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We will consider paths to acceptance of multiple therapies (antenatal corticosteroids, preventing GBS, others). We conclude single\u2010centre trials drive care, but are not consistently predictive for multicentre trials. Innovation\/quality improvement initiatives also alter care, despite strong evidence practice changes take time. Furthermore, there are powerful medico\u2010legal implications if a therapy is designated SOC.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Defining SOC is a quandary with more legal implications than medical, but what's most critical is keeping current in a rapidly changing field.<\/jats:p><\/jats:sec>","DOI":"10.1111\/apa.13435","type":"journal-article","created":{"date-parts":[[2016,4,22]],"date-time":"2016-04-22T22:23:54Z","timestamp":1461363834000},"page":"1009-1013","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["The ongoing quandary of defining the standard of care for neonates"],"prefix":"10.1111","volume":"105","author":[{"given":"Avroy A.","family":"Fanaroff","sequence":"first","affiliation":[{"name":"Department of Pediatrics Case Western Reserve University School of Medicine Cleveland OH USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jonathan M.","family":"Fanaroff","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Case Western Reserve University School of Medicine Cleveland OH USA"},{"name":"Rainbow Center for Pediatric Ethics Rainbow Babies &amp; Children's Hospital \/ University Hospitals Case Medical Center Cleveland OH USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,5,20]]},"reference":[{"key":"e_1_2_9_2_1","first-page":"1","volume-title":"Policy research perspectives \u2014 medical liability claim frequency: a 2007\u20132008 snapshot of physicians","author":"Kane C","year":"2010"},{"key":"e_1_2_9_3_1","volume-title":"Medicolegal Issues in Pediatrics","author":"Donn SM","year":"2012"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1542\/neo.9-1-e24"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurpub\/ckv171.043"},{"key":"e_1_2_9_6_1","volume-title":"Black's Law Dictionary","author":"Garner BA","year":"2004"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.siny.2015.09.004"},{"key":"e_1_2_9_8_1","doi-asserted-by":"crossref","first-page":"413","DOI":"10.1001\/jama.1995.03520290065031","article-title":"Consensus Development Panel on the Effect of Corticosteroids for Fetal Maturation on Perinatal Outcomes Effect of corticosteroids for fetal maturation on perinatal outcomes","volume":"273","author":"NIH","year":"1995","journal-title":"JAMA"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2015.10244"},{"key":"e_1_2_9_10_1","doi-asserted-by":"crossref","first-page":"55","DOI":"10.1016\/0020-7292(93)90453-4","article-title":"Group B streptococcal infections in pregnancy. 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