A. When infants are born prior to 24 weeks gestation a decision has to be made to resuscitate or not to resuscitate.
B. Consideration to resuscitate infants born before 24 week gestation is controversial.
C. Thesis statement: Although infants born at less than 24 week gestation can survive, infants should not be resuscitated prior to 24 week gestation because there is a very low survival rate and infant who do survive suffer from high health morbidities with unbearable medical cost.
A. Heading: Historical Information
1. Extremely preterm infants are surviving.
a. The rate that extremely preterm infants that are surviving is increasing with medical advances (Serenius et al., 2013; Manley et al., 2010).
b. More infants are being resuscitated despite being considered extremely preterm (Manley et al., 2010).
2. Extremely preterm infants are suffering from moderate to severe health morbidities creating burden to families and the healthcare system.
a. Infant morbidities cause extreme burden on families (Hodek, Schulenburg, & Mittendorf, 2011).
b. Survival of extremely preterm infants is causing healthcare systems to be strained (Hodek, Schulenburg, & Mittendorf, 2011).
B. Counter-Argument heading: Infants can Survive
1. Resuscitation helps infants born prior to 24 week gestation survive.
c. Providers have been able to increase the gestational age of viability by taking an active approach in the perinatal methods used to resuscitate extremely preterm infants (Serenius et al., 2013).
d. “Moderate or severe disabilities decrease with advancing gestational age at birth” (Serenius et al., 2013).
e. More than half of infant born at 24 week gestation do not have moderate or severe disabilities (Serenius et al., 2013).
2. Technological advances are helping improve survival rates among preterm infants.
a. Survival rates increase for infants born at level III hospitals with immediate NICU availability (Marsal, 2009).
b. Utilization of steroids, surfactant, and early...