Swiss Recommendations for the Perinatal Care of Extremely Low Gestational Age Neonates

Management options for ELGANs will fall into three different trajectories. First, if survival-focused care is not in the patient's best interest, preference should be given to comfort-focused palliative care. Second, if survival-focused care clearly is in the patient's best interest, survival-focused care will be provided. Third, if the patient's best interest is uncertain, both survival-focused and comfort-focused palliative care can be considered and parental preferences must be explored, respected, and supported.