Members of the Consensus Workshop Organising Committee are Kei Lui (chair), University of New South Wales and Royal Hospital for Women, Barbara Bajuk, NSW Neonatal Intensive Care Unit Data Collection (NICUS), Samantha Acking (consumer, NSW), Kirsty Foster, Royal Prince Alfred Hospital, Anne Casey (parent, Preemie-L), Kate Dyer and Paul Garvey, Royal Hospital for Women, Alison Kent, The Canberra Hospital, John Sinn, Westmead Hospital, Lynne Downe, Nepean Hospital, Keith Hollebone, Tamworth Hospital, John Keogh, Hornsby Hospital, Gaston Arnolda, Wendy Fischer and David Henderson-Smart, NSW Pregnancy and Newborn Services Network, Kaye Spence, Children’s Hospital at Westmead.
Collaborative decision-making for extreme premature delivery
Version of Record online: 23 MAY 2007
Journal of Paediatrics and Child Health
Volume 43, Issue 6, pages 489–491, June 2007
How to Cite
Kent, A. L., Casey, A., Lui, K. and for the NSW and ACT Perinatal Care at the Borderlines of Viability Consensus Workshop Committee (2007), Collaborative decision-making for extreme premature delivery. Journal of Paediatrics and Child Health, 43: 489–491. doi: 10.1111/j.1440-1754.2007.01118.x
- Issue online: 23 MAY 2007
- Version of Record online: 23 MAY 2007
- Accepted for publication 5 February 2007.
- clinical framework;
- extreme prematurity
Abstract: A multidisciplinary workshop with parent/consumer involvement was held to determine a consensus in the difficult arena of perinatal care of women and babies at the borderlines of viability. Interactive forums produced consensus statements following an extensive consultation process. A grey zone between 230 and 256 weeks of gestation was identified and agreed upon. In this grey zone, while there was an increasing obligation to treat, it was acceptable not to initiate intensive care following appropriate counselling with parents. Important areas identified before birth, were continuing communication between the perinatal team and parents, a review of choice with continued counselling, decision support and empathy. The process must be transparent, open and honest, using the most relevant up to date outcome data in a collaborative framework.