Perinatal Grand Rounds Webinar Series

Perinatal Counseling at the Limits of Viability

This presentation begins by reviewing outcomes data at the limits of viability and guidelines for care. The presentation reviews potential tools that can be used in helping counsel and making choices. Finally, the presentation discusses an ethical analysis supporting resuscitation decisions that fall within the zone of parental permission.

Register to unlock the course, then click ‘Continue.’ Course materials are available at the bottom of this page.
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Patrick Jones - Course author
Meet the instructor

Steven R. Leuthner, MD, MA


Steven R. Leuthner received an MD from the University of Chicago and an MA in Health Care Ethics from Loyola University of Chicago. He completed pediatric residency and neonatology fellowship training at Northwestern University. He is currently a Professor of Pediatrics and Bioethics at the Medical College of Wisconsin. His interests include issues related to neonatal ethics.


The speaker has no relevant financial relationships with ineligible companies.*

Learning Outcomes

At the conclusion of this activity, participants will be able to:
  • Describe published guidelines and outcomes with resuscitation at the limits of viability.
  • Discuss counseling and resuscitation strategies at the limits of viability.
  • Explain ethical concepts that help guide decision-making at the limits of viability.

Accreditation Statement

Continuing Medical Education

The Wisconsin Association for Perinatal Care (WAPC) is accredited by the Wisconsin Medical Society to provide continuing medical education for physicians. The Wisconsin Association for Perinatal Care (WAPC) designates this internet enduring material for a maximum of 1.0 AMA PRA Category 1 CreditTM. 

Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Planning Committee

No one in control of content has any relevant financial relationships with ineligible companies.*
*Ineligible companies are those whose primary business is producing, marketing, selling, reselling, or distributing health care products used by or on patients.

Course Information

This webinar was recorded on 16 April 2026.

The expiration date for this course is 16 April 2029.