Affordable Access

deepdyve-link
Publisher Website

The Youngest Survivor with Gestational Age of 21⁵/₇ Weeks.

Authors
  • Sung, Se In1
  • Ahn, So Yoon1
  • Yoo, Hye Soo1
  • Chang, Yun Sil2
  • Park, Won Soon1
  • 1 Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. , (North Korea)
  • 2 Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. [email protected] , (North Korea)
Type
Published Article
Journal
Journal of Korean medical science
Publication Date
Jan 15, 2018
Volume
33
Issue
3
Identifiers
DOI: 10.3346/jkms.2018.33.e22
PMID: 29215809
Source
Medline
Keywords
License
Unknown

Abstract

The decision whether or not to resuscitate extremely low gestational age (GA) infants is recommended to be individualized according to antenatal counseling with parents, neonatologists, and obstetricians. A GA of 22⁰/₇-23⁶/₇ weeks is generally considered as the lower end of the range where infants can be candidates for selective resuscitation. Below this lower end of periviable gestation, resuscitation is usually not considered and survivors are rarely reported. To date, the youngest survivor is an infant with a GA of 21⁶/₇ weeks reported in the English medical literature. Here, we report the case of a female infant, the first twin conceived through in vitro fertilization, with a GA of 21⁵/₇ weeks, who was resuscitated initially according to strong parental wishes after antenatal counseling and is still surviving at 43 months of age with fairly good neurodevelopmental outcome.

Report this publication

Statistics

Seen <100 times