title: Care for infants born at 23 weeks gestational age: 5 years' experience from a large medical center.
abstract: OBJECTIVE
  Assessing parental choice regarding care of infants born at 23 weeks' gestation.
  
  
  METHODS
  Neonatal records review.
  
  
  RESULTS
  During 2010-2014, of 26 births (33 infants), 13 families (17 newborns) conceded comfort care only with no survivors, while 13 families (16 babies) requested full medical care and three survived. With birth year, gender, multi-fetal pregnancy, assisted reproductive technology, religious background and specialization of physician counseling at delivery as independent variables, none significantly affected parental decision; yet, that decision impacted outcome.
  
  
  CONCLUSIONS
  Parental choice regarding infants born at 23 weeks' gestation cannot be predicted from demographics; counseling should concentrate on local experience/outcome.
authors.affiliation: a Department of Neonatology .
authors.forename: Michael S
authors.initials: MS
authors.lastname: Schimmel
authors.affiliation: b Medical Ethics Unit , and.
authors.forename: Avraham
authors.initials: A
authors.lastname: Steinberg
authors.affiliation: a Department of Neonatology .
authors.forename: Francis B
authors.initials: FB
authors.lastname: Mimouni
authors.affiliation: c Department of Obstetrics and Gynecology , Shaare Zedek Medical Center , Jerusalem , Israel.
authors.forename: Yael
authors.initials: Y
authors.lastname: Yekel
mesh_terms: D002755:Choice Behavior; D016208:Databases, Factual; D005260:Female; D005865:Gestational Age; D006801:Humans; D007224:Infant Care / Q000379:methods* / Q000706:statistics & numerical data; D007231:Infant, Newborn; D007234:Infant, Premature; D007235:Infant, Premature, Diseases / Q000453:epidemiology / Q000628:therapy; D007557:Israel / Q000453:epidemiology; D008297:Male; D010290:Parents / Q000523:psychology; D011247:Pregnancy
keywords: Neonatal mortality; parental decision-making; preterm