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Obstetric Care Consensus No. 4 Summary

Periviable Birth

Author Information
doi: 10.1097/AOG.0000000000001477
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Abstract

Clinical Management Questions

  • What tools are available to obstetrician–gynecologists, other obstetric providers, and families to predict outcomes of periviable birth?
  • What are the limitations of these tools and how should this information be incorporated into family counseling?
  • What are the considerations of periviable delivery for maternal health?
  • What obstetric and pediatric resources should be available in institutions that provide care for periviable birth? When should transport occur, if needed?
  • What are the benefits and risks of obstetric interventions for anticipated or inevitable periviable birth?
  • How should information regarding potential maternal and newborn interventions and outcomes be presented to facilitate family decision making?
Recommendations for Periviable Birth
Table 3-a
Table 3-a:
General Guidance Regarding Obstetric Interventions for Threatened and Imminent Periviable Birth by Best Estimate of Gestational Age*
Table 3-b
Table 3-b:
General Guidance Regarding Obstetric Interventions for Threatened and Imminent Periviable Birth by Best Estimate of Gestational Age*
Figure
Figure
© 2016 by The American College of Obstetricians and Gynecologists. Published by Wolters Kluwer Health, Inc. All rights reserved.