Initial resuscitation and stabilization of the periviable neonate: the Golden-Hour approach [0.03%]
围产儿复苏与稳定黄金时间法
Myra H Wyckoff
Myra H Wyckoff
There is a paucity of data to support recommendations for stabilization and resuscitation of the periviable neonate in the delivery room. The importance of delivery at a tertiary center with adequate experience, resuscitation team compositi...
Cody Arnold,Jon E Tyson
Cody Arnold
This review is presented in three segments: (1) important background concepts, (2) recent reports from regional geographically defined cohorts, and (3) prognosis research from the National Institutes of Health Neonatal Research Network. Ext...
Tonse N K Raju,Brian M Mercer
Tonse N K Raju
Sindhu K Srinivas
Sindhu K Srinivas
The potential delivery of an extremely premature infant presents a clinical situation that raises a complex combination of medical, social, ethical, religious, and economic issues. It is a unique medical encounter such that it is not all ab...
Frank A Chervenak,Laurence B McCullough
Frank A Chervenak
Ethics is an essential dimension of the management of periviable birth in both clinical practice and research. The goal of clinical care in periviable birth is to improve outcomes for current pregnant and fetal patients. The goal of researc...
Brian M Mercer
Brian M Mercer
The optimal mode of delivery when periviable birth is anticipated has been the subject of considerable discussion. Potentially, cesarean delivery could avert intrapartum fetal trauma and asphyxia and allow timed delivery to assure readiness...
Dwight J Rouse,Karen J Gibbins
Dwight J Rouse
Magnesium sulfate (MgSO4) has been shown to prevent cerebral palsy among children born to women at high risk of early preterm delivery. Three large, randomized placebo-controlled trials and a subsequent Cochrane Review suggest this interven...
Ronald J Wapner
Ronald J Wapner
Antenatal corticosteroids have been proven to accelerate fetal lung development and reduce neonatal morbidity and mortality when given between 28 and 34 weeks of gestation. However, there is only limited research to guide their use in the p...
Prevention of periviable birth: bed rest, tocolysis, progesterone, and cerclage [0.03%]
防治胎龄极小的活产：卧床休息、宫缩抑制药物、孕酮和缝合宫颈口
Edward K Chien
Edward K Chien
The periviable period is associated with a rapid improvement in both mortality and morbidity with increasing gestational age. Therapies that can prolong gestation have the potential for markedly improving outcome compared to later in pregna...
Gary D V Hankins,Luis D Pacheco,Tony Soo-Tung Wen
Gary D V Hankins
Assessments of gestational age are critical in dealing with the pregnancy at the limits of viability, 22-25-weeks gestation, where neonatal outcomes reveal very significant differences from week to week. The obstetrical team can estimate ge...