Management of babies born extremely preterm at less than 26 weeks of gestation: a framework for clinical practice at the time of birth

http://fn.bmj.com/content/94/1/2.full/reply#fetalneonatal_el_2755 The treatment of ELBW newborns needs to be customized and any intervention should be performed in the patient’s best interest. The approach of neonatologists to the medical care of extremely premature newborn differs from country to country, as it is influenced by different medical, social ethical and legal considerations. In case of extreme prematurity, if the neonatologist realizes that any therapeutic effort is useless, intensive therapies that could translate into pursuit of futile treatment should of course be curtailed.