Abstract
To the Editor .— As students of bioethical decision-making, we always look forward to Dr Saigal's sequential follow-up studies that focus on the long-term health and social welfare of the 166 premature infants born in Ontario, Canada, between 1977 and 1982.1 In the course of our work as a neonatologist, perinatologist, and clinical researchers, the debate over the wisdom and compassion of aggressive resuscitation and NICU care of extremely premature infants who are <27 weeks' gestational age continues to yield no simple solutions. Our obstetrics and neonatology service at Providence St Vincent Medical Center in Portland, Oregon, offers comprehensive periviability counseling …
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