Does It Matter if This Baby Is 22 or 23 Weeks?

Pediatrics
Annie JanvierJohn D Lantos

Abstract

A 530-g girl born at 22 weeks and 6 days' gestation (determined by an ultrasound at 11 weeks) was admitted to the NICU. Her mother had received prenatal steroids. At 12 hours of age, she was stable on low ventilator settings. Her blood pressure was fine. Her urine output was good. After counseling, her parents voiced understanding of the risks and wanted all available life-supporting measures. Many nurses were distressed that doctors were trying to save a "22-weeker." In the past, 4 infants born at 22 weeks' gestation had been admitted to that NICU, and all had died. The attending physician on call had to deal with many sick infants and the nurses' moral distress.

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Citations

Oct 6, 2020·Frontiers in Pediatrics·Manisha Mills, DonnaMaria E Cortezzo
Aug 4, 2020·American Journal of Obstetrics and Gynecology·Carl H BackesHeather A Frey
Jan 28, 2021·HEC Forum : an Interdisciplinary Journal on Hospitals' Ethical and Legal Issues·Georgina Morley, Cristie Cole Horsburgh
Apr 16, 2021·Archives of Disease in Childhood·John D Lantos

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