{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,15]],"date-time":"2026-02-15T17:07:13Z","timestamp":1771175233109,"version":"3.50.1"},"reference-count":30,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,12,24]],"date-time":"2025-12-24T00:00:00Z","timestamp":1766534400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,12,24]],"date-time":"2025-12-24T00:00:00Z","timestamp":1766534400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Paediatrica"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>\n                      To revise the 2011 Swiss recommendations for the perinatal care of extremely low gestational age neonates (\n                      <jats:styled-content style=\"fixed-case\">ELGANs<\/jats:styled-content>\n                      ).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Based on review of recent literature, experts from various medical specialties involved in the perinatal care of\n                      <jats:styled-content style=\"fixed-case\">ELGANs<\/jats:styled-content>\n                      made suggestions for revisions. Following discussions, changes accepted by the whole working group were incorporated into the revised manuscript.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The revised recommendations highlight the importance of individualised risk assessment and emphasise the importance of shared decision\u2010making. While the care of preterm infants with a gestational age below 23 0\/7\u2009weeks should be limited to comfort\u2010focused palliative care, risk assessment in preterm infants with a gestational age\u2009\u2265\u200923 0\/7\u2009weeks must be individualised by considering additional non\u2010modifiable and modifiable risk factors; decision\u2010making based on gestational age alone must be abandoned.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      Management options for\n                      <jats:styled-content style=\"fixed-case\">ELGANs<\/jats:styled-content>\n                      will fall into three different trajectories. First, if survival\u2010focused care is not in the patient's best interest, preference should be given to comfort\u2010focused palliative care. Second, if survival\u2010focused care clearly is in the patient's best interest, survival\u2010focused care will be provided. Third, if the patient's best interest is uncertain, both survival\u2010focused and comfort\u2010focused palliative care can be considered and parental preferences must be explored, respected, and supported.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/apa.70423","type":"journal-article","created":{"date-parts":[[2025,12,24]],"date-time":"2025-12-24T16:19:01Z","timestamp":1766593141000},"page":"563-576","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Swiss Recommendations for the Perinatal Care of Extremely Low Gestational Age Neonates"],"prefix":"10.1111","volume":"115","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4923-2166","authenticated-orcid":false,"given":"Thomas M.","family":"Berger","sequence":"first","affiliation":[{"name":"NEO FOR NAMIBIA \u2010 Helping Babies Survive  Lucerne 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