TY - CHAP M1 - Book, Section TI - Prognosis A1 - Randolph, Adrienne G. A1 - Cook, Deborah J. A1 - Guyatt, Gordon A2 - Guyatt, Gordon A2 - Rennie, Drummond A2 - Meade, Maureen O. A2 - Cook, Deborah J. PY - 2015 T2 - Users' Guides to the Medical Literature: A Manual for Evidence-Based Clinical Practice, 3rd ed AB - CLINICAL SCENARIOYou are a pediatrician expecting to see an infant who was born at 26 weeks' gestation tomorrow for her first outpatient clinic visit at 4 months after birth. You know the family well because you care for their older child who was born at 35 weeks' gestation and is now a healthy 3-year-old girl. This infant had a prolonged stay in the neonatal intensive care unit but required relatively minimal respiratory support during her first 3 weeks of life. The neonatologist told you that the infant did extremely well, experiencing none of the complications that often occur in extremely preterm infants. He also informs you that he warned the family, “Your baby is at risk for long-term neurocognitive and motor complications related to being born so prematurely. Although some babies born this prematurely grow up to lead normal lives, many have minor disabilities, and there is a nontrivial chance that your baby could develop moderate to severe disabilities.” You have 5 other children in your pediatric practice born at less than 27 weeks of gestation; all of them have major neurodevelopmental problems. On the basis of your professional experience, you wonder if the neonatologist has presented the family with an overly optimistic outlook. You decide to check out the evidence for yourself. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/10/13 UR - jamaevidence.mhmedical.com/content.aspx?aid=1183877525 ER -