Official websites use. Share sensitive information only on official, secure websites. Conchitina T Bandong, Resti Ma. In β, a working group of the Philippine Society of Newborn Medicine aimed to develop the first national guideline relating to the care of EPIs. The working group reviewed data on the outcomes of EPIs in the Philippines, surveyed paediatricians and neonatologists in the Philippines about current practice and held a consensus workshop.
This paper describes the guideline development process and presents a summary of the guidelines. Health professionals should take into consideration the views and wishes of the infant's parents and the availability of resources to treat the newborn infant. Active management would be appropriate to provide for potentially viable preterm infants at moderate to high risk of poor outcomes, where parents have expressed their wish for this management and where there are resources available to provide this treatment.
For such infants, where parents have expressed their wish to withhold active management, palliative management would also be appropriate to provide. The most premature infants have a high chance of dying, even with provision of intensive care. However, that raises questions for professionals about when this should be applied. Most existing resuscitation guidelines indicate thresholds based on the gestational age GA of the infant. A consensus workshop was held on 6 February with the aim to produce a guideline to assist clinicians dealing with ethical questions surrounding the care of EPIs.
The meeting was attended by 95 PSNbM members and representatives of other key stakeholders. The consensus meeting reviewed available outcome data. There is limited published evidence on outcomes for EPIs in the Philippines.
Figure 1 illustrates the reported outcome mortality for one tertiary hospital in Manila. Preterm mortality according to gestational age at the Philippine General Hospital, Manila, β To aid the development of the consensus guideline, a survey of neonatologists in the Philippines was conducted in Frequency of initiating resuscitation for a given gestational age as reported in Reproduced from Hayden et al. There were significant differences between hospitals regarding the resources available e.
