GuidelineActa paediatrica (Oslo, Norway : 1992)2026
Swiss Recommendations for the Perinatal Care of Extremely Low Gestational Age Neonates.
Guideline in Acta paediatrica (Oslo, Norway : 1992), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
1 citing paper in PubMed.
- Mortality and morbidity in very preterm infants in Switzerland spanning 16 years (2006-2021).BMJ paediatrics open · 2026Article
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimTo revise the 2011 Swiss recommendations for the perinatal care of extremely low gestational age neonates (ELGANs).
methodsBased on review of recent literature, experts from various medical specialties involved in the perinatal care of ELGANs made suggestions for revisions. Following discussions, changes accepted by the whole working group were incorporated into the revised manuscript.
resultsThe revised recommendations highlight the importance of individualised risk assessment and emphasise the importance of shared decision-making. While the care of preterm infants with a gestational age below 23 0/7 weeks should be limited to comfort-focused palliative care, risk assessment in preterm infants with a gestational age ≥ 23 0/7 weeks must be individualised by considering additional non-modifiable and modifiable risk factors; decision-making based on gestational age alone must be abandoned.
conclusionsManagement options for ELGANs will fall into three different trajectories. First, if survival-focused care is not in the patient's best interest, preference should be given to comfort-focused palliative care. Second, if survival-focused care clearly is in the patient's best interest, survival-focused care will be provided. Third, if the patient's best interest is uncertain, both survival-focused and comfort-focused palliative care can be considered and parental preferences must be explored, respected, and supported.
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