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The Swedish Approach to Management of Extreme Prematurity at the Borderline of Viability: A Historical and Ethical Perspective
Umeå University, Faculty of Medicine, Department of Clinical Sciences, Paediatrics.
2018 (English)In: Pediatrics, ISSN 0031-4005, E-ISSN 1098-4275, Vol. 142, p. S533-S538Article in journal (Refereed) Published
Abstract [en]

Sweden has a long tradition of being at the forefront of the management of extremely preterm infants. In this article, we explore the historical background, ethical discussions, and evidence from national surveys combined with data from quality registers that form the background of the current Swedish guidelines for the care of extremely preterm infants. The current Swedish national guidelines suggest providing active care for preterm infants from 23 weeks' gestation and considering active care from 22 weeks' gestation. The survival of infants in gestational weeks 22 and 23 has increased and now exceed 50% and 60%, respectively; importantly, the Swedish proactive approach to care at the border of viability has not resulted in an increased proportion of functional impairment among survivors.

Place, publisher, year, edition, pages
2018. Vol. 142, p. S533-S538
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Research subject
Pediatrics
Identifiers
URN: urn:nbn:se:umu:diva-158929DOI: 10.1542/peds.2018-0478CPubMedID: 30171138OAI: oai:DiVA.org:umu-158929DiVA, id: diva2:1315945
Note

Suppl 1

Available from: 2019-05-15 Created: 2019-05-15 Last updated: 2019-05-16Bibliographically approved

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Domellöf, Magnus

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  • nn-NB
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  • Other locale
More languages
Output format
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  • asciidoc
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