title: "Early" versus "late" 23-week infant outcomes.
abstract: OBJECTIVE
  To determine whether survival is different in "early" (23(0/7)-23(3/7) weeks) vs "late" (23(4/7)-23(6/7) weeks) infants.
  
  
  METHODS
  Records of 126 consecutive liveborn infants delivered at 23(0/7) to 23(6/7) weeks' gestation from 2001-2010 were examined using the Vermont Oxford Network database. Infants born at 23 0/7 to 23 3/7 weeks were grouped into "early" and those at 23 4/7 to 23 6/7 weeks were "late." Clinical characteristics were compared between groups and multivariate analyses were used to predict survival.
  
  
  RESULTS
  Seventy-two infants were early and 54 were late. Survival was 25% vs 56%, respectively (P < .001). The early group was less likely to receive steroids (43% vs 65%; P = .016) and had a lower mean birthweight (547 g vs 596 g; P < .001). No difference in other factors was seen between groups. No change in survival was observed during the study period in either group.
  
  
  CONCLUSIONS
  Late 23-week infants have improved survival compared with early infants. Delaying delivery as little as 24-96 hours may improve survival for 23-week infants.
authors: Division of Maternal-Fetal Medicine, Department of Obstetrics, Gynecology, and Women's Health, Saint Louis University School of Medicine, St. Louis, MO, USA.
authors: Thinh P
authors: TP
authors: Nguyen
authors: Erol
authors: E
authors: Amon
authors: Mohamad
authors: M
authors: Al-Hosni
authors: Jeffrey A
authors: JA
authors: Gavard
authors: Gilad
authors: G
authors: Gross
authors: Thomas D
authors: TD
authors: Myles
mesh_terms: D005260:Female; D005865:Gestational Age; D006801:Humans; D007231:Infant, Newborn; D007234:Infant, Premature; D008297:Male; D012189:Retrospective Studies; D015996:Survival Rate