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Håkansson et al1 report in this issue of Pediatrics a population-based retrospective cohort study of mortality and morbidity during the first year of life in Swedish infants 22 to 27 weeks’ gestation with 2 different perinatal management strategies in the 1990s. In the southern region of the country, active obstetric intervention at ≤25 weeks’ gestation for fetal indications was restricted, and the approach to resuscitation of these infants was individualized. In the northern region, the approach to births ≤25 weeks’ gestation was proactive: a greater proportion of these births were managed in level III perinatal centers and delivered by cesarean section, a smaller proportion of infants had 1- and 5-minute Apgar scores <4, and mortality in the first 24 hours of life was …
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