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Development of Nationwide Recommendations to Support Prenatal Counseling in Extreme Prematurity

Geurtzen, Rosa; van Heijst, Arno F. J.; Draaisma, Jos M. T.; Kuijpers, Lindie J. M. K.; Woiski, Mallory; Scheepers, Hubertina C. J.; van Kaam, Anton H.; Oudijk, Martijn A.; Lafeber, Harrie N.; Bax, Caroline J.; Koper, Jan F.; Duin, Leonie K.; van der Hoeven, Marc A.; Kornelisse, René F.; Duvekot, Johannes J.; Andriessen, Peter; van Runnard Heimel, Pieter J.; van der Heide-Jalving, Marja; Bekker, Mireille N.; Mulder-de Tollenaer, Susanne M.; van Eyck, Jim; Eshuis-Peters, Ellis; Graatsma, Margo; Hermens, Rosella P. M. G.; Hogeveen, Marije

Obstetrical & Gynecological Survey: November 2019 - Volume 74 - Issue 11 - p 639–641
doi: 10.1097/01.ogx.0000604496.36351.f9
OBSTETRICS: OBSTETRICAL COMPLICATIONS
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(Abstracted from Pediatrics 2019;143(6):e20183253)

Guidelines on management of extreme prematurity differ regarding the lowest limits of gestation for which active support can or should be offered the recommendations for the role of parents in the decision making. In addition, the use of gestational age (GA) as a cutoff has been debated because other factors also determine prenatal outcome.

Departments of Neonatology and Pediatrics (R.G., A.F.J.v.H., J.M.T.D., L.J.M.K.K., M.H.), and Obstetrics and Gynecology (M.W.), Amalia Children's Hospital, Radboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen; Department of Obstetrics and Gynecology, Maastricht University Medical Center+, Maastricht (H.C.J.S.); Department of Neonatology, Emma Children's Hospital (A.H.v.K.), and Department of Obstetrics and Gynecology (M.A.O.), Amsterdam University Medical Center and University of Amsterdam; Departments of Neonatology (H.N.L.), and Obstetrics and Gynecology (C.J.B.), Vrije Universteit Medical Center and Vrije Universteit Amsterdam, Amsterdam; Departments of Neonatology (J.F.K.), and Obstetrics, Gynecology, and Prenatal Diagnosis (L.K.D.), University Medical Center Groningen and University of Groningen, Groningen; Department of Neonatology, Maastricht University Medical Center+, Maastricht (M.A.v.d.H.); Department of Neonatology, Sophia Children's Hospital (R.F.K.), and Department of Obstetrics and Gynecology (J.J.D.), Erasmus University Medical Center, Rotterdam; Departments of Neonatology (P.A.), and Obstetrics and Gynecology (P.J.v.R.H.), Máxima Medical Centre, Veldhoven; Departments of Neonatology (M.v.d.H.-J.), and Obstetrics and Gynecology (M.N.B.), Wilhelmina Children's Hospital, University Medical Centre, Utrecht; Departments of Neonatology (S.M.M.-d.T.), and Obstetrics and Gynecology (J.v.E.), Isala Woman and Children's Hospital Zwolle, Zwolle; Divisions of Neonatology (E.E.-P.), and Obstetrics and Gynecology (M.G.), Department of Pediatrics, Leiden University Medical Center, Leiden; and Scientific Institute for Quality of Care, Radboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen (R.P.M.G.H.), the Netherlands

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