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Management of babies born extremely preterm at less than 26 weeks of gestation: a framework for clinical practice at the time of birth

2008; BMJ; Volume: 94; Issue: 1 Linguagem: Inglês

10.1136/adc.2008.143321

1468-2052

A R Wilkinson, J. S. Ahluwalia, Andy Cole, Doreen Crawford, Janet Fyle, Ali P. Gordon, J Moorcraft, Tom Pollard, Tonya Roberts,

Congenital Diaphragmatic Hernia Studies

This is not a set of instructions, but a framework to highlight the range of evidence and opinion that needs to be considered by staff and parents. Care of the mother, her fetus and the baby will always need to be individualised and should be led by senior staff in all disciplines. The parents’ hopes and expectations need to be explored with honesty and compassion in a realistic way, drawing upon the available evidence. Communication and agreed plans must be documented in full and signed legibly. These plans may need to be revised frequently.