Highlights that this is a grey zone, where parental desires should be support 
There is a substantial variability in in active care approaches by gestational age among European countries
Survival among actively treated infants in the Germany Neonatal Network
Cognitive outcomes at 5 years among surviving infants by gestational age
Several key changes in clinical practice:
1. Avoidance of endotracheal intubation in delivery room
2. Avoidance of alcohol-based skin disinfectants
3. Use of dual-strain probiotics
1. Avoidance of endotracheal intubation in delivery room
2. Avoidance of alcohol-based skin disinfectants
3. Use of dual-strain probiotics
Other changes in clinical practices in Germany
Key points from talk
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