The Audio Long Read

Best of 2025 … so far: ‘Look, they’re getting skin!’: are we right to strive to save the world’s tiniest babies?

Aug 27, 2025
Delve into the emotional turmoil of parents facing the birth of extremely premature babies at just 22 or 23 weeks. Explore the ethical dilemmas medical professionals grapple with while pushing the boundaries of neonatal care. The narrative highlights personal stories that reveal both hope and fear surrounding survival rates. Listen in as they discuss the delicate balance between advanced healthcare and the potential suffering of these vulnerable lives. Expect a deep dive into the struggles and triumphs of this incredible journey!
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ANECDOTE

Birth At The Edge Of Viability

  • Alice Smith gave birth to twins at 23 weeks and four days, each smaller than a full-term newborn and described as looking like fetuses.
  • Their skin was thin and translucent and they fit in the palm of a hand.
INSIGHT

Belief Shapes Survival

  • Neonatal survival at the margins depends on doctors' willingness to try.
  • Doctors won't attempt intensive care unless they believe they can succeed, so beliefs shape survival rates.
ANECDOTE

A Doctor Who Pushed The Wall

  • Edward Bell recalled being persuaded to attempt resuscitation at 22 weeks after prior success with a 23-week baby.
  • His team later succeeded with a 22-week survivor, reinforcing a push to 'push the wall'.
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