ArticleFrontiers in pediatrics2021
The Edge of Perinatal Viability: Understanding the Dutch Position.
Article in Frontiers in pediatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Global inequities in the survival of extremely preterm infants: a systematic review and meta-analysis.BMC pediatrics · 2025Pooled it
- Successful neonatal outcome after postmortem caesarean section at Sumbawanga Regional Referral Hospital, Rukwa, Tanzania: case report.BMC pregnancy and childbirth · 2026Article
- Article
- Stakeholder Perspectives on the Design of First-In-Human Trials for Artificial Amnion and Placenta Technology: A Qualitative Study.BJOG : an international journal of obstetrics and gynaecology · 2025Article
- Development of a parent decision support tool for surgical necrotising enterocolitis: a study protocol.BMJ open · 2024Article
- Maternal Migration Background and Mortality Among Infants Born Extremely Preterm.JAMA network open · 2023Article
- Extremely premature birth bioethical decision-making supported by dialogics and pragmatism.BMC medical ethics · 2023Article
- Two-year neurodevelopmental outcome in children born extremely preterm: the EPI-DAF study.Archives of disease in childhood. Fetal and neonatal edition · 2022Article
- Digital decision aid for prenatal counseling in imminent extreme premature labor: development and pilot testing.BMC medical informatics and decision making · 2022Article
- Decision-making in imminent extreme premature births: perceived shared decision-making, parental decisional conflict and decision regret.Journal of perinatology : official journal of the California Perinatal Association · 2021Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The current Dutch guideline on care at the edge of perinatal viability advises to consider initiation of active care to infants born from 24 weeks of gestational age on. This, only after extensive counseling of and shared decision-making with the parents of the yet unborn infant. Compared to most other European guidelines on this matter, the Dutch guideline may be thought to stand out for its relatively high age threshold of initiating active care, its gray zone spanning weeks 24 and 25 in which active management is determined by parental discretion, and a slight reluctance to provide active care in case of extreme prematurity. In this article, we explore the Dutch position more thoroughly. First, we briefly look at the previous and current Dutch guidelines. Second, we position them within the Dutch socio-cultural context. We focus on the Dutch prioritization of individual freedom, the abortion law and the perinatal threshold of viability, and a culturally embedded aversion of suffering. Lastly, we explore two possible adaptations of the Dutch guideline; i.e., to only lower the age threshold to consider the initiation of active care, or to change the type of guideline.
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