P-Y Ancel1, G Breart2, H Bruel3, T Debillon4, C D'Ercole5, P Deruelle6, M Dreyfus7, L Foix-L'Helias8, F Goffinet9, P-H Jarreau8, P Kuhn10, B Langer11. 1. Paris, Société française de médecine périnatale, 75008 Paris, France. Electronic address: pierre-yves.ancel@inserm.fr. 2. Paris, Société française de médecine périnatale, 75008 Paris, France. 3. Le Havre, Société française de médecine périnatale, Société française de néonatologie, 76600 Le Havre, France. 4. Grenoble, Société française de médecine périnatale, Société française de néonatologie, 38000 Grenoble, France. 5. Marseille, Société française de médecine périnatale, Collège national des gynécologues et obstétriciens français, 13000 Marseille, France. 6. Strasbourg, Collège national des gynécologues obstétriciens français, 67000 Strasbourg, France. 7. Caen, Société française de médecine périnatale, Collège national des gynécologues et obstétriciens français, 14000 Caen, France. 8. Paris, Société française de néonatologie, 75008 Paris, France. 9. Paris, Société française de médecine périnatale, Collège national des gynécologues et obstétriciens français, 75008 Paris, France. 10. Strasbourg, Société française de néonatologie, 67000 Strasbourg, France. 11. Strasbourg, Société française de médecine périnatale, Collège national des gynécologues et obstétriciens français, 67000 Strasbourg, France.
Abstract
OBJECTIVES: International literature suggests that active perinatal management at extremely low gestational ages improves survival without increasing the risk of impairment in survivors, compared to less active management. Although these results are limited to a small number of countries, they question current practices in France. New propositions on perinatal management of extremely preterm infants have carried out by the French Society of Perinatal Medicine, the French Society of Neonatology and the National College of French Obstetricians and Gynecologists. METHODS: This group was set up in 2015 on the initiative of the professional societies and in collaboration with parents' and users' associations. The work was based on a review of the literature on the prognosis of extremely preterm children, as well as on recommendations by European societies. Based on this information, a text was produced, submitted to all members of the working group and definitively validated in April 2019. RESULTS: This text offers a decision-making guideline for the management at extremely low gestational ages. Its principles are: the administration of steroids independently of management (resuscitation or comfort care); a prognostic evaluation and a collegial decision, outside the context of the emergency; a consensus on the information to be given to parents before going to inform them and gather their opinion. CONCLUSIONS: These new propositions will contribute to modifying perinatal care at extremely low gestational ages in France.
OBJECTIVES: International literature suggests that active perinatal management at extremely low gestational ages improves survival without increasing the risk of impairment in survivors, compared to less active management. Although these results are limited to a small number of countries, they question current practices in France. New propositions on perinatal management of extremely preterm infants have carried out by the French Society of Perinatal Medicine, the French Society of Neonatology and the National College of French Obstetricians and Gynecologists. METHODS: This group was set up in 2015 on the initiative of the professional societies and in collaboration with parents' and users' associations. The work was based on a review of the literature on the prognosis of extremely preterm children, as well as on recommendations by European societies. Based on this information, a text was produced, submitted to all members of the working group and definitively validated in April 2019. RESULTS: This text offers a decision-making guideline for the management at extremely low gestational ages. Its principles are: the administration of steroids independently of management (resuscitation or comfort care); a prognostic evaluation and a collegial decision, outside the context of the emergency; a consensus on the information to be given to parents before going to inform them and gather their opinion. CONCLUSIONS: These new propositions will contribute to modifying perinatal care at extremely low gestational ages in France.
Authors: Andrei S Morgan; Jennifer Zeitlin; Karin Källén; Elizabeth S Draper; Karel Maršál; Mikael Norman; Fredrik Serenius; Stef van Buuren; Samantha Johnson; Valérie Benhammou; Véronique Pierrat; Monique Kaminski; Laurence Foix L'Helias; Pierre-Yves Ancel; Neil Marlow Journal: Acta Paediatr Date: 2021-09-12 Impact factor: 4.056
Authors: Nhung T H Trinh; Sophie de Visme; Jérémie F Cohen; Tim Bruckner; Nathalie Lelong; Pauline Adnot; Jean-Christophe Rozé; Béatrice Blondel; François Goffinet; Grégoire Rey; Pierre-Yves Ancel; Jennifer Zeitlin; Martin Chalumeau Journal: Lancet Reg Health Eur Date: 2022-03-01