Should newborns below 25 weeks be resuscitated?

In the context of newborn life support, the decision to resuscitate extremely preterm infants, particularly those born before 25 weeks of gestation, is influenced by multiple factors including the likelihood of survival and the potential for severe morbidity. Research and clinical guidelines have established that newborns born at or below this gestational age often face exceedingly high rates of complications and very low chances of survival.

Medical professionals are guided by evidence-based practices that consider the balance between the risks and potential outcomes for these fragile infants. In many cases, resuscitation efforts may not only be technically possible but can also lead to significant long-term suffering due to complications arising from extreme prematurity, such as severe neurological impairment. This is why many medical guidelines recommend a more conservative approach for very preterm infants.

Given the profound ethical considerations involved in the care of extremely preterm newborns, it is ultimately decided that for those under 25 weeks, the approach is typically to not pursue resuscitation unless there are specific mitigating factors present. This aligns with a commitment to providing care that prioritizes the well-being and dignity of the newborn. Therefore, it is generally accepted that they should not undergo resuscitation in most circumstances.