Published online May 2, 2005
PEDIATRICS Vol. 115 No. 5 May 2005, pp. 1392-1396 (doi:10.1542/peds.2004-1989)
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SPECIAL ARTICLE

Executive Summary of the Workshop on the Border of Viability

Rosemary D. Higgins, MD*, Maria Delivoria-Papadopoulos, MD{ddagger} and Tonse N.K. Raju, MD*

* Pregnancy and Perinatology Branch, Center for Developmental Biology and Perinatal Medicine, National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, Maryland
{ddagger} Department of Pediatrics, St Christopher's Hospital for Children, Drexel University College of Medicine, Philadelphia, Pennsylvania

One of the most complex areas in perinatal-neonatal medicine remains the care of the mother delivering a newborn infant at the border of viability, referred to as "periviable" gestation. To address the knowledge gaps that preclude optimal, evidence-based care in this critical field of perinatal medicine, the National Institute of Child Health and Human Development organized a workshop in March 2004. This article provides a summary of the discussions, focusing on major knowledge gaps and prioritized suggestions for studies in this area.

Key Words: prematurity • fetal death • cerebral palsy • neonatal resuscitation • intensive care • ethics

Accepted Sep 13, 2004.




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