Thanks all for the books, etc. We don't technically resuscitate until 23 wks; however, it is a problem when it is 21-24 or something...unknown, then we do respond and do what is appropriate, the parents are involved with info and discussions with NICU before-hand (if time allows!) of course. When the dates are known, and early, we talk to the families, if they wish. It is heartrending, but leaves one feeling like you did a good thing, when you talk honestly to a 22-something wk gest. family in L & D, and tell them we can't do anything, that to attempt would be causing their child pain, and would be futile in the long run. It could change, but that is what we do now.