Extreme prematurity and perinatal management

M R C O G PA R T 2 · S O S P O C K E T C A R D · K N O W L E D G E A R E A 5 – A N T E N ATA L C A R E

Extreme Prematurity and Perinatal Management David AL, Soe A. Extreme prematurity and perinatal management. TOG 2018;20:109–117. doi:10.1111/tog.12475

2 5 MDT LEARNING OBJECTIVES IN SOURCE NAMED OBSTETRIC INTERVENTIONS CITED MULTIDISCIPLINARY CONSENSUS REQUIRED

DO N' T-M IS S FA C TS

1. Threshold-of-viability delivery decisions require MDT consensus (neonatal + obstetric team) with fully informed parents

2. Five key obstetric interventions affecting outcomes: steroids, magnesium sulphate, tocolysis, fetal monitoring in labour, mode of delivery

3. Malpresentation is common at extreme preterm gestations – plan delivery mode with parents before labour

4. Core ethical dilemma: fetal heart monitoring, caesarean section and resuscitation decisions when outcomes are likely poor

ABSTRACT-ONLY SOURCE

Full text not retrieved – verify against original TOG article

ABBREVIATION KEY

TOG — The Obstetrician & Gynaecologist MDT — multidisciplinary team

Notes prepared from David AL, Soe A. The Obstetrician & Gynaecologist 2018;20:109–117 · doi:10.1111/tog.12475 · Based on abstract-level source content only – full text could not be retrieved; verify against the original TOG article for additional detail.

Source: The Obstetrician & Gynaecologist (TOG), RCOG journal — David AL, Soe A. Extreme prematurity and perinatal management. TOG 2018;20:109–117. doi:10.1111/tog.12475

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