Perinatal care for extremely preterm infants. Considerations of the "risks in pregnancy" department

被引：5

作者：

Jarreau, P. -H. ^{[1
,2
]}

Allal, L. ^{[1
,3
]}

Autret, F. ^{[1
,4
]}

Azria, E. ^{[1
,5
]}

Anselem, O. ^{[1
,6
]}

Boujenah, L. ^{[1
,4
]}

Crenn-Hebert, C. ^{[1
,7
]}

Desfrere, L. ^{[1
,8
]}

Girard, G. ^{[1
,7
]}

Goffinet, F. ^{[1
,6
]}

Huon, C. ^{[1
,8
]}

Kayem, G. ^{[1
,7
]}

Lamau, M. -C. ^{[1
,6
]}

Legardeur, H. ^{[1
,7
]}

Luton, D. ^{[1
,9
]}

Menard, S. ^{[1
,6
]}

Patkai, J. ^{[1
,2
]}

Rajguru-Kasemi, M. ^{[1
,3
]}

Tessier, V. ^{[1
]}

机构：

[1] DHU Risques & Grossesse, 53 Ave Observ, F-75014 Paris, France

[2] Univ Paris 05, Hop Cochin,AP HP, Hop Univ Paris Ctr, Serv Med & Reanimat Neonatales Port Royal, 53 Ave Observ, F-75014 Paris, France

[3] Hop Univ Paris Nord Val de Seine, Hop Bichat Claude Bernard, AP HP, Unite Neonatol, 46 Rue Henri Huchard, F-75018 Paris, France

[4] Hop Paris St Joseph, Serv Neonatol, 185 Rue Raymond Losserand, F-75014 Paris, France

[5] Univ Paris 05, Hop Paris St Joseph, Matern Notre Dame Bon Secours, 185 Rue Raymond Losserand, F-75014 Paris, France

[6] Univ Paris 05, Hop Cochin,Hop Univ Paris Ctr, AP HP, Matern Port Royal, 53 Ave Observ, F-75014 Paris, France

[7] Univ Paris Diderot, Hop Univ Paris Nord Val de Seine, Hop Louis Mourier,AP HP, Matern Louis Mourier, 178 Rue Renouillers, F-92700 Colombes, France

[8] Hop Louis Mourier, Hop Univ Paris Nord Val de Seine, AP HP, Serv Neonatol, 178 Rue Renouillers, F-92700 Colombes, France

[9] Univ Paris Diderot, Hop Univ Paris Nord Val de Seine, Hop Beaujon,AP HP, Matern Bichat & Beaujon, 700 Blvd Gen Leclerc, F-92110 Clichy, France

来源：

ARCHIVES DE PEDIATRIE | 2017年 / 24卷 / 12期

关键词：

POPULATION-BASED COHORT; LOW-BIRTH-WEIGHT; CHILDREN BORN; SURVIVAL; MANAGEMENT; GESTATION; MORBIDITY; VIABILITY; DELIVERY; OUTCOMES;

D O I：

10.1016/j.arcped.2017.09.006

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

Decisions regarding whether to initiate or forgo intensive care for extremely premature infants are often based on gestational age alone. However, other factors also affect the prognosis for these patients and must be taken into account. After a short review of these factors, we present the thoughts and proposals of the Risks and Pregnancy department. The proposals are to limit emergency decisions, to better take into account other factors than gestational age and prenatal predicted fetal weight in assessing the prognosis, to introduce multidisciplinary consultation in the evaluation and proposals that will be discussed with the parents, and to separate prenatal steroid therapy from decision-making regarding whether or not to administer intensive care. (C) 2017 Elsevier Masson SAS. All rights reserved.

引用

页码：1287 / 1292

页数：6

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