Category Archives: The CPS antenatal counselling statement

Keep people like this away from the NICU

Posted on 4 June 2015 by Keith Barrington

After my novel-length post earlier, a quick rant. In the few weeks since the NICHD ‘before 24’ paper came out there have been a number of newspaper articles reporting the results, and responses to them. A report in the National … Continue reading →

Posted in The CPS antenatal counselling statement | Tagged Ethics, mortality, Resuscitation | 4 Comments

Annie on the Radio

Posted on 11 May 2015 by Keith Barrington

Annie was interviewed live on air this morning on a CBC radio show called ‘The Current’. She was asked to discuss the NEJM publication from the Neonatal Research Network that I have been blogging about. I don’t know if this … Continue reading →

Posted in Neonatal Research, The CPS antenatal counselling statement | Tagged Ethics, long term outcomes, mortality | Leave a comment

A CPS statement thought experiment

Posted on 19 November 2014 by Keith Barrington

Its been a while since I ranted about the CPS position statement regarding decision making around extremely preterm delivery. But I am currently in Europe where certain countries have specific thresholds for willingness to provide intensive interventions, thresholds which are … Continue reading →

Posted in The CPS antenatal counselling statement | 1 Comment

The voice of Parents, now in print.

Posted on 8 October 2014 by Keith Barrington

Katharina Staub and other parents have written and published an article in Acta Paediatrica. ‘ Our child is not just a gestational age‘. In the NICU babies are often referred to by how many weeks they spent in the uterus, … Continue reading →

Posted in Neonatal Research, The CPS antenatal counselling statement | Tagged Ethics | 1 Comment

Article now listed on PubMed

Posted on 17 March 2014 by Keith Barrington

The commentary that a large group of us wrote in reply to the CPS statement on extreme prematurity is now listed on PubMed. (Janvier A, Barrington KJ, et al: CPS position statement for prenatal counselling before a premature birth: Simple … Continue reading →

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Still Perpetuating Prejudice Against Preterms

Posted on 24 January 2014 by Keith Barrington

Our commentary has just been published in Paediatrics and Child Health, the CPS journal together with a response from the Society. (they seem to be open access, but I am not certain). I am disappointed by the response, but not … Continue reading →

Posted in Advocating for impaired children, The CPS antenatal counselling statement | Tagged Ethics, Resuscitation | Leave a comment

Long term outcomes after Very Extremely Preterm Delivery

Posted on 15 December 2013 by Keith Barrington

Another blog post suggested by a reader, this time from Jim Goodmar from San Diego. This study of neurological and developmental outcomes of babies born before 25 weeks is remarkable in a number of ways. (Herber-Jonat S, Streiftau S, Knauss … Continue reading →

Posted in Neonatal Research, The CPS antenatal counselling statement | Tagged Ethics, Handicap, long term outcomes, Resuscitation | 4 Comments

Perpetuating Prejudice against Preterms; where should we go from here?

Posted on 19 November 2013 by Keith Barrington

Do we really need a position statement? There is no position statement of the CPS about counselling parents when their child presents with meningococcal disease. There is no position statement for the child with serious brain trauma. A position statement … Continue reading →

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Perpetuating Prejudice against Preterms: 6 Conflating Death and Disability

Posted on 11 November 2013 by Keith Barrington

Towards the end of last year the Canadian Pediatric Society published a new ‘position statement’. These are official proclamations of the society, supposedly based on the best available evidence to guide practice, and which become de facto standards of care. This particular … Continue reading →