Perinatal care at an extremely low gestational age (22–25 weeks). An Italian approach: the “Carta di Firenze”

Guidelines on life or death strategies in extremely preterm infants have been formulated in various countries worldwide.1–15 The general agreement is not to initiate resuscitation in neonates when gestational age is less than or equal to 22 weeks, and intensive care is assured for infants of 25 weeks and over; in the middle there is a sort of “grey zone”. To provide helpful suggestions for initial management of threatened birth in infants at a gestational age of 25 completed weeks or less, a …