[Practice guideline 'Perinatal management of extremely preterm delivery']

Ned Tijdschr Geneeskd. 2010;154:A2701.
[Article in Dutch]


At the request of the State Secretary of the Dutch Ministry of Health, Welfare and Sport a national multidisciplinary workgroup developed an evidence-based practice guideline for the management of pregnant women with an imminent preterm delivery after a pregnancy of less than 26 weeks duration and for extremely preterm neonates. Active care measures are advised for neonates from a gestational age of 24 0/7 weeks onwards, unless there are serious arguments that justify a conservative management. In cases of imminent preterm delivery, intrauterine transport to a perinatological care centre is advised from a gestational age of 23 4/7 weeks onwards. In cases of imminent preterm delivery, glucocorticoids to enhance fetal lung maturity should be administered from a gestational age of 23 5/7 weeks onwards. From a gestational age of 24 0/7 weeks onwards a caesarean section may be considered if the fetal condition during spontaneous labour justifies this.

Publication types

  • English Abstract
  • Practice Guideline
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Cesarean Section
  • Evidence-Based Medicine
  • Female
  • Fetal Organ Maturity / drug effects
  • Gestational Age*
  • Glucocorticoids / administration & dosage
  • Gynecology / standards*
  • Humans
  • Infant, Newborn
  • Infant, Premature / growth & development*
  • Lung / embryology
  • Netherlands
  • Obstetric Labor, Premature / prevention & control*
  • Obstetrics / standards*
  • Practice Patterns, Physicians'
  • Pregnancy
  • Pregnancy Outcome
  • Respiratory Distress Syndrome, Newborn / prevention & control*
  • Societies, Medical


  • Glucocorticoids