Management of the neonate at the limits of viability: the Dutch viewpoint
Article first published online: 19 DEC 2006
BJOG: An International Journal of Obstetrics & Gynaecology
Special Issue: Reducing the Burden of Prematurity: New Advances and Practical Challenges
Volume 113, Issue Supplement s3, pages 13–16, December 2006
How to Cite
Verloove-Vanhorick, S. (2006), Management of the neonate at the limits of viability: the Dutch viewpoint. BJOG: An International Journal of Obstetrics & Gynaecology, 113: 13–16. doi: 10.1111/j.1471-0528.2006.01119.x
- Issue published online: 19 DEC 2006
- Article first published online: 19 DEC 2006
- Accepted 8 September 2006.
- preterm delivery;
Due to ever-improving medical technology over the course of the last century, the limit of viability has been lowered from around 32 weeks of gestation, first to 28 weeks and, in recent decades, to as low as less than 24 weeks. Long-term follow-up studies (Project on Preterm and Small-for-Gestational-Age Infants, Leiden Follow-up Project on Prematurity, Epidemiological Project for ICU Research and Evaluation, Étude Epidémiologique sur les Petits Ages Gestationnels, Extremely Preterm Infants in Belgium), however, have shown high percentages of deaths and/or disabilities at lower gestational ages in surviving children. Many parents and children are burdened with lifelong iatrogenic disabilities. As a result, the Dutch Paediatric Association and the Dutch Society of Obstetrics and Gynaecology have laid down joint rules for the management of expected/threatened preterm delivery.