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Consider active management for premature babies born at 22 weeks, says new guidance

BMJ 2019; 367 doi: https://doi.org/10.1136/bmj.l6151 (Published 23 October 2019) Cite this as: BMJ 2019;367:l6151
  1. Elisabeth Mahase
  1. The BMJ

Doctors working in neonatology should consider stabilisation and resuscitation for all babies born from 22 weeks’ gestation, a week earlier than previously advised, says new guidance from the British Association of Perinatal Medicine (BAPM).1

The change in the Framework for Practice guidance reflects steady improvements made in neonatal and obstetric care over the past decade that have increased survival rates among the most premature babies.

The association said that four in 10 babies born at 23 weeks and receiving treatment in UK neonatal units were now expected to survive, compared with only two in 10 in 2008, when the last guidance was released. However, it warned that, although overall outcomes were improving, some premature infants were still at …

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