The tremendous advances in perinatal and neonatal care thatwere made beginning in the 1970s and through the 1990s havecontributed to the survival of infants as immature as 22 to25 weeks of gestational age.1,2,3,4 According to current guidelinesdeveloped by the American Academy of Pediatrics for the useof neonatologists when counseling parents,5 it is consideredappropriate not to initiate resuscitation for infants youngerthan 23 weeks of gestational age or those whose birth weightis less than 400 g, given the dismal prognosis for these infants.The involvement of the family is considered critical to thedecision-making . . . [Full Text of this Article]
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From Women and Infants Hospital, Providence, R.I. (B.R.V.); and Johns Hopkins Hospital, Baltimore (M.A.).
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