Event Details

Zoom Meeting

Event Icon

29 June 2022 10:00am -11:30am AEST

Zoom Meeting

Event Icon

29 June 2022 10:00am -11:30am AEST

Presenters:

Prof Jonathan Klein
Medical Director Neonatal Intensive Care Unit

Jonathan Klein is the Professor of Paediatrics at the University of Iowa, Medical Director Neonatal Intensive Care Unit, University of Iowa Stead Family Children's Hospital. His clinical and research interests include high-frequency ventilation, nitric oxide therapy, surfactant replacement therapy, persistent pulmonary hypertension of the newborn, sex-specific differences in lung development, and the effects of epidermal growth factor on lung development.



Event Dates

Date: 29 June 2022
Time: 10:00am – 11:30am AEST

Location

Zoom Meeting

Beyond Extreme Prematurity: Management and Outcomes of Periviable Infants Born at 22-23 Weeks Gestation

NICU and Special Care Nurseries

Zoom Meeting


About

The Stillbirths and neonatal deaths in Australia 2017 and 2018”(link is external)  reported published in 2021 by Australian Institute of Health and Welfare, showed that the largest proportion of perinatal deaths (38.3%) occurred from 20 to 22 weeks of gestation.
Over 60% of perinatal deaths occurred between 20 and 26 weeks of gestation and the most commonly classified conditions causing neonatal deaths were:

  • Congenital anomaly (30.3%)
  • Extreme prematurity (28.5%)
  • Neurological conditions (13.2%).

The prognosis of extremely preterm infants has dramatically improved during recent decades. We know that Infants in the 24-25 week gestation have a higher survival rate than their 22-23 week counterparts

The University of Iowa Stead Family Children's Hospital Neonatal Intensive Care Unit is the only Level IV NICU in Iowa.
The survival rates for babies born at 22 to 25 weeks are “significantly higher” than the survival rates seen nationally (USA) for extremely premature babies, ranging from 59 percent at 22 weeks to 89 percent at 25 weeks.

The management of 22-23 Weeks Infants -  “Iowa Way” has been implemented at the service for the last 17 years which has resulted in long-term follow up on the patients.

Survival at 22-23 weeks gestation age is extremely difficult but not impossible and not hopeless and Jonathan Klein the Medical Director Neonatal Intensive Care Unit will provide the unique insight.

Jonathan will provide insight into the positive proactive philosophical approach in providing care for beyond extremely prematurity – the cultural change.

Objectives:

  • Describe the culture and philosophy of a NICU dedicated to caring for infants born at 22-23 weeks gestation
  • Identify differences in management strategies when caring for infants born at 22-23 weeks gestation
  • Review survival, morbidity and two-year outcomes for infants born at 22-23 weeks gestation at a single center with a positive proactive philosophical approach