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Delivery room decision-making for extremely preterm infants in Sweden
Örebro University, Department of Clinical Medicine.
2006 (English)In: Pediatrics, ISSN 0031-4005, Vol. 117, no 6, 1988-1995 p.Article in journal (Refereed) Published
Abstract [en]

OBJECTIVE: To assess neonatologists' attitudes and practices regarding treatment of extremely preterm infants in the delivery room, particularly in response to parental wishes. STUDY DESIGN: Cross-sectional survey of all neonatologists in Sweden registered with the Swedish Pediatric Society. RESULTS: The response rate was 71% (88 of 124 neonatologists). At 24[1/7] to 24[6/7] weeks of gestation, 68% of neonatologists considered treatment clearly beneficial; at 25[1/7] to 25[6/7] weeks of gestation, 93% considered it clearly beneficial. When respondents consider treatment clearly beneficial, 97% reported that they would resuscitate in the delivery room despite parental requests to withhold treatment. At or below 23[0/7] weeks of gestation, 94% of neonatologists considered treatment futile. Nineteen percent reported that they would provide what they consider futile treatment at parental request. When respondents consider treatment to be of uncertain benefit, 99% reported that they would resuscitate when parents request it, 99% reported that they would resuscitate when parents are unsure, and 25% reported that they would follow parental requests to withhold treatment. CONCLUSION: Although neonatologists' attitudes and practices varied, respondents to our survey in general envisioned little parental role in delivery room decision-making for extremely preterm infants.

Place, publisher, year, edition, pages
2006. Vol. 117, no 6, 1988-1995 p.
National Category
Other Medical Sciences not elsewhere specified Medical and Health Sciences Other Medical Sciences not elsewhere specified
Research subject
Medicine
Identifiers
URN: urn:nbn:se:oru:diva-5545DOI: 10.1542/peds.2005-1885OAI: oai:DiVA.org:oru-5545DiVA: diva2:160278
Available from: 2009-02-12 Created: 2009-02-12 Last updated: 2010-12-06Bibliographically approved

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Publisher's full texthttp://www.ncbi.nlm.nih.gov/pubmed/16740840?ordinalpos=11&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_DefaultReportPanel.Pubmed_RVDocSum

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CiteExportLink to record
Permanent link

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Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
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  • Other locale
More languages
Output format
  • html
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  • asciidoc
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