What is new?

The revised Swiss recommendations attempt to describe a medically and ethically sound approach to women and infants confronted with the risk of birth at an extremely low gestational age (< 28 0/7 weeks of gestation). They differ from the previous guidelines in several key aspects:

• They emphasize the limited value of risk assessment based on gestational age alone.
• The concept of a gestational age-based grey zone has been replaced by a structured and individualized risk assessment, which considers updated national and international information on mortality and morbidity rates of extremely low gestational age neonates (ELGANs).
• They explain the central role of SDM and, of particular importance, the