Faculty, Staff and Student Publications

Language

English

Publication Date

11-1-2025

Journal

Seminars in Perinatology

DOI

10.1016/j.semperi.2025.152155

PMID

41062352

Abstract

As survival rates of extremely preterm (EPT) infants continue to improve, focus has shifted to reduce morbidity and complications in these vulnerable patients. Management of EPT infants presents significant clinical, logistical, and sometimes ethical challenges. Outcomes across centers are highly variable and strongly influenced by the care provided in the early neonatal period. Standardized guidelines, based on published literature and center-specific experiences, play an important role in improving outcomes for EPT infants. Multidisciplinary guidelines provide a framework for clinical management and support a consistent care approach. Guidelines can improve care throughout the entire neonatal intensive care unit (NICU) course, beginning prior to delivery during antenatal counseling, delivery room management, golden hour, and throughout the NICU stay as infants' needs evolve based on physiologic changes.

Keywords

Humans, Infant, Newborn, Practice Guidelines as Topic, Infant, Extremely Premature, Intensive Care Units, Neonatal, Intensive Care, Neonatal, Female, Pregnancy, Infant, Small for Gestational Age, Extremely preterm infant, Guidelines, Neonatal intensive care unit, Neonate, Preterm infant

Published Open-Access

yes

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