title: [Practice guideline 'Perinatal management of extremely preterm delivery'].
abstract: At the request of the State Secretary of the Dutch Ministry of Health, Welfare and Sport a national multidisciplinary workgroup developed an evidence-based practice guideline for the management of pregnant women with an imminent preterm delivery after a pregnancy of less than 26 weeks duration and for extremely preterm neonates. Active care measures are advised for neonates from a gestational age of 24 0/7 weeks onwards, unless there are serious arguments that justify a conservative management. In cases of imminent preterm delivery, intrauterine transport to a perinatological care centre is advised from a gestational age of 23 4/7 weeks onwards. In cases of imminent preterm delivery, glucocorticoids to enhance fetal lung maturity should be administered from a gestational age of 23 5/7 weeks onwards. From a gestational age of 24 0/7 weeks onwards a caesarean section may be considered if the fetal condition during spontaneous labour justifies this.
authors.affiliation: Academisch Medisch Centrum, Afd. Gynaecologie/Verloskunde, Amsterdam, The Netherlands. m.w.delaat@amc.uva.nl
authors.forename: Monique W M
authors.initials: MW
authors.lastname: de Laat
authors.forename: Melanie M
authors.initials: MM
authors.lastname: Wiegerinck
authors.forename: Frans J
authors.initials: FJ
authors.lastname: Walther
authors.forename: Nicole
authors.initials: N
authors.lastname: Boluyt
authors.forename: Ben Willem J
authors.initials: BW
authors.lastname: Mol
authors.forename: Joris A M
authors.initials: JA
authors.lastname: van der Post
authors.forename: Jan M M
authors.initials: JM
authors.lastname: van Lith
authors.forename: Martin
authors.initials: M
authors.lastname: Offringa
mesh_terms: D002585:Cesarean Section; D019317:Evidence-Based Medicine; D005260:Female; D005325:Fetal Organ Maturity / Q000187:drug effects; D005865:Gestational Age; D005938:Glucocorticoids / Q000008:administration & dosage; D006176:Gynecology / Q000592:standards*; D006801:Humans; D007231:Infant, Newborn; D007234:Infant, Premature / Q000254:growth & development*; D008168:Lung / Q000196:embryology; D009426:Netherlands; D007752:Obstetric Labor, Premature / Q000517:prevention & control*; D009774:Obstetrics / Q000592:standards*; D010818:Practice Patterns, Physicians'; D011247:Pregnancy; D011256:Pregnancy Outcome; D012127:Respiratory Distress Syndrome, Newborn / Q000517:prevention & control*; D012955:Societies, Medical
chemical_list: D005938:Glucocorticoids