A baby is born prematurely at 23 weeks’ gestational age with many typical complications of extreme prematurity. At 47 weeks’ adjusted gestational age, she continues to receive ventilation, is fed through a nasal-duodenal tube, and has grade IV bilateral intraventricular hemorrhages resulting in global encephalomalacia. Her parents are counselled that she has a “poor prognosis” and a decision needs to be made about whether life-sustaining treatments should be continued or stopped.

中文翻译：

---

严重神经功能障碍儿童应避免使用术语预后不良：最好避免使用语言捷径

婴儿在胎龄23周时早产，有许多典型的极端早产并发症。调整胎龄47周后，她继续通气，通过鼻-十二指肠管进食，并出现IV级双侧脑室内出血，导致整体脑软化。她的父母被告知她的“预后很差”，需要决定是否应该继续或停止维持生命的治疗。