L. A. Ferguson, M. Zabari, and V. T. Stewart Medical Staff Guidelines for Periviability Pregnancy Counseling and Medical Treatment of Extremely Premature Infants Pediatrics, January 1, 2006; 117(1): 22 - 29. [Abstract] [Full Text] [PDF] |
||||
![]() |
N. Ambalavanan, W. A. Carlo, G. Bobashev, E. Mathias, B. Liu, K. Poole, A. A. Fanaroff, B. J. Stoll, R. Ehrenkranz, L. L. Wright, et al. Prediction of Death for Extremely Low Birth Weight Neonates Pediatrics, December 1, 2005; 116(6): 1367 - 1373. [Abstract] [Full Text] [PDF] |
||||
![]() |
F. Clark Baby Doe Rules: In Reply Pediatrics, December 1, 2005; 116(6): 1601 - 1601. [Full Text] [PDF] |
||||
![]() |
G E Quinn ROP and neurodevelopmental disabilities Br. J. Ophthalmol., December 1, 2005; 89(12): 1547 - 1547. [Full Text] [PDF] |
||||
![]() |
S. A. Sayeed Baby Doe Redux? The Department of Health and Human Services and the Born-Alive Infants Protection Act of 2002: A Cautionary Note on Normative Neonatal Practice Pediatrics, October 1, 2005; 116(4): e576 - e585. [Abstract] [Full Text] [PDF] |
||||
![]() |
T. K. Bastek, D. K. Richardson, J. A.F. Zupancic, and J. P. Burns Prenatal Consultation Practices at the Border of Viability: A Regional Survey Pediatrics, August 1, 2005; 116(2): 407 - 413. [Abstract] [Full Text] [PDF] |
||||
![]() |
T. Markestad, P. I. Kaaresen, A. Ronnestad, H. Reigstad, K. Lossius, S. Medbo, G. Zanussi, I. E. Engelund, R. Skjaerven, L. M. Irgens, et al. Early Death, Morbidity, and Need of Treatment Among Extremely Premature Infants Pediatrics, May 1, 2005; 115(5): 1289 - 1298. [Abstract] [Full Text] [PDF] |
||||
![]() |
R. D. Higgins, M. Delivoria-Papadopoulos, and T. N.K. Raju Executive Summary of the Workshop on the Border of Viability Pediatrics, May 1, 2005; 115(5): 1392 - 1396. [Abstract] [Full Text] [PDF] |
||||
![]() |
F. Blanco, G. Suresh, D. Howard, and R. F. Soll Ensuring Accurate Knowledge of Prematurity Outcomes for Prenatal Counseling Pediatrics, April 1, 2005; 115(4): e478 - e487. [Abstract] [Full Text] [PDF] |
||||
![]() |
J. Singh, J. Lantos, and W. Meadow End-of-Life After Birth: Death and Dying in a Neonatal Intensive Care Unit Pediatrics, December 1, 2004; 114(6): 1620 - 1626. [Abstract] [Full Text] [PDF] |
||||
![]() |
P. Vanhaesebrouck, K. Allegaert, J. Bottu, C. Debauche, H. Devlieger, M. Docx, A. Francois, D. Haumont, J. Lombet, J. Rigo, et al. The EPIBEL Study: Outcomes to Discharge From Hospital for Extremely Preterm Infants in Belgium Pediatrics, September 1, 2004; 114(3): 663 - 675. [Abstract] [Full Text] [PDF] |
||||
![]() |
J. Kattwinkel and R. Boyle Is the Glass 10% Empty or 90% Full? Pediatrics, June 1, 2004; 113(6): 1846 - 1847. [Full Text] |
||||
![]() |
J. M. Lorenz Compassion and Perplexity Pediatrics, February 1, 2004; 113(2): 403 - 404. [Full Text] [PDF] |
||||
![]() |
G. Verlato, D. Gobber, D. Drago, L. Chiandetti, and P. Drigo Guidelines for Resuscitation in the Delivery Room of Extremely Preterm Infants J Child Neurol, January 1, 2004; 19(1): 31 - 34. [Abstract] [PDF] |
||||
![]() |
L. P. Halamek Prenatal Consultation at the Limits of Viability NeoReviews, June 1, 2003; 4(6): e153 - 156. [Full Text] [PDF] |
||||
![]() |
D. Boyle, W. A. Carlo, J. Goldsmith, L. Halamek, J. Perlman, T. E. Wiswell, J. Kattwinkel, W. Engle, J. L. Gonzalez, N. Singhal, et al. Born-Alive Infants Protection Act of 2001, Public Law No. 107-207 Pediatrics, March 1, 2003; 111(3): 680 - 681. [Full Text] [PDF] |
||||












