Prise en charge de la prématurité extrême. Réflexions du département hospitalo-universitaire (DHU) « risques et grossesse »
| Autor: | Marie-Charlotte Lamau, M. Rajguru-Kasemi, Olivia Anselem, Sandrine Ménard, Dominique Luton, C. Huon, F. Autret, C. Crenn-Hebert, Elie Azria, Gilles Kayem, Pierre-Henri Jarreau, Luc Desfrere, Juliana Patkai, François Goffinet, V. Tessier, L. Boujenah, L. Allal, G. Girard, H. Legardeur |
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| Rok vydání: | 2017 |
| Předmět: |
Pregnancy
Extremely premature business.industry Perinatal care Gestational age Fetal weight medicine.disease 03 medical and health sciences 0302 clinical medicine Steroid therapy Multidisciplinary approach 030225 pediatrics Intensive care Pediatrics Perinatology and Child Health medicine 030212 general & internal medicine Medical emergency business |
| Zdroj: | Archives de Pédiatrie. 24:1287-1292 |
| ISSN: | 0929-693X |
| DOI: | 10.1016/j.arcped.2017.09.006 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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