Abstract
The recent British Association of Perinatal Medicine (BAPM) guidance published in 2019 suggested for the first time that we can consider resuscitation of extremely premature infants (EPI) at 22-24 weeks gestational age (GA) on a case-by-case basis in the UK. This has sent waves throughout UK neonatal units, and we believe this arises because we're now confronted with challenging decisions about whether a foetus under 24 weeks will be viable or not, and whether it's in their best interests to provide 'survival-focused' care (SFC) or 'comfort-focused' care (CFC). Despite a robust framework introduced by BAPM, we believe uncertainty still remains.
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