Care for infants born at 23 weeks gestational age: 5 years' experience from a large medical center.
OBJECTIVES
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.
['Schimmel|Michael S|MS|', 'Steinberg|Avraham|A|', 'Mimouni|Francis B|FB|', 'Yekel|Yael|Y|']
D002755:Choice Behavior D016208:Databases, Factual D005260:Female D005865:Gestational Age D006801:Humans D007224:Infant Care D007231:Infant, Newborn D007234:Infant, Premature D007235:Infant, Premature, Diseases D007557:Israel D008297:Male D010290:Parents D011247:Pregnancy
Neonatal mortality parental decision-making preterm