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Re: viable vs nonviable fetusFrom: R. (anonymous@obgyn.net)Mon, 16 Nov 1998 12:49:45 -0600 (CST)
At Fri, 13 Nov 1998, ann wrote: > >I'm looking for info regarding resuscitative procedures (if any) that >should be taken on fetus approx 22 to 23 weeks gestation. I work in >rural area and wonder what generally occurs in teaching hospitals. >Opinions seem to range from aggressive attempts for family benefit to >simple free flow O2 to just allowing parents to hold infant until it >expires. Would greatly appreciate any input. This is one of those questions that has no one right answer. In general, the best thing to do is to sit down with the parents ahead of time and discuss the issues with them and explain risks and benefits. Then let them decide as best you and they can. If below 22 weeks, we just tell them that there is no chance whatever. If 22-23 weeks we say the chance is less than 1%. by 26 weeks we may be up to 10-30% and by 28 weeks up to 80-85% survival. That does not take into accunt the intactness of the survival.
--
R.Daniel Braun, MD FACOG
Clinical Professor of Obstetrics and Gynecology
Indiana University School of Medicine
Indianapolis, IN
"Heisenberg might have slept here."
Unknown or maybe Indecisive Unknown
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