Extreme Prematurity of Babies less than 26 weeks gestation 4
In the perinatal period there are complex and demanding decisions to be made at various stages which can be broadly categorised as:
- the care of a fetus and mother before the birth – including decisions on monitoring mode of delivery and administration of steroids and Magnesium Sulfate. Also see guideline AO23 on Trust Docs
- whether to resuscitate a newborn baby and admit him or her to neonatal intensive care.
- whether to continue invasive intensive care or replace active treatment with palliative care.
This guideline focuses mainly on the second point and aims to provide a pathway of care for the management of such babies based on consensus views best practice and available evidence in order to support clinicians faced with difficult decisions at times when immediate action may be required.
Clinical GuidelinesThis guideline has been approved by the Trust's Clinical Guidelines Assessment Panel as an aid to the diagnosis and management of relevant patients and clinical circumstances. Not every patient or situation fits neatly into a standard guideline scenario and the guideline must be interpreted and applied in practice in the light of prevailing clinical circumstances, the diagnostic and treatment options available and the professional judgement, knowledge and expertise of relevant clinicians. It is advised that the rationale for any departure from relevant guidance should be documented in the patient's case notes.
The Trust's guidelines are made publicly available as part of the collective endeavour to continuously improve the quality of healthcare through sharing medical experience and knowledge. The Trust accepts no responsibility for any misunderstanding or misapplication of this document.