# Lessons From the Survival of an Extremely Preterm Neonate Despite Challenges in a Country Where Gestational Age of Viability Is 28 Weeks

## TL;DR

This paper discusses the survival of a very early-born baby in Ghana, where such cases are rare due to limited resources and medical guidelines.

## Contribution

The case study provides insights into neonatal care challenges and advocates for revising the gestational age of viability in low-resource settings.

## Key findings

- The survival of an extremely preterm neonate in Ghana is possible despite limited resources.
- Current viability standards may not reflect real-world outcomes in low-resource settings.
- Health systems need improvement to better support preterm neonatal care.

## Abstract

Managing extremely preterm neonates with very low birth weight is challenging, especially in Ghana where viability is set at 28 weeks. This case highlights the complexities of neonatal care in low‐resource settings and emphasizes the need for improvement in health systems to revise the age of viability.