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Comment & Response |

Survival at a Gestational Age of 24 Weeks in the Netherlands—Reply

A. A. Eduard Verhagen, MD, PhD, JD1; Annie Janvier, MD, PhD2
[+] Author Affiliations
1Department of Pediatrics, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands
2Division of Neonatology and Clinical Ethics, Sainte-Justine Hospital, University of Montreal, Montreal, Quebec, Canada
JAMA Pediatr. 2014;168(6):582-583. doi:10.1001/jamapediatrics.2014.29.
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In Reply In their letter, Groenendaal and coauthors inform us about recent changes in attitudes and practice regarding the care of extremely preterm babies in the Netherlands resulting in optional active resuscitation for neonates from a gestational age of 24 weeks onwards. That is important news. We hope that they will soon publish these data internationally in a detailed manner and include the descriptions of medical care and the decisions that preceded the death or survival of the babies studied. That would help us to understand what we can validly infer from comparison with other outcome studies.


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June 1, 2014
Floris Groenendaal, MD, PhD; Rene Kornelisse, MD, PhD; Chantal Hukkelhoven, PhD
1Department of Neonatology, University Medical Center Utrecht, Utrecht, the Netherlands
2Erasmus Medical Center, Rotterdam, the Netherlands
3Netherlands Perinatal Registry, Utrecht, the Netherlands
JAMA Pediatr. 2014;168(6):582. doi:10.1001/jamapediatrics.2014.26.
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