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Review
. 2024 Mar;36(1):23-33.
doi: 10.1016/j.cnc.2023.08.007. Epub 2023 Sep 19.

Care from Birth to Discharge of Infants Born at 22 to 23 Weeks' Gestation

John M Dagle  1 , Stephen K Hunter  2 , Tarah T Colaizy  3 , Steve J McElroy  4 , Heidi M Harmon  3 , Patrick J McNamara  5 , Jonathan M Klein  3
Affiliations
Review

Care from Birth to Discharge of Infants Born at 22 to 23 Weeks' Gestation

John M Dagle et al. Crit Care Nurs Clin North Am. 2024 Mar.

Abstract

The clinical care of infants born at 22 weeks' gestation must be well-designed and standardized if optimal results are to be expected. Although several approaches to care in this vulnerable population are possible, protocols should be neither random nor inconsistent. We describe the approach taken at the University of Iowa Stead Family Children's Hospital neonatal intensive care unit with respect to preterm infants born at 22 weeks' gestation. We have chosen to present our standardize care plan with respect to prenatal, neurologic, nutritional, gastrointestinal, and skin management. Respiratory and cardiopulmonary care will be briefly reviewed, as these strategies have been published previously.

Keywords: Extreme prematurity; Outcomes; Precision.

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